Good death in cancer care: a nationwide quantitative study
Good death in cancer care: a nationwide quantitative study
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DOI：
10.1093/annonc/mdm068
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发表时间：
2007-06-01
影响因子：
50.5
通讯作者：
Uchitomi, Y.
中科院分区：
文献类型：
--
作者：
Miyashita, M.;Sanjo, M.;Uchitomi, Y.
背景资料：本研究的目的是（i）在日本癌症护理中概念化好死的维度，（ii）澄清好死的每个组成部分的相对重要性，（iii）探索与个人对好死领域的感知相关的因素。方法：使用分层随机抽样方法对普通人群进行抽样（n = 2548;应答率，51%）和来自12个经认证的姑息治疗单位的丧失亲人的家庭也被调查（n = 513; 70%）。结果：解释性因素分析显示，有18个领域对好的死亡有影响。10个领域被归类为“持续重要领域”，包括“身心舒适”、“在最喜欢的地方死亡”、“与医务人员保持良好关系”、“保持希望和快乐”、“不成为他人的负担”、“与家人保持良好关系”、“身体和认知控制”、“环境舒适”、“作为个体受到尊重”和“生命完成”。我们定量地确定了18个重要领域，有助于日本癌症护理的良好死亡。我们的下一步工作应该是进行一次全国性的调查，以确定实现良好死亡所需的条件。
Background: The aims of this study were to (i) conceptualize dimensions of a good death in Japanese cancer care, (ii) clarify the relative importance of each component of a good death and (iii) explore factors related to an individual's perception of the domains of a good death.Methods: The general population was sampled using a stratified random sampling method (n = 2548; response rate, 51 %) and bereaved families from 12 certified palliative care units were surveyed as well (n = 513; 70%). We asked the subjects about the relative importance of 57 components of a good death.Results: Explanatory factor analysis demonstrated 18 domains contributing to a good death. Ten domains were classified as `consistently important domains', including `physical and psychological comfort', `dying in a favorite place', `good relationship with medical staff', `maintaining hope and pleasure', `not being a burden to others', `good relationship with family', `physical and cognitive control', `environmental comfort', `being respected as an individual' and `life completion'.Conclusions: We quantitatively identified 18 important domains that contribute to a good death in Japanese cancer care. The next step of our work should be to conduct a national survey to identify what is required to achieve a good death.