晚期癌症患者预立医疗照护计划参与行为影响因素的系统综述
傅艺玲, 吴茜, 罗晓庆, 吴艾泓, 夏雪兰, 郑敏

Factors influencing advance care planning engagement behavior in patients with advanced cancer: a systematic review
FU Yiling, WU Qian, LUO Xiaoqing, WU Aihong, XIA Xuelan, ZHENG Min
表6 晚期癌症患者ACP参与行为影响因素COM-B模型编码结果汇总
Tab 6 Factors influencing ACP engagement behavior of advanced cancer patients coded according to COM-B model
COM-BTDFFacilitatorBarrier
Capability
Psychological capabilityKnowledge

Knowledge of ACP[16,23]

Education level[15,18,21,29]

Accurate knowledge of prognosis[27-28,30,32]

Knowledge of ACP[19]
Behavioural regulation

Knowledge of the time of disease diagnosis[18]

Prior experience[18,21,23]

Subjective life expectancy[27]
Physical capabilitySkills

Age[23-24,29-30]

Cancer site[20,23]

Disease symptom burden[29]
Opportunity
Social opportunitySocial influences

Marital status[16-18,20,30]

Race/ethnicity[26,31]

Family support[23,26,32]

Doctor-patient relationship[22-23,26]

Religious belief[16,20]

Gender[20,24]

Social support[18,26]

Dependent children[34]

Acculturation[22]

Marital status[30]

Race/ethnicity[35]

Family support[23]

Doctor-patient relationship[15,22]

Religious belief[15,26,35]

Physical opportunityEnvironmental context and resources

Family economic condition[17,24]

Place of living[20]

Housing type[20]

Hospice service center[30]

Place of living[18,24]

Motivation
Reflective motivationIntentionsACP attitude[16,19,22-23]
GoalsACP belief[20,23]
Beliefs about capabilitiesACP motivation[23]ACP motivation[20]
Automatic motivationEmotionAnxiety and depression[33]Death attitude[15,17,25,29]