アクセス数 : ?
ダウンロード数 : ?
ID 114039
タイトル別表記
Perspectives on enteral tube feeding in Japan
著者
Sato, Koji Tokushima University
Kawahito, Keisuke Yoshinogawa Medical Center
Miyatake, Akiko Naruto Yamakami Hospital
近藤, 啓介 Ehime Prefectural Central Hospital 徳島大学 教育研究者総覧
稲葉, 圭佑 Tokushima University
稲葉, 香織 Tokushima University
湯浅, 志乃 Tokushima Prefectural Central Hospital
キーワード
surrogate decision making
enteral tube feeding
questionnaire survey
visual analogue scale
資料タイプ
学術雑誌論文
抄録
[Introduction] The purpose of this study was to investigate the differences in the preference of enteral tube feeding between elderly inhabitants of Mugi town, Tokushima Prefecture, Japan, and their parents in various physical conditions. [Methods] This population-based questionnaire survey studied 300 randomly selected participants aged 65–80 years. Respondents were to consider a situation where eating was difficult, and were questioned on their desire for tube feeding, using a visual analogue scale (VAS) ranging from “do not want tube feeding (0)” to “want tube feeding (100).” [Results] Valid responses of 103 (34.4%) participants were analyzed. Under conditions of being “healthy,” “bedridden,” “with dementia,” and “bedridden and with dementia,” the median (IQR) of the VAS values for the desire for tube feeding were 31.8 (3.3 to 83.8), 19.3 (2.4 to 52.3), 5.2 (0.7 to 18.9), 4.0 (0.3 to 15.2) for respondents and 55.2 (11.6 to 92.2), 48.7 (5.5 to 85.5), 9.0 (1.2 to 46.8), 5.1 (0.1 to 36.5) for parents, respectively. The VAS values for the parents were significantly higher (p=0.001, 0.002, 0.001, and 0.01, respectively for the four conditions described) for the same items. [Conclusion] Surrogate decisions made by family members often differ from what the patients would have desired.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
66
3-4
開始ページ
258
終了ページ
263
並び順
258
発行日
2019-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院
総合科学系