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Making the Decision for Home Hospice: Perspectives of Bereaved Japanese Families who had Loved Ones in Home Hospice

Title
Making the Decision for Home Hospice: Perspectives of Bereaved Japanese Families who had Loved Ones in Home Hospice
Author
김분한
Keywords
communication; decision-making; end of life; home hospice; transition
Issue Date
2012-04
Publisher
OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND
Citation
Japanese Journal of Clinical Oncology; Jun2012, Vol. 42, Issue 6, p498-505
Abstract
The aim of the study was to evaluate whether family members believed that the decision for home hospice had been the acceptable choice and to identify factors related to families accepting that the decision was good. In June 2007, a cross-sectional anonymous questionnaire was distributed to bereaved family members of terminal cancer patients in Japan who died at home in the previous 6 months. The questionnaire included questions about whether the family member believed that the decision for home hospice had been the acceptable choice and the decision-making process. A total of 286 responses from 14 home hospices were analyzed. A total of 92 of the participants indicated that the decision for home hospice had been the acceptable choice. Multivariate logistic regression analysis indicated that the following subjects were more likely to believe that the decision for home hospice had been the acceptable choice: those who (i) considered the patients desire ahead of the family situation (P 0.001); (ii) decided based on knowledge of all options (P 0.001); (iii) decided based on agreement with patient, family and medical staff (P 0.007); (iv) decided based on the patient and family only (P 0.026); and (v) had patients who were enrolled in home hospice for 60 days (P 0.032). It is important to encourage discussion about end-of-life care and to assist the patient and family in the decision-making process by providing information on all available options through open communication.
URI
http://academic.oup.com/jjco/article/42/6/498/795523http://hdl.handle.net/20.500.11754/42637
ISSN
0368-2811; 1465-3621
DOI
10.1093/jjco/hys036
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ETC[S] > 연구정보
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