Sato Kazuki, Miyashita Mitsunori, Morita Tatsuya, Suzuki Masao
Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
J Palliat Care. 2009 Autumn;25(3):206-12.
Misconceptions and a lack of knowledge are barriers to providing palliative care. This study examined the long-term effect of an educational intervention with the general public focusing on end-of-life home care, life-prolongation treatment, and knowledge about palliative care. We offered a one-hour educational lecture for community residents in 11 districts in Fukushima, Japan. Lecture attendees were asked to complete pre- and post-questionnaires and a six-month postal follow-up questionnaire. A total of 424 respondents completed and returned the follow-up questionnaire. Beliefs about the feasibility of home death did not significantly change. In addition, many of the other significant changes that occurred immediately after the intervention reverted to initial opinions six months later. This population-based educational intervention was not effective for the long term, except that it had a partial influence on certain misconceptions about palliative care. Therefore, other approaches are needed to achieve substantial long-term effects.
误解和知识匮乏是提供姑息治疗的障碍。本研究调查了针对普通公众开展的一项教育干预措施的长期效果，该干预重点关注临终家庭护理、延长生命治疗以及关于姑息治疗的知识。我们为日本福岛11个地区的社区居民举办了一场时长一小时的教育讲座。要求参加讲座的人填写干预前后的问卷以及一份为期六个月的邮寄随访问卷。共有424名受访者完成并返还了随访问卷。关于在家中离世可行性的看法没有显著变化。此外，干预后立即出现的许多其他显著变化在六个月后又恢复到了初始观点。这种基于人群的教育干预从长期来看并不有效，不过它对某些关于姑息治疗的误解有部分影响。因此，需要其他方法来实现实质性的长期效果。
