Attitudes towards end-of-life care in a geriatric hospital in Japan.
Attitudes towards end-of-life care in a geriatric hospital in Japan.
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日本一家老年医院对临终关怀的态度。
DOI：
10.12968/ijpn.2004.10.4.12796
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发表时间：
2004
影响因子：
1
通讯作者：
N. Ikegami
中科院分区：
文献类型：
--
作者：
A. Schreiner;Naoko Hara;T. Terakado;N. Ikegami
日本一家私立非营利性老年医院的护理人员和医务人员对临终关怀的态度进行了测量，作为制定姑息治疗计划的更大规模干预研究的一部分。干预措施包括焦点小组、测试前和测试后的教育以及态度/信念调查。所有医务人员（n = 8）和99%（n = 97）的护理人员参加。护理人员绝大多数同意姑息治疗计划将改善临终关怀（94.6%），并且护士应更多地参与与家人讨论治疗方案（85.7%）。在护理人员中，88.7% 的人不同意医生目前花足够的时间与患者/家属讨论护理计划。护理人员认为改善临终关怀的主要障碍是医生以治疗为导向的态度及其有限的沟通技巧。医生认为的主要障碍是缺乏医疗方法的替代方案和法律问题。研究结果表明，改善医生/护士的沟通将有助于该医院姑息治疗项目的发展。
Nursing and medical staff attitudes toward end-of-life care at a private, not-for-profit geriatric hospital in Japan were measured as part of a larger intervention study to develop a palliative care programme. The intervention consisted of focus groups, education with pre- and post-testing, and attitude/belief surveys. All the medical staff (n = 8) and 99% (n = 97) of the nursing staff participated. Nursing staff overwhelmingly agreed that a palliative care programme would improve end-of-life care (94.6%) and that nurses should be more involved in discussing treatment options with families (85.7%). Of the nursing staff, 88.7% did not agree that doctors currently spend enough time discussing care plans with patients/families. The main barriers to improving end-of-life care perceived by the nursing staff were the treatment-oriented attitude of the doctors and their limited communication skills. The main barriers perceived by doctors were the lack of alternatives to their medical approach and legal concerns. The findings suggest that improving doctor/nurse communication would facilitate the development of a palliative care programme at this hospital.