2018 Fiscal Year Final Research Report
The desirable end of life care from the perspective of the patient at home
| Project/Area Number |
15K20780
|
|---|
| Research Category |
Grant-in-Aid for Young Scientists (B)
|
| Allocation Type | Multi-year Fund |
|---|
| Research Field |
Gerontological nursing
|
|---|
| Research Institution | Juntendo University (2016-2018)
Sophia University (2015) |
|---|
Principal Investigator |
|
|---|
| Project Period (FY) |
2015-04-01 – 2019-03-31
|
| Keywords | 在宅看取り / エンドオブライフケア / 在宅療養者 |
|---|
| Outline of Final Research Achievements |
This qualitative study was conducted in 2018-2019 in Japan by using semi-structured interviews with 6 patients, who prefer to home dying. Their willingness to stay home was based on two implications of ‘their home’, which means “the place for my own life” and “the place for familiarity”. It emerged that the patients require the end of life care at home as below; 1) avoiding daily life disability due to their physical one, 2) providing timely consultation and sensibility for patients’ physical status, 3) responding to patients' anxiety on her/his life, and 4) resolving some legal issues for the patients to stay at home until her/his death.
|
| Free Research Field |
在宅看護学
|
| Academic Significance and Societal Importance of the Research Achievements |
在宅看取りを希望する国民は多く、在宅でのエンドオブライフケアの充実が必要とされている。しかし、療養者本人がどのようなケアを望んでいるかは明らかとなっていない。そこで、本研究では在宅療養者本人に半構造化面接をおこなった。
インタビューの結果から、在宅療養者が家で最期まで過ごしたいという思いを支える「自宅」に持たせている意味と、療養者が望むエンドオブライフケアが明らかとなった。これらの結果は、在宅ケア提供者が療養者本人が望むケアを構築するための一助となると考えられる。
|
