End-of-life care at group homes for patients with dementia in Japan - Findings from an analysis of policy-related differences
End-of-life care at group homes for patients with dementia in Japan - Findings from an analysis of policy-related differences
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DOI：
10.1016/j.archger.2005.07.006
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发表时间：
2006-05-01
影响因子：
4
通讯作者：
Iguchi, A
中科院分区：
文献类型：
--
作者：
Hirakawa, Y;Masuda, Y;Iguchi, A
在日本，近年来痴呆症（GH）患者团体之家的数量不断增加。越来越多的老年人现在更愿意在集体之家或其他长期护理机构度过他们的最后几年，这是他们的家人支持的选择。这项全国性研究的目的是澄清GHS目前的临终关怀政策和做法。研究对象为3701名GHS董事总经理。2003年，通过邮寄、匿名、自我报告的问卷收集数据。问卷内容包括：（1）GH的一般特征，（2）临终关怀政策和经验，（3）GH提供的临终关怀服务，（4）关于临终关怀的工作人员教育，（5）提供给用户和家庭的信息类型。有效率为45.6%。许多保健中心实施了渐进的临终关怀政策。GHS与渐进政策的临终关怀被发现有不同的背景比那些倒退的政策。只有少数几个保健中心为其工作人员提供临终关怀教育。生长激素与临终关怀的进步政策往往有以下特点：提供医疗干预的生长激素内，外，独立的物理工厂和工作人员教育有关的临终关怀。需要进一步的研究来确定最有效的GH临终关怀系统。(C)2005爱思唯尔爱尔兰有限公司保留所有权利。
In Japan, the number of group homes for patients with dementia (GHs) has been increasing in recent years. A growing number of elderly people now prefer to spend their final years in group homes or other long-term care facilities, a choice that their families support. The aim of this nationwide study is to clarify the current end-of-life care policies and practices of GHs. The subjects were 3701 managing directors of GHs. Data were collected through mailed, anonymous, self-reported questionnaires in 2003. The content of the questionnaires included: (1) general characteristics of the GH, (2) end-of-life care policies and experiences, (3) available end-of-life care services at the GH, (4) staff education concerning end-of-life care, and (5) types of information provided to users and families. The response rate was 45.6%. Many GHs had implemented progressive policies for end-of-life care. GHs with progressive policies for end-of-life care were found to have different backgrounds than those with regressive policies. Only a few GHs provided end-of-life care education for their staff. GHs with progressive policies for end-of-life care tended to have the following characteristics: availability of medical intervention within and outside of the GH, self-contained physical plant and staff education about end-of-life care. Further research is needed to determine the most effective end-of-life care systems for GHs. (C) 2005 Elsevier Ireland Ltd. All rights reserved.