Factors that Influence the Decision Maker regarding End-of-life Care
Palliative Care Research
; : 189-200, 2016.
Artigo
em Japonês
| WPRIM (Pacífico Ocidental)
| ID: wpr-378352
Biblioteca responsável:
WPRO
ABSTRACT
Objectives:
To determine the factors that influence the decision maker regarding end-of-life (EOL) care and to disclose how aggressive care in the last week before death, place of death, and quality-of-life (QOL) affected the decisions made.Methods:
The subjects were 409 bereaved family members (cause of death included cancer, stroke, heart disease, and pneumonia) that registered with an internet research agency. Decision-making was controlled either by the patient, family, or physician or shared by the patient, family, and physician.Results:
The results of a multinomial logistic regression analysis demonstrated that when a family controlled decision-making, they were less likely to report patient-family EOL discussion [odds ratio (OR)=0.52], and that the patient had good communication with the physician (OR=0.77); they were also likely to report that the patient had dementia (OR=1.94). Families who reported physician-controlled decision-making (vs patient controlled) were less likely to report that the patient had good communication with the physician (OR=0.62). Cardiopulmonary resuscitation in the last week and place of death were not associated with the decision maker. EOL QOL was associated with EOL care of the decision maker. When a physician controlled decision-making, patient EOL QOL was at its lowest.Conclusion:
To improve patient-controlled decision-making, it is critical that patients, families, and physicians have more communication regarding EOL care.
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Base de dados:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo prognóstico
Aspecto:
Preferência do paciente
Idioma:
Japonês
Revista:
Palliative Care Research
Ano de publicação:
2016
Tipo de documento:
Artigo