Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study

National Cheng-Kung University

Status: Completed

Conditions: End of Life Care; Chronic Kidney Disease; Advance Care Planning; Chronic Renal Failure; Death Anxiety; Chronic Renal Insufficiency

Treatments: Other: ACP board game for life

Study type: Interventional

Funder types: Other

Identifiers

NCT06046261

B-ER-110-472

Details and patient eligibility

About

This study was to explore the impacts of participating in "ACP board game for life" on death preparation, death anxiety, end-of-life care preferences, and intervention perception in stage 4-5 CKD patients with advanced chronic kidney diseases in a medical center.

Full description

This study was to explore the impacts of participating in "ACP board game for life" on death preparation, death anxiety, end-of-life care preferences, and intervention perception in stage 4-5 CKD patients with advanced chronic kidney diseases in a medical center. A nonrandomized two-arm pretest and posttest quasi-experimental design was used. Patients in the control group received routine care while patients in the experimental group received routine care and ACP board game for life. The ACP board game, death preparation subscale, Chinese Likert death anxiety scale, self-created questionnaires and brief interview were used for data collection.

Enrollment: 69 patients

Sex: All

Ages: 21 to 78 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stage 4-5 chronic kidney disease patients
• Chinese nationality
• Over 20 years old
• Consciousness clear, can communicate and express their opinions in Mandarin and Taiwanese

Exclusion criteria

• Patients express that talking about death makes them feel scared or cause anxiety
• The doctor assesses that the patient's condition is in the stage of septic shock, hemodynamic instability, asthma, pulmonary edema, hypoxemia or acute myocardial infarction
• Patients with contact or airborne precautions
• Patients without legal capacity

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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69 participants in 2 patient groups

General routine care and ACP board game for life

Experimental group

Treatment:

Other: ACP board game for life

General routine care

No Intervention group

Description:

"General routine care" means that when a CKD stage 4-5 patient is in critical condition or at the end of life, the renal medical team will explain the content of DNR to the patient's family (without cardiopulmonary resuscitation: including endotracheal tube intubation, extracorporeal cardiac compression, Emergency treatment items such as cardiac electric shock, emergency drug injection, and artificial cardiac pacemaker adjustment), the concept of palliative care (supportive care for end-of-life patients to relieve physical discomfort symptoms to reduce physical, mental and spiritual pain) or ACP.