The Japanese perception of feasibility of end-of-life home care until death and related factors.
10.2512/jspm.2.101
- VernacularTitle:一般集団における終末期在宅療養の実現可能性の認識とその関連要因
- Author:
Kazuki Sato
;
Mitsunori Miyashita
;
Tatsuya Morita
;
Masao Suzuki
- Publication Type:Journal Article
- Keywords:
home care;
palliative care;
cross-sectional study;
life support care;
knowledge
- From:Palliative Care Research
2007;2(1):101-111
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: To clarify factors associated with the Japanese perception of whether they can live at home until death with the inclusion of knowledge and beliefs about end-of-life. Methods: A questionnaire survey was conducted on the Japanese general population who participated in a lecture meeting about palliative home care (N=61, effective response rate, 100%). Results: Ten (16%) responded they could live at home until death. Barriers to end-of-life home care were "Home care would burden my family (80%)," " Family and I are anxious about emergency care when I get worse (59%)" and "Family and I are anxious about whether I can enter a hospital emergently when I get worse (52%)" in that order. From the multivariate logistic regression model, respondents who expressed "Opioids cause addiction (OR, 95% confidential interval (CI):0.29, 0.09-0.99)" and "Artificial hydration and nutrition should be continued as the minimum standard until death (OR, 95%CI:0.39, 0.16-0.95)" were more likely to perceive that they could live at home until death. Conclusion: The empowerment activity for the general population regarding correct knowledge about palliative care, benefit and disadvantage of life-sustaining treatment, and correct knowledge about home care is important for the end-of-life patients who want to live at home until death to achieve their wish.
