| Project/Area Number |
23390127
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | The University of Tokyo |
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Principal Investigator |
KAI Ichiro 東京大学, 人文社会系研究科, 研究員 (30126023)
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| Co-Investigator(Kenkyū-buntansha) |
AITA Kaoruko 東京大学, 大学院・人文社会系研究科, 特任准教授 (40507810)
SHIMIZU Tetsuro 東京大学, 大学院・人文社会系研究科, 特任教授 (70117711)
HIGUCHI Norio 東京大学, 大学院・法学政治学研究科, 教授 (30009857)
SUZUKI Yutaka 国際医療福祉大学, 大学病院, 教授 (20241060)
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| Research Collaborator |
SAITO Tami 国立長寿医療研究センター, 老年社会科学研究部, 室長
WAKUI Tomoko 東京都健康長寿医療センター研究所, 研究員
OGA Yuka 赤磐医師会病院, 透析療法指導看護師
SAITO Nami 東京大学, 大学院・医学系研究科, 助教
MIURA Yasuhiko 東京慈恵会医科大学, 医学部, 講師
MORIYAMA Toshiki 大阪大学, 大学院・医学系研究科, 教授
ISHIBASHI Yoshitaka 日本赤十字社医療センター, 腎臓内科, 部長
OWAKI Hiroka 岡山済生会総合病院, 透析看護認定看護師
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| Project Period (FY) |
2011-04-01 – 2014-03-31
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| Project Status |
Completed (Fiscal Year 2013)
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| Budget Amount *help |
¥18,850,000 (Direct Cost: ¥14,500,000、Indirect Cost: ¥4,350,000)
Fiscal Year 2013: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2012: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2011: ¥10,270,000 (Direct Cost: ¥7,900,000、Indirect Cost: ¥2,370,000)
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| Keywords | エンド・オブ・ライフ・ケア / 終末期医療 / 意思決定支援 / 共同決定 / 臨床倫理 / 高齢者 / 人工的水分・栄養補給法 / 透析療法 / 家族支援 / 透析医療 / 延命医療 / 意思決定プロセス |
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| Research Abstract |
Some medical associations in Japan have issued end-of-life care guidelines including the Japan Geriatrics Society and the Japanese Society for Dialysis Therapy. We have created two notebook-type tools for elderly patients and their families to support their decision-making process when they need to consider AHN (artificial hydration and nutrition) or dialysis therapy. The tools include information related to AHN or dialysis therapy as well as those related to withholding and withdrawal of AHN or dialysis therapy. The tools guide patients and their families to write down the patients values and beliefs together with their narrative information so that they make a decision based on the narrative. We aim to promote shared decision-making among patients and their families and physicians and care providers.
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