Kobayashi Sayuri, Yamamoto-Mitani Noriko, Nagata Satoko, Murashima Sachiyo
Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Jpn J Nurs Sci. 2008 Jun;5(1):31-40. doi: 10.1111/j.1742-7924.2008.00097.x.
The aim of this study was to elucidate the components of end-of-life care provided to older adults with dementia who live in group homes (GHs) in Japan.
The number of GHs in Japan is rapidly increasing. Although GHs were originally not established to care for elderly people with advanced-stage dementia, many residents remain in the GH even after their stage of dementia advances; thus, end-of-life care is required.
Interviews were conducted with seven GH administrators on their experience in providing end-of-life care to their residents. The constant comparative approach was used for data collection and analysis.
Four themes emerged as essential components of end-of-life care in the GH setting: (i) maintaining a familiar lifestyle; (ii) minimizing physical and mental discomfort; (iii) proactively utilizing desirable medical care; and (iv) collaborating with family members.
The combination of the four components seems to be a unique characteristic of end-of-life care in GHs in Japan. These findings may be used to establish a framework for end-of-life care at GHs.
本研究旨在阐明日本集体之家（GHs）中为患有痴呆症的老年人提供的临终关怀的组成部分。
日本集体之家的数量正在迅速增加。尽管集体之家最初并非为照顾晚期痴呆症老年人而设立，但许多居民即使在痴呆症病情进展后仍留在集体之家中；因此，需要临终关怀。
对七位集体之家管理人员就其为居民提供临终关怀的经验进行了访谈。采用持续比较法进行数据收集和分析。
出现了四个主题，作为集体之家环境中临终关怀的基本组成部分：（i）保持熟悉的生活方式；（ii）尽量减少身心不适；（iii）积极利用适当的医疗护理；（iv）与家庭成员合作。
这四个组成部分的结合似乎是日本集体之家临终关怀的一个独特特征。这些发现可用于建立集体之家临终关怀的框架。
