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

本研究的目的是明确非癌症老年人临终关怀的评估，这是家访护士难以预测其预后。采用问卷调查法对61家居家护理站的来访护士进行问卷调查，获得138份回复。我们发现由来访护士做出的诊断预测在确定实际进展方面有50%的准确性。访视护士对A组患者进行疼痛、全身不适、便秘腹泻、水肿基础检查，对c组患者进行全身不适基础检查。此外，各疾病组在疾病发展到加重阶段时均出现呼吸困难加重。我们认识到，有必要进行前瞻性研究，以澄清探视护士观察到的症状和判断标准，他们用来作出判断。

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.