Advance Directives and Do-Not-Resuscitate Orders Among Patients With Terminal Cancer in Palliative Care Units in Japan: A Nationwide Survey

被引：23

作者：

Kizawa, Yoshiyuki ^{[1
]}

Tsuneto, Satoru ^{[2
]}

Hamano, Jun ^{[3
]}

Nagaoka, Hiroka ^{[4
]}

Maeno, Takami ^{[5
]}

Shima, Yasuo ^{[6
]}

机构：

[1] Univ Tsukuba, Fac Med, Div Clin Med, Tsukuba, Ibaraki 3058575, Japan

[2] Osaka Univ, Grad Sch Med, Dept Palliat Med, Suita, Osaka, Japan

[3] Yamato Clin, Sakuragawa, Japan

[4] Univ Tsukuba Hosp, Ctr Palliat & Support Care, Tsukuba, Ibaraki, Japan

[5] Univ Tsukuba, Fac Med, Tsukuba, Ibaraki 3058575, Japan

[6] Tsukuba Med Ctr Hosp, Dept Palliat Med, Tsukuba, Ibaraki, Japan

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2013年 / 30卷 / 07期

关键词：

advance directives; health care proxy; do-not-resuscitate orders; palliative medicine; palliative care units; neoplasms; LIFE DECISIONS; LIVING WILLS; END; PHYSICIANS; ATTITUDES;

D O I：

10.1177/1049909112462860

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To examine the current status of advance directives (ADs) and do-not-resuscitate (DNR) orders among patients with terminal cancer in palliative care units (PCUs) in Japan. Methods: We conducted a retrospective chart review of the last 3 consecutive patients who died in 203 PCUs before November 30, 2010. Results: The percentages of patients who had ADs during the final hospitalization for cardiopulmonary resuscitation, mechanical ventilation, intravenous fluid administration, tube feeding, antibiotic administration, and who had appointed a health care proxy were 47%, 46%, 42%, 19%, 18%, and 48%, respectively. Seventy-six percent of the patients had a DNR order. Of the patients with decision-making capacity, 68% were involved in the DNR decision. Conclusions: These findings may reflect positive changes in patients' attitudes toward ADs, in Japan.

引用

页码：664 / 669

页数：6

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