生命末期偏好清单作为日本人民的预先护理计划工具
Home healthcare now
|January 8, 2024
概括
日本人经常避免谈论生命的终结. 这项研究开发了一份分类的终身偏好列表,以促进患者和医疗保健提供者之间的预先护理计划 (ACP) 对话.
科学领域:
- 老年学是一门学科.
- 生物伦理学生物伦理学
- 社会学 社会学 社会学
背景情况:
- 提前护理规划 (ACP) 对于尊重患者在能力丧失之前的自主性至关重要.
- 文化上的不愿意讨论生命终点问题,特别是在日本,对非洲和非洲国家构成了重大障碍.
- 促进开放的对话对于以患者为中心的终身护理至关重要.
研究的目的:
- 根据日本文化背景制定和分类一个完整的生命终端偏好清单.
- 为医疗保健提供者和患者提供一个结构化的工具,以启动和指导事先的护理计划讨论.
- 确定可以鼓励在日本围绕终身护理对话的关键偏好.
主要方法:
- 一个调查问卷旨在捕捉日本受试者的优先选择.
- 数据收集是通过面对面和基于邮件的调查进行的.
- 偏好被编制并系统地分为四个领域:医疗保健,生活和护理,关系和价值观.
主要成果:
- 编制的清单包括四个领域中的每一个领域的11-12个项目.
- 与"关系"和"价值观"相关的偏好排名最高,超过70%的参与者选择了这些类别中的项目.
- 人口统计因素影响了偏好:同居者喜欢"与他人"的主题,而老年参与者和临床脆弱性较高的人倾向于"如何生活"的主题.
结论:
- 该研究成功地为日本人口创建了一个文化相关的生命终端偏好列表.
- 调查结果强调了社会联系和个人价值观在日本终身决策中的重要性.
- 这份分类列表作为一个有价值的资源,以促进预先的护理规划和终身讨论在日本.
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