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救急医療において延命治療の代理意思決定を行った家族の体験
https://kuins.repo.nii.ac.jp/records/542
https://kuins.repo.nii.ac.jp/records/542d4ec58d2-f217-444c-b651-a772c34260c9
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
19-4 (2.1 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2018-05-12 | |||||
| タイトル | ||||||
| タイトル | 救急医療において延命治療の代理意思決定を行った家族の体験 | |||||
| タイトル | ||||||
| タイトル | Family experience of decision making in Life-sustaining treatment at Emergency medical situations | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 救急医療 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 延命治療 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 代理意思決定 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 家族 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 体験 | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
清水, 玲子
× 清水, 玲子× 中村, 美鈴× 平山, 美紀× 水野, 照美× 山本, 洋子× 内海, 香子× 村上, 礼子 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Objectives: To explore experiences and investigate nursing support among family members who make decisions for critically ill patients regarding life-sustaining treatment. Methods: We conducted and qualitatively analyzed unstructured interviews targeting the experiences of four family members who made decisions for critically ill patients regarding life-sustaining treatment. Results: Nine categories were apparent in the experiences of the target group: “decisionmaking being left to one family member in a time of shock and confusion,” “believing in miraculous recovery and continual searching for vital signs,” “inferring the patient’s medical condition and progress from doctors’ explanations and staffs’ actions and expressions,” “questioning the meaning of life when faced with a family member being kept alive by a machine,” “self-questioning about the morality of a life and death decision,”“worrying about being blamed for the decision,” “attributing positive meaning to the moment of death,” “not being able to face family members who share the grief,” and “support and comfort from family and others.” Conclusions: Our results suggest that family members who make decisions for critically ill patients regarding life-sustaining treatment require nursing support to 1) immediately understand and interpret the condition and symptoms of the patient, 2) facilitate communication with medical staff, 3) encourage family members’ cooperation and participation in the decision making process, 4) protect the dignity and closeness of the patient and their family in a time of crisis, and 5) promote sharing and reflection of experiences among people who have made decisions about life-sustaining treatment. |
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| 書誌情報 |
研究紀要 号 19, p. 45-55, 発行日 2018-03-10 |
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| 出版者 | ||||||
| 出版者 | 関西国際大学 | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 13455311 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA11544811 | |||||
| 論文ID（NAID） | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 40021513209 | |||||
