Study of the Assessment tool which Supports The Intervention to Non-cancer Elderly's Terminal Care

本研究旨在探讨居家访视护士对非癌症老人临终照护评估之成效，以预测其预后。访问护士进行了问卷调查，并从61个家庭护理站设施，138个答复。我们发现，诊断预测的访问护士有50%的准确性，在指定的实际进展。由访视护士检查A组疾病的疼痛、全身不适、便秘腹泻、水肿的基础，C组疾病的全身不适。此外，在所有疾病组中，当疾病发展到加重阶段时，观察到呼吸困难恶化。我们已经意识到，有必要进行前瞻性研究，以澄清访视护士观察到的症状和他们用来做出判断的判断标准。

The purpose of this study was to clarify the assessment for non-canser elderly people's terminal care that was defficult for home visiting nurses to predict thier prognosis. A questionnaire survey of visiting nurses was conducted and 138 responses was obtained from 61 home care station facilities. We found that diagnostic predictions made by the visiting nurses had 50% accuracy in specifying the actual progress. The visiting nurses checked the basis of pain, general malaise, constipation and diarrhea, and edema for group A diseases, general malaise for group C. In addition, in all disease groups, worsening of dyspnea was observed when diseases are developing into the aggravation stage. We have realized that it is necessary to conduct a prospective study to clarify the symptoms observed by visiting nurses and the standards of judgment they use to make judgments.