公众预后解释、临终关怀、决策者希望及相关因素

G. Yoshimura, Ai Hamamoto, Kyoka Sakaguchi, Shoko Ando, Kazuki Sato
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摘要

Care Res 2022;17(1):目的:本研究明确了普通民众的临终决策期望及相关因素。方法:通过网络对1000名成年人进行二次调查。结果是确定生命结束时的预期寿命,临终关怀和决策者的愿望。结果:在预后方面,有54%的患者希望了解患者临终时的预期寿命。这种偏好与年轻时被告知患有癌症、对医疗专业人员的信任以及对生死的看法消失有独立的关系。关于临终关怀偏好,11%的人要求积极治疗,58%的人要求姑息治疗。这种偏好与年龄较大、女性以及对无痛和做自己的强调独立相关。关于决策者的偏好,77%的人希望为自己做决定,11%的人希望为家人做决定。这种偏好与年轻、对生死无忧无虑、不希望被告知癌症的人独立相关。结论:我们揭示了公众对临终决策的渴望及其相关因素。在临床实践中,可用于筛查。
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Public Prognosis Explanations, End-of-life Care, Decision-maker Hopes, and Related Factors
Care Res 2022; 17(1): Purpose: This study clarified the general public ’ s end-of-life decision-making expectations and related factors. Method: We analyzed secondary data of 1,000 adults surveyed through the Internet. The outcome was to deter-mine the life expectancy at the end of life, end-of-life care, and decision-makers ’ wishes. Results: Regarding the prognosis, 54% wanted to know the life expectancy in end-of-life. This preference was independently associated with being notified of cancer at a young age, trust in medical professionals, and the view of life and death that disappears. Regarding end-of-life care preferences, 11% requested active treatment, and 58% requested palliative care. This preference was independently associated with older age, women, and an emphasis on being pain-free and being yourself. Regarding decision-makers ’ preferences, 77% wanted to decide for themselves, and 11% wanted to decide for their families. This preference was independently associated with the young, carefree of life and death, who did not want to be notified of cancer. Conclusion: We revealed the general public ’ s de-sire for end-of-life decision-making and associated factors. In clinical practice, it can be used for screening.
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