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Chronic respiratory diseases present significant challenges for healthcare management, necessitating effective communication and planning for future care. Nurse-led advance care planning (ACP) interventions aim to improve patient outcomes by facilitating discussions about care preferences and treatment choices. This meta-analysis evaluates the effectiveness of nurse-led ACP interventions on various outcomes in patients with chronic respiratory diseases.

Comprehensive search was conducted across PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and Google Scholar up to May 2024. Randomised controlled trials and non-randomised trials assessing the impact of nurse-led ACP interventions were included. Pooled standardised mean differences (SMD) and odds ratios (OR) were calculated using a random-effects model, with heterogeneity assessed via I² and τ² statistics.

Nurse-led ACP interventions have a significant impact on the quality of communication between patients and healthcare providers, though their effect on the quality of life and other clinical outcomes is less pronounced.

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