Division of Nursing Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan.
Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan.
Int J Environ Res Public Health. 2022 Apr 2;19(7):4273. doi: 10.3390/ijerph19074273.
We aimed to clarify the regional cultural characteristics in areas with different death rates at home, and to identify factors that influence the discussion and documentation of end-of-life care (EOLC) among community-dwelling older adults. This study was a cross-sectional study using a self-administered questionnaire survey, and participants were Japanese older adults. A chi-square test and multiple regression analysis were conducted. Among the 227 respondents, 143 were analyzed. There were no statistical differences by area. Participants who had intentions to discuss EOLC tended to discuss EOLC with their families and family doctors and tended to create documents to show their wills on EOLC (p < 0.05). The following factors that influence the intentions to discuss EOLC were extracted: experience in providing EOLC; information on EOLC; having religious and spiritual beliefs, and not avoiding the subject of death as part of beliefs related to life and death. These results indicate that beliefs and intentions regarding EOLC may be similar across Japan. Moreover, our findings suggest that to increase the interest of older adults on EOLC, it is important to provide opportunities for older adults to share and discuss information about EOLC with healthcare professionals and others who have experience providing EOLC.
我们旨在阐明国内不同死亡率地区的区域文化特征，并确定影响社区居住的老年人群体讨论和记录临终关怀（EOLC）的因素。这项研究采用横断面研究，使用自我管理的问卷调查，参与者为日本老年人。进行了卡方检验和多元回归分析。在 227 名应答者中，分析了 143 名。各地区之间没有统计学差异。有讨论 EOLC 意向的参与者倾向于与家人和家庭医生讨论 EOLC，并倾向于创建文件以显示他们对 EOLC 的意愿（p<0.05）。提取出影响讨论 EOLC 意向的以下因素：提供 EOLC 的经验；EOLC 信息；有宗教和精神信仰，并且不回避与生死有关的信仰中的死亡主题。这些结果表明，日本各地对 EOLC 的信仰和意图可能相似。此外，我们的研究结果表明，为了提高老年人对 EOLC 的兴趣，重要的是为老年人提供与提供 EOLC 经验的医疗保健专业人员和其他人分享和讨论 EOLC 信息的机会。
