Chronic obstructive pulmonary disease is a progressive condition with frequent exacerbations and an unpredictable prognosis. Dyspnea, a common and distressing symptom, often causes fear, anxiety, and a reduced quality of life. Despite medical advancements, treatment can be costly and may not always align with patient preferences, making decision making difficult for chronic obstructive pulmonary disease patients and families. Advance care planning allows patients to make healthcare decisions be
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 40 years or older. 2. The severity level of stage 2. 3. Experienced at least one acute exacerbation in the past year. 4. Fully conscious, no cognitive impairment, as assessed by the Mini Mental State Examination; MMSE-Thai 2002 for individuals aged 60 years or older. 5. Has a caregiver, family member, or a significant person important to the patient. 6.able to understand and communicate in Thai without any hearing or vision problems. and 7. First-time participant in the advance care planning program and has never completed an advance directive for end-of-life care.
Exclusion criteria
Exclusion criteria: Has an illness related to cancer in various organs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intertion pre intervention, post intervention at week 2, and follow up at week 4. Using a questionnaire to assess the intention for advance care planning | — |
Secondary
| Measure | Time frame |
|---|---|
| Death anxiety pre intervention, post intervention at week 2, and follow up at week 4. Using a questionnaire to assess the death anxiety | — |
Countries
Thailand
Contacts
chronic obstructive pulmonary clinic at Central Chest Institute Of Thailand