Association between direct interpersonal involvement with a dying family member and discussions regarding advance care planning among Japanese older adults
Association between direct interpersonal involvement with a dying family member and discussions regarding advance care planning among Japanese older adults
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日本老年人与临终家庭成员的直接人际交往与有关预先护理计划的讨论之间的关联
DOI：
10.1111/ggi.14114
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发表时间：
2021
影响因子：
3.3
通讯作者：
Y.
中科院分区：
文献类型：
--
作者：
Miyashita;J. Hayashi;S. Yamamoto;Y.
越来越多的人认识到有必要举行预先护理计划的讨论。与垂死的家庭成员有直接人际关系的老年人可能会开始考虑自己的临终关怀。本研究探讨了与垂死的家庭成员和提前护理计划的讨论在日本老年adults.MethodsThis study的经验之间的关联从以前的自填式问卷调查进行年龄≥65岁的门诊病人。所有参与者都是日本一家社区医院的访客，数据收集于2016年7月的一周内。主要的接触是与垂死的家庭成员在一起的经历，而结果是与家庭成员和/或他们的医生进行提前护理计划讨论。我们分析了与垂死的家庭成员和提前护理计划讨论的经验之间的关联，通过对数二项式回归模型调整可能的社会人口学confersider.ResultsOf的302名受访者包括分析，96（32%）的经验与垂死的家庭成员，而179（59%）举行提前护理计划讨论。有上述经验的受访者比没有经验的受访者更有可能进行讨论（完全校正的患病率为1.31，95%置信区间为1.04-1.65）。亚组分析显示，与垂死的家庭成员和协变量之间的经验没有显着的相互作用效应。ConclusionsDirect人际关系与垂死的家庭成员参与可能会促进提前护理计划的讨论在日本老年人。我们的结果应该可以帮助医疗保健提供者识别不太可能进行讨论的个人。Geriatr Gerontol Int 2021; 21：197-202。
AimThere is growing recognition of the need to hold advance care planning discussions. Older adults who have direct interpersonal involvement with dying family members might begin to consider their own end‐of‐life care. This study examined the associations between experiences of being with a dying family member and advance care planning discussions among Japanese older adults.MethodsThis study examined data from a previous self‐administered questionnaire survey carried out among outpatients aged ≥65 years. All participants were visitors of a community hospital in Japan, with data being collected over a 1‐week period in July 2016. The main exposure was experiences of being with dying family members, while the outcome was advance care planning discussions with the family members and/or their physician. We analyzed the associations between experiences of being with dying family members and advance care planning discussions through log‐binomial regression models adjusted for possible sociodemographic confounders.ResultsOf the 302 respondents included for analysis, 96 (32%) had experiences of being with dying family members, while 179 (59%) held advance care planning discussions. Respondents with said experiences were more likely to have discussions than those without experiences (fully adjusted prevalence ratio 1.31, 95% confidence interval 1.04–1.65). Subgroup analyses showed no significant interaction effects between experiences of being with dying family members and the covariates.ConclusionsDirect interpersonal involvement with dying family members might facilitate advance care planning discussions among Japanese older adults. Our results should help healthcare providers recognize individuals who are unlikely to have discussions.Geriatr Gerontol Int 2021; 21: 197–202.
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DOI：
10.1093/geronb/gbs161
发表时间：
2013-03-01
影响因子：
6.2
作者：
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影响因子：
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DOI：
--
发表时间：
2006
期刊：
BMC Medical Ethics 7,11(Online Journal)
影响因子：
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作者：
Hiroaki Miyata;Hiromi Shiraishi;Ichiro Kai
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影响因子：
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作者：
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影响因子：
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作者：
Yoko Ishii;M. Miyashita;Kazuki Sato;Taketoshi Ozawa
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