Perceptions of Japanese patients and their family about medical treatment decisions
Perceptions of Japanese patients and their family about medical treatment decisions
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DOI：
10.1111/j.1442-2018.2010.00532.x
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发表时间：
2010-09-01
影响因子：
2.7
通讯作者：
Turale, Sue
中科院分区：
文献类型：
--
作者：
Ito, Misae;Tanida, Noritoshi;Turale, Sue
在国际上，越来越多的人期望护士和医生在沟通和患者倡导方面发挥作用，包括在日本，医疗伦理的主导原则正在从家长式作风向尊重患者自主权过渡。这项研究报告了在两家日本教学医院进行的一项调查的结果，该调查澄清了128名患者和41名家庭成员对他们目前和希望参与健康决策的观点。患者和他们的家人所希望的最常见的过程是，患者在咨询医生和他们的家人后做出决定。参与者对有能力的患者的决策偏好各不相同，他们认为，家庭在卫生保健决策中发挥着关键作用，即使患者有能力做出自己的决定。这些发现将使卫生专业人员了解当代日本的卫生保健决策以及这一过程中涉及的伦理问题，并有助于未来开发与文化相关的模式，以支持患者对伦理决策的偏好。
Internationally, nurses and physicians are increasingly expected to undertake roles in communication and patient advocacy, including in Japan, where the reigning principle underlying medical ethics is in transition from paternalism to respect for patient autonomy. The study reports the results of a survey in two Japanese teaching hospitals that clarified the perspectives of 128 patients and 41 family members regarding their current and desired involvement in health decision-making. The commonest process that was desired by patients and their family was for patients to make decisions after consultation with both the physician and their family. The decision-making preferences for competent patients varied among the participants, who believed that families have a crucial role to play in health-care decision-making, even when patients are competent to make their own decisions. The findings will inform health professionals about contemporary Japanese health-care decision-making and the ethical issues involved in this process, as well as assist the future development of a culturally relevant model to support patients' preferences for ethical decision-making.