Evaluation of Decision Support in An Acute Neurosurgical Care Unit by Using A Brain Tumor-specific ACP Leaflet

Hirotaka FUDABA; Chizuru SATO; Chihaya HAYASHI; Mizuho AOYAGI; Kayo ABE; Yasutomo MOMII; Yukari KAWASAKI; Daigo ASO; Wataru MATSUSHITA; Kunpei TAKAO; Masayuki YANAGIDA; Mitsuhiro ANAN; Nobuhiro HATA; Ryo INOUE; Minoru FUJIKI

Return

Evaluation of Decision Support in An Acute Neurosurgical Care Unit by Using A Brain Tumor-specific ACP Leaflet

VernacularTitle:脳腫瘍特化型ACPリーフレットを用いた，急性期脳神経外科病棟における意思決定支援
Author: Hirotaka FUDABA ¹ ; Chizuru SATO ² ; Chihaya HAYASHI ² ; Mizuho AOYAGI ² ; Kayo ABE ² ; Yasutomo MOMII ¹ ; Yukari KAWASAKI ¹ ; Daigo ASO ¹ ; Wataru MATSUSHITA ¹ ; Kunpei TAKAO ¹ ; Masayuki YANAGIDA ¹ ; Mitsuhiro ANAN ¹ ; Nobuhiro HATA ¹ ; Ryo INOUE ³ ; Minoru FUJIKI ¹
Author Information

1. Department of Neurosurgery, Oita University Faculty of Medicine
2. Nursing Department, Oita University Hospital
3. Department of Practical Nursing Sciences, Oita University Faculty of Medicine
Keywords: brain tumor; advanced care planning; acute neurosurgical care unit; leaflet; decision-making support
From:Palliative Care Research 2024;19(4):285-291
CountryJapan
Language:Japanese
Abstract: Background: Patients with malignant brain tumors are often accompanied by progressive loss of consciousness, aphasia, and paralysis, and often miss the time to make decisions on their own. Methods: In an acute neurosurgical unit, a multidisciplinary conference was held to support decision-making, and a brain tumor-specific advance care planning (ACP) leaflet was created and operated. The attainment rate of the five steps of ACP and the number of times the ACP process was repeated during hospitalization were evaluated for 79 inpatients before and after the introduction of the leaflet. Results: Forty-eight patients received decision-making support with the leaflet, while 31 did not. The rate of achievement of the discussion (38.7% vs 89.6%, p<0.001) and writing down (6.5% vs 33.3%, p=0.006) in ACP significantly increased after the introduction of the leaflet. Conclusion: The newly developed brain tumor-specific ACP leaflet was useful in promoting ACP for patients with brain tumors and providing decision support. In addition, a multidisciplinary ACP support framework for brain tumor patients has been established through ACP conferences.