A Prospective Study of the Effects of “Instruction for Near Death” in the End-of-life Period at Acute General Wards
- VernacularTitle:急性期病棟での看取り期における「臨死期の指示」の効果の検討
- Author:
Maki MURAKAMI
1
;
Miwa MAKIUCHI
2
;
Yoshiko KUBO
2
;
Miyuki KINUGASA
1
;
Miho YAMAZOE
2
Author Information
- Keywords: acute general ward; end-of-life period; communication
- From:Palliative Care Research 2020;15(4):285-292
- CountryJapan
- Language:Japanese
- Abstract: Purposes: We prospectively examined the effects of “instruction for near death” by doctors to improve communication and difficulty in end-of-life care in acute general wards. Methods: A non-randomized controlled trial was conducted to evaluate the communication between pre-treatment group and the group with and without the “instruction for near death” in the end-of-life period by Japanese version of Support Team Assessment Schedule (STAS-J). We also compared the difficulty of end-of-life care before and after the trial. Results: The “communication between professionals” in STAS-J was 0.46±0.53 in pre-treatment group (n=71), 0.18±0.39 in the instruction group (n=34) and 0.66±0.48 in the non-instruction group (n=44) (p<0.001). The “family anxiety”, the “family insight”, “communication between patient and family” and “communication professional to patient and family” in STAS-J were not significantly different between the groups. The questionnaire of difficulty of end-of-life care showed no change in both doctors and nurses. Conclusions: The “communication between professionals” was improved in the group with the “instruction for near death”. The difficulty of end-of-life care was not reduced, and it did not contribute to family anxiety and communications.
