病状安定期における終末期医療の選択·意思決定に関する啓発活動―主治医による療養病棟および回復期リハビリテーション病棟での介入効果―

摘要: Aim We aimed to examine the effectiveness of information provided by a physician patients and their family in geriatric rehabilitation unit for facilitating terminal care decision-making process. Method The subjects were 338 who entered our between July 2005 June 2007. Of patients, we consultation 224 upon admission. surveyed received as well 114 did not, examined effect consultations on regarding care. Results In both intervention non-intervention groups, approximately half patients' families had an opportunity discuss prior entering hospital. group, however, significantly higher ratio (42.0%) having among members after leaving 31.4% knowledge artificial respirator 37.1% tube feeding. This was low compared 60% understood both. Among there many desired these be far advance critical stage disease allow more time make end-of-life decisions. Furthermore, group indicated that effective useful. Conclusion light results, physicians should provide before death is imminent. Since this will encourage self help clarify family's intentions, kinds actively implemented.