Content of advance care planning among Japanese elderly people living at home: A qualitative study

被引：20

作者：

Hirakawa, Yoshihisa ^{[1
]}

Chiang, Chifa ^{[1
]}

Hilawe, Esayas Haregot ^{[1
]}

Aoyama, Atsuko ^{[1
]}

机构：

[1] Nagoya Univ, Dept Publ Hlth & Hlth Syst, Grad Sch Med, Nagoya, Aichi 4648601, Japan

来源：

ARCHIVES OF GERONTOLOGY AND GERIATRICS | 2017年 / 70卷

关键词：

End-of-life care; Qualitative study; Decision making; Living will; Proxy; OF-LIFE CARE; RANDOMIZED CONTROLLED-TRIAL; OLDER-PEOPLE; END; SATISFACTION; INDIVIDUALS; COMMUNITY; HEALTH; ACCULTURATION; PREFERENCE;

D O I：

10.1016/j.archger.2017.01.007

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Purpose of study: Elderly peoples' values and preferences for end-of-life care have not yet known in details. The aim of the present study was to investigate the end-of-life wishes and decision making among Japanese elderly people who required home care services. The study was designed to qualitative research strategies, using face to face interview data recorded in nursing care records, with a focus on advance care planning. Design and methods: A total of 102 elderly people (47 males, 55 females) of 6 home care support offices in Hyogo prefecture participated. Results and implications: We finally extracted the following 5 themes: anxiety about the future, abandonment of control, clinging to current daily life, precarious mutual support, delegating decision-making. While elderly people living at home generally feel anxious and fearful about the future, they seemed to try to avoid thinking too seriously about possible complications in their life. They also tend to leave end-of-life decision to someone else, and their decisions tend to change as they advance in age and as their condition deteriorates. Our findings suggest that medical professionals and care managers always support their patients' decisions, allowing for the views of the informal caregivers on whom elderly people rely for decision-making. (C) 2017 Elsevier B.V. All rights reserved.

引用

页码：162 / 168

页数：7

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