ArticleBelitung nursing journal2026
Factors predicting intention to engage in advance care planning among patients with chronic kidney disease in Thailand: A cross-sectional study.
Article in Belitung nursing journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Chronic kidney disease (CKD) is a progressive condition associated with declining decisional capacity and increased end-of-life care needs. Although advance care planning (ACP) supports patient autonomy and goal-concordant care, engagement remains limited, particularly among patients with pre-dialysis CKD in Thailand. Objectives: To assess the level of intention to engage in ACP and identify factors predicting ACP intention among patients with CKD stages 3-5 in Thailand. Methods: A cross-sectional study was conducted from April to June 2025 among 184 patients aged ≥20 years with CKD stages 3-5 attending nephrology outpatient clinics at five public tertiary-level hospitals. Participants were recruited through purposive sampling using a multistage approach. Data were collected using validated questionnaires and analyzed using descriptive statistics and hierarchical multiple regression. Results: The mean age of participants was 64.48 years ( Conclusions: ACP intention among Thai patients with CKD was low, influenced by attitudes, family support, self-efficacy, and ACP knowledge. Nurses should implement family-centered, empowerment-based educational interventions and integrate ACP discussions into routine nephrology care to promote timely and culturally aligned end-of-life decision-making.
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