Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto, Japan.
Center for Promotion of Interdisciplinary Education and Research, Kyoto University, Kyoto, Japan.
Arch Gerontol Geriatr. 2018 Nov-Dec;79:83-87. doi: 10.1016/j.archger.2018.08.003. Epub 2018 Aug 12.
This study aimed to reveal Japanese elders' perspective on optimal timing and method of receiving unified guidance about advance directives (AD).
We convened 202 elders (average age 66) to learn about end-of-life at Kyoto University. They listened to a presentation and viewed two videos on advance care planning and AD; then 167 completed detailed questionnaires about unified timing and methods of providing such information.
A majority of Japanese elders (79%) agreed with unified guidance in combination with the issue of health insurance cards at age 65 or 75. The most preferred method for receiving information was video presentation.
Japanese elders appear to welcome the idea of receiving information about AD when they are issued health insurance cards at age 65 or 75. Use of video materials holds great promise for educating elderly Japanese about their choices on AD.
本研究旨在揭示日本老年人对接受关于预立医疗指示（AD）的统一指导的最佳时间和方法的看法。
我们召集了 202 名老年人（平均年龄 66 岁）在京都大学学习临终关怀。他们听取了关于预先护理计划和 AD 的介绍，并观看了两段关于 AD 的视频；然后，167 人完成了关于提供此类信息的统一时间和方法的详细问卷。
大多数日本老年人（79%）同意在 65 岁或 75 岁时与健康保险卡问题一起接受统一指导。接收信息的最受欢迎方法是视频演示。
日本老年人似乎欢迎在领取健康保险卡时获得关于 AD 的信息的想法，他们可以在 65 岁或 75 岁时领取。使用视频材料在教育日本老年人有关 AD 选择方面具有很大的潜力。
