Empirical Research on End-of-Life Care at Special Nursing Homes for the Elderly in Japan

日本特殊养老院临终关怀的实证研究

• 批准号: 10610219
• 负责人: SASAKI Takashi
• 金额: $ 2.11万
• 依托单位: University of Shizuoka,Shizuoka College
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10610219/
• 关键词: terminal care; special nursing homes; terminal care stream; residential care; cooperation with health meddical treatment and welfare; ターミナルケア; 終末ケア動向

The main objective of this study was to unearth the actual conditions of nursing home residents who are in the terminal stage of life and the kinds of care given to them. A list of queries was sent to the 600 special nursing homes for the elderly in all parts of Japan to conduct a survey on the time, place, and condition of residents whose lives had ended there, and how care for the dying is given. Out of 600 facilities, 158 responded, and analytical studies were made on them. The investigation was conducted taking a full year from April 1999 through March 2000. The following facts surfaced through this research : 1. Age of death : The older the resident, the more likely they were to die. 2. Length of time spent at facility : 50 % die within three years of their date of admission. 3. Place of death : 36.7 % die in facilities, and 63. 1 % die in hospitals. 4. Daily Living Activities at the time of death : 54. 1 % were in a severe state of dementia, and 79.8 % were bedridden. 5. Who was … More present at the deathbed : Family accounted for only 8.9 %, and facility staff for 47.8 %. It became clear from the above findings that more than 50 percent of nursing home residents die within three years of entering a facility. Among them, people who die at home are rare, and it is reconfirmed that the facilities have actually become a "retirement home" for them. The state of the Activities of Daily Living of most residents approximately three months prior to death had severely declined, and nearly all were bedridden when they drew their last breath. For the carers, it was illustrated that most of their end-of-life care included medical practice, resulting in heavy loads being imposed on them : Besides their daily routine work, which alone keeps them busy, they were further burdened with personal care and medical procedures. Actual conditions of end-of-life care at facilities largely varied depending on the situation they were, placed in, such as by geographical location, and thus inevitably regional differences were seen. Less

本研究的主要目的是了解安老院终末期居民的实际情况，以及他们所接受的护理种类。一份问询清单被发送到日本各地的600家特殊养老院，调查在那里结束生命的居民的时间、地点和状况，以及对临终者的照顾方式。在600个设施中，有158个设施作出了回应，并对它们进行了分析研究。调查时间由一九九九年四月至二零零零年三月，历时一整年。通过本研究发现了以下事实：死亡年龄：居民年龄越大，死亡的可能性越大。2. 住院时间：50%的患者在入院后三年内死亡。3. 死亡地点：36.7%死于设施，63。1%死在医院。4. 死亡时的日常生活活动：54。1%处于严重痴呆状态，79.8%卧床不起。5. 临终时在场的人：家属仅占8.9%，医院工作人员占47.8%。从上面的调查结果可以清楚地看出，超过50%的养老院居民在进入养老院的三年内死亡。其中，死在家中的人是罕见的，这再次印证了这些设施实际上已经成为了他们的“养老院”。大多数居民在死亡前三个月左右的日常生活活动状况严重下降，几乎所有人在临终前都卧床不起。对于护理人员来说，研究表明，他们的大部分临终关怀包括医疗实践，这给他们带来了沉重的负担：除了日常工作之外，他们还承担着个人护理和医疗程序的负担。设施中临终关怀的实际条件在很大程度上取决于它们所处的情况，例如地理位置，因此不可避免地会出现地区差异。少

项目成果

Takashi Sasaki: "Study of General Issues Involved in Special Nursing Homes for the Elderly in Japan"JAPANESE JOURNAL OF SOCIAL SERVICES. NUMBER 2. 153-164 (2000)

佐佐木隆：“日本特殊老人疗养院涉及的一般问题研究”日本社会服务杂志。

Takashi Sasaki: "An Investigative Study of End-Stage Care In Japan : From the Perspective of International Comparison"中央法規出版(東京). 213 (1999)

Takashi Sasaki：“日本末期护理的调查研究：从国际比较的角度”Chuohoki Publishing（东京）213（1999）。

佐々木隆志: "特別養護老人ホームにおける処遇評価に関する研究"静岡県立大学短期大学部研究紀要. 第13-2号. 229-238 (2000)

佐佐木隆：“特殊疗养院的治疗评估研究”静冈县立大学短期大学部研究公报第13-238号（2000年）。

佐々木隆志: "保育者養成における終末ケア教育の研究" 日本保育学会第51回大会研究論文集. 416-417 (1998)

Takashi Sasaki：“儿童保育员培训中的临终关怀教育研究”第 51 届日本儿童保育协会会议记录 416-417（1998 年）。

Takashi Sasaki: "An Investigative Study of End-stage Care In Japan:From the Perspective of International Comparison" 中央法規出版(東京), 213 (1999)

佐佐木隆：《日本末期护理的调查研究：从国际比较的角度》中央报刊出版社（东京），213（1999）