論文

査読有り
2015年3月

Recognition of and intent to use gastrostomy or ventilator treatments in older patients with advanced dementia: Differences between laypeople and healthcare professionals in Japan

GERIATRICS & GERONTOLOGY INTERNATIONAL
  • Ayako Kawasaki
  • ,
  • Masato Matsushima
  • ,
  • Yasuhiko Miura
  • ,
  • Takamasa Watanabe
  • ,
  • Tomokazu Tominaga
  • ,
  • Takuya Nagata
  • ,
  • Yoko Hirayama
  • ,
  • Akinari Moriya
  • ,
  • Kouji Nomura

15
3
開始ページ
318
終了ページ
325
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/ggi.12276
出版者・発行元
WILEY-BLACKWELL

Aim: We compared differences between laypeople and healthcare professionals in the recognition of and intent to use gastrostomy and ventilator treatments in older patients with dementia.
Methods: Between November 2011 and January 2012, a questionnaire survey was carried out. People who underwent a general health check-up at Nomura Hospital Preventive Medical Center were recruited as the laypeople group. Physicians and nurses working in Mitaka, Tokyo, Japan, were recruited as the healthcare professional group. We assessed the recognition rate of ventilator and gastrostomy treatments. Then we provided two scenarios for participants to determine whether these methods represented life-sustaining treatments that will simply delay an inevitable death. Intentions were compared between cases with and without advance directives.
Results: Approximately 60% of laypeople did not know what gastrostomy is. Healthcare professionals were more likely to recognize a ventilator as a life-sustaining treatment; in contrast, there were no significant differences in judgments regarding gastrostomy. Both groups were more likely to have intent to use a gastrostomy and a ventilator for family members than themselves. Furthermore, healthcare professionals were more likely to want to use these items for patients than their family members. Advance directive for withholding life-sustaining treatment reduced the intention to use these treatments.
Conclusion: It is necessary to increase our understanding regarding knowledge of end-of-life care options of both laypeople and healthcare professionals.

Web of Science ® 被引用回数 : 3

リンク情報
DOI
https://doi.org/10.1111/ggi.12276
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/24646072
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000352565000011&DestApp=WOS_CPL

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