Experiences of caregivers desiring to refuse life-prolonging treatment for their elderly parents at the end of life

被引：4

作者：

Maura, Yuki ^{[1
]}

Yamamoto, Mariko ^{[2
]}

Tamaki, Tomoko ^{[2
,3
]}

Odachi, Ryo ^{[2
,4
]}

Ito, Mikiko ^{[5
]}

Kitamura, Yuri ^{[6
]}

Sobue, Tomotaka ^{[6
]}

机构：

[1] Konan Womens Univ, Fac Nursing & Rehabil, Dept Nursing, Kobe, Hyogo, Japan

[2] Osaka Univ, Grad Sch Med, Div Hlth Sci, Suita, Osaka, Japan

[3] Mukogawa Womens Univ, Sch Nursing, Dept Nursing, Nishinomiya, Hyogo, Japan

[4] Yamaguchi Univ, Grad Sch Med, Dept Nursing & Lab Sci, Yamaguchi, Japan

[5] Shiga Univ Med Sci, Dept Nursing, Otsu, Shiga, Japan

[6] Osaka Univ, Grad Sch Med, Dept Social & Environm Med, Div Environm Med & Populat Sci, Osaka, Japan

来源：

INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING | 2019年 / 14卷 / 01期

关键词：

Family caregiver; elderly; life-prolonging treatment; end-of-life care; qualitative analysis;

D O I：

10.1080/17482631.2019.1632110

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Purpose: This study aimed to clarify the experiences of caregivers desiring to refuse life-prolonging treatment for their elderly parents at the end of life. Methods: A semi-structured interview was performed for four family caregivers who wanted to refuse life-prolonging treatment suggested by the physicians. Results: In this study, four caregivers who refused life-prolonging treatment suggested by the physicians for their elderly parents completed semi-structured interviews. The obtained data were analyzed in relation to the theme "Experiences of caregivers who desire to refuse life-prolonging treatment for their elderly parents at the end of life." As a result, 38 subcategories and 12 categories were extracted. Conclusions: Participants in this study initially had a negative view of life-prolonging treatment. However, they agonized over the decision when they received conflicting advice from the physicians. The participants indicated that physicians' advice and attitudes complicated their decisions to reject life-prolonging treatment for their elderly parents.

引用

页数：9

共 50 条

[1] Withholding life-prolonging treatment
White, SM
Baldwin, TJ
[J]. ANAESTHESIA, 2005, 60 (04) : 417 - 418
[2] Ethical assessment of life-prolonging treatment
Winkler, Eva C.
Hiddemann, Wolfgang
Marckmann, Georg
[J]. LANCET ONCOLOGY, 2011, 12 (08): : 720 - 722
[3] MANAGEMENT OF CONFLICTS WITH THE PARENTS OVER ADMINISTRATION OF LIFE-PROLONGING TREATMENT IN DUTCH NICUs
Moratti, Sofia
[J]. MEDICINE AND LAW, 2010, 29 (02): : 289 - 301
[4] Withdrawing and withholding life-prolonging medical treatment
Jessiman, I
[J]. JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF LONDON, 2000, 34 (04): : 403 - 403
[5] LIFE-PROLONGING TREATMENTS LATE IN LIFE
FINUCANE, TE
[J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 1993, 8 (07) : 399 - 400
[6] Refusing Life-Prolonging Medical Treatment and the ECHR
Black, Isra
[J]. OXFORD JOURNAL OF LEGAL STUDIES, 2018, 38 (02) : 299 - 327
[7] Withdrawing life-prolonging medical treatment in 246 patients
T Nolin
[J]. Critical Care, 4 (Suppl 1):
[8] WITHHOLDING OR WITHDRAWING LIFE-PROLONGING MEDICAL-TREATMENT
CORBETT, TE
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 256 (19): : 2673 - 2673
[9] Why I wrote my advance decision to refuse life-prolonging treatment: and why the law on sanctity of life remains problematic
Gillon, Raanan
[J]. JOURNAL OF MEDICAL ETHICS, 2016, 42 (06) : 376 - 382
[10] Determinants of acceptance of end-of-life interventions: a comparison between withdrawing life-prolonging treatment and euthanasia in Austria
Stolz, Erwin
Grossschaedl, Franziska
Mayerl, Hannes
Rasky, Eva
Freidl, Wolfgang
[J]. BMC MEDICAL ETHICS, 2015, 16

← 1 2 3 4 5 →