Current Status and Influencing Factors of Advance Care Planning Readiness in Patients Undergoing Peritoneal Dialysis

Objective To explore the current status of advance care planning (ACP) readiness in patients undergoing peritoneal dialysis (PD) and systematically analyze its influencing factors. Methods A total of 129 PD patients were selected from 2 Grade A tertiary hospitals in Sichuan Province using convenience sampling from January to June 2025. Data were collected using a general demographic questionnaire, the Advance Care Planning Readiness Scale (ACPRS), the Chinese Version of the Death Anxiety Scale (CT-DAS), and the Social Support Rating Scale (SSRS). Multiple linear regression analysis was applied to identify the influencing factors of ACP readiness. Results The total score of ACP readiness in PD patients was (65.89 ± 14.07), indicating a moderately low level. Regression analysis showed that dialysis duration, number of complications, social support, and death anxiety were key factors influencing ACP readiness (P < 0.05). Conclusion ACP readiness in Chinese PD patients urgently needs improvement and is affected by multiple synergistic factors. In clinical practice, priority should be given to interventions for patients with longer dialysis duration, more complications, and significant death anxiety. Meanwhile, systematic improvement of ACP readiness can be achieved by strengthening social support and alleviating death anxiety.