Creating an advance directive model for Japanese elders to enhance the completion rate: Focusing on current changes in the family roles regarding decision-making in the end-of-life

为日本老年人创建预先指示模型以提高完成率：关注当前临终决策中家庭角色的变化

• 批准号: 23792571
• 负责人: HATTORI Keiko
• 金额: $ 1.16万
• 依托单位: Kawasaki University of Medical Welfare
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23792571/
• 关键词: 事前指定書; 高齢者; 意思決定; 家族機能; 終末期医療; 地域高齢者; 家族

Most elders and their family members agreed with the concept of advance directives and their attitude towards its completion was positive. When the elders and his/her family members were categorized in the“good family system”, their wishes for the end-of-life were mostly matched. On the other hand, when they were in “bad family system”, their wishes were unlikely the same. Especially, when the perception of the family system by the elders and their family members did not match, their wishes for the end-of-life became remarkably different.The five main elements of the model for promotion of advance directive completion were: age, family structure (who is the most reliable), family system, perception about advance directive, and wishes for the end-of-life. In the future, actively utilizing the advance directive promotion model and creating the family system assessment tool for end-of-life care decision-making by elders are essential.

大多数长老及其家庭成员都同意先行指令的概念，他们对完成先行指令的态度是积极的。当长辈和他/她的家人被归类为“良好家庭系统”时，他们的临终愿望大多是匹配的。另一方面，当他们身处恶劣的家庭体系时，他们的愿望也不太可能是一样的。特别是当长辈及其家庭成员对家庭制度的认知不一致时，他们对遗嘱的意愿就会有显著的不同。促进遗嘱完成的五个主要要素是：年龄、家庭结构(谁最可靠)、家庭制度、对遗嘱的感知和遗愿。未来，积极利用先行指令促进模式，创建家庭系统评估工具，供老年人进行临终关怀决策是至关重要的。

项目成果

Cultural influences on family roles in advance directives completion for elders living in the community

文化对社区老年人完成预先指示中家庭角色的影响

• 发表时间: 2012
• 作者: Hattori;K
• 通讯作者: K