The mediating effect of quality of life between family support and advance care planning readiness of older adult patients with chronic diseases
Bibliographic Data
| ID | 22069918 |
|---|---|
| Authors | Yongli Lyu (Central China Normal University), Yafang Liu (0000-0001-8841-0706, Tongji Hospital), Yuechen Liu (0000-0002-1676-8239, Tongji Hospital), Xinlian Yang (Wuhan Union Hospital, corresponding author), Kai Guo (0000-0001-9699-7527, Huangshi Central Hospital, corresponding author) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1619449-1619449 |
| Publication date | 2025-07-21 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1619449 |
| PMID | 40761939 |
| OpenAlex | W4412506096 |
| Language | EN |
| Citations received | 1 |
| References cited | 34 |
Objective To investigate the mediating effect of quality of life (QoL) between family support and advance care planning (ACP) readiness among older adult patients with chronic diseases, thereby providing evidence for nursing administrators to strengthen family support and promote ACP preparedness. Methods From November 2024 to February 2025, a total of 262 older adult patients with chronic diseases were recruited via convenience sampling from seven tertiary hospitals located in Guangdong, Hainan, Sichuan, Heilongjiang, and Hubei provinces. Data were collected using a general information questionnaire, the EuroQoL-5 Dimension (EQ-5D-5L) scale, the Family Support Scale, and the Advance Care Planning Readiness Scale. Results The median EQ-5D-5L utility score was 0.831 (IQR: 0.640–0.942), the family support score was 12.00 (IQR: 12.00–13.00), and the mean ACP readiness score was 81.97 ± 9.88. Family support was found to be positively correlated with ACP readiness ( r = 0.515, p < 0.01). Similarly, quality of life was also positively associated with ACP readiness ( r = 0.552, p < 0.01). Furthermore, family support exhibited positive correlation with quality of life ( r = 0.403, p < 0.01). Mediation analysis indicated that quality of life partially mediated the interrelationship between family support and ACP readiness, accounting for 25.5% of the total effect. Conclusion Quality of life plays a mediating role between family support and ACP readiness in older adult patients with chronic diseases. Nursing administrators should prioritize improving quality of life and fostering supportive family environments to enhance ACP preparedness
Chronic disease · Family medicine · Multiple Chronic Conditions · Chronic Disease Management Strategies · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Gerontology
Estimating an EQ-5D-5L Value Set for China
Defining Advance Care Planning for Adults
Is it really better to “die” than “live”? Reflections on the practice of “death with dignity” in China
Implementation, Processes and Outcomes of Advance Care Planning
Measures of perceived social support from friends and from family
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |