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イシモト ヤスコ
Yasuko Ishimoto
石本 恭子 所属 川崎医療福祉大学 医療技術学部 健康体育学科 職種 准教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Older adults' preferences for and actual situations of artificial hydration and nutrition in end-of-life care: An 11-year follow-up study in a care home. |
| 掲載誌名 | 正式名：Geriatrics & gerontology international 略 称：Geriatr Gerontol Int ISSNコード：14470594/14470594 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 22(8),pp.581-587 |
| 著者・共著者 | Wada Taizo, Ishimoto Yasuko, Hirayama Kiichi, Kato Emiko, Tatsuno Mai, Fujisawa Michiko, Kimura Yumi, Kasahara Yoriko, Fukutomi Eriko, Imai Hissei, Nakatsuka Masahiro, Nose Mitsuhiro, Iwasaki Masanori, Kakuta Satoko, Hirosaki Mayumi, Okumiya Kiyohito, Matsubayashi Kozo, Sakamoto Ryota |
| 担当区分 | 2nd著者 |
| 発行年月 | 2022/08 |
| 概要 | AIM:To clarify older adults' preferences for and actual situations of artificial hydration and nutrition (AHN) in end-of-life care in a care home.METHODS:Participants were residents of a care home who had completed advance directives regarding preferred methods of AHN from 2009 to 2018. Advance directives alone were available from April 2009 to June 2016 (Wave 1), and advance care planning for AHN including advance directives was introduced in July 2016 (Wave 2). AHN preferences included (i) intensive methods (percutaneous endoscopic gastrostomy, nasogastric tube feeding and total parenteral nutrition), (ii) drip infusion, and (iii) oral intake only. Participants were followed until the end of 2020, and we checked whether decisions about AHN were based on older adults' preferences.RESULTS:In total, 272 participants had completed advance directives. Most participants preferred "oral intake only" (59.5%), followed by drip infusion (32.0%) and intensive methods (8.5%) in advance directives. Ninety of the 272 participants completed advance directives twice; 83.3% did not change their AHN preferences from Wave 1 to Wave 2. By the end of 2020, 93 of the 272 participants died in the care home. AHN was provided according to older adults' preferences in 48.9% (oral intake only), in 51.4% (drip infusion) and in 55.6% (intensive methods) of cases respectively.CONCLUSIONS:Most participants preferred oral intake only, and their preferences were reflected in decisions about actual situations of AHN in end-of-life care. To prepare for advanced dementia and senility, early advance care planning for AHN should be promoted. Geriatr Gerontol Int 2022; 22: 581-587. |
| DOI | 10.1111/ggi.14419 |
| PMID | 35716066 |