| Project/Area Number |
22890189
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Single-year Grants |
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| Research Field |
Fundamental nursing
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| Research Institution | St. Luke's College of Nursing |
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Principal Investigator |
KURAOKA Yumiko 聖路加看護大学, 看護学部, 助教 (30584429)
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| Project Period (FY) |
2010 – 2012
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| Project Status |
Completed (Fiscal Year 2012)
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| Budget Amount *help |
¥2,877,988 (Direct Cost: ¥2,213,837、Indirect Cost: ¥664,151)
Fiscal Year 2012: ¥732,988 (Direct Cost: ¥563,837、Indirect Cost: ¥169,151)
Fiscal Year 2011: ¥1,092,000 (Direct Cost: ¥840,000、Indirect Cost: ¥252,000)
Fiscal Year 2010: ¥1,053,000 (Direct Cost: ¥810,000、Indirect Cost: ¥243,000)
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| Keywords | 胃瘻 / 経管栄養 / 意思決定支援 / 家族 / 意思決定 / 代理意思決定 |
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| Research Abstract |
Development of the Decision AidA tube feeding decision aid designed at the Ottawa Health Research Institute was specifically prepared for substitute decision makers who must decide whether to allow placement of a PEG tube in a cognitively impaired person 65 years or older who is unable to eat independently. The decision aid contains information about the following areas: common causes of eating and swallowing problems in older persons with cognitive impairment, technical considerations regarding the placement and use of PEG tubes, principles of substitute decision-making, the risks and benefits of tube feeding, the option of supportive care, and some considerations regarding future discontinuation of PEG tube feeding if the substitute decision maker opts for the intervention. The tube feeding decision aid booklet was translated into Japanese.Evaluation of the Decision AidA before/after study was conducted to evaluate the tube feeding decision aid.Participants is substitute decision makers for 13 cognitively impaired inpatients 65 years and older being considered for placement of a PEG tube in Acute care hospitals and mixed care hospitals in Japan. Questionnaires were used to compare the substitute decision maker’s knowledge, decisional conflict, and predisposition regarding feeding tube placement before and after exposure to the decision aid. The acceptability of the decision aid was also assessed. Paired t-tests were used to compare subject’ s knowledge and decisional conflict scores before and after using the decision aids.Substitute decision makers significantly increased their knowledge (P<.001) and decreased their decisional conflict (P<.001) regarding long-term tube feeding after using the decision aid. All substitute decision makers found the decision aid helpful and acceptable
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