Public Prognosis Explanations, End-of-life Care, Decision-maker Hopes, and Related Factors

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  • Yoshimura Genki
    Graduate School of Medicine School of Health Sciences, Nagoya University Minnanokakaritsuke Home Nursing Station
  • Hamamoto Ai
    School of Health Sciences, Nagoya University
  • Sakaguchi Kyoka
    School of Health Sciences, Nagoya University
  • Ando Shoko
    Graduate School of Medicine School of Health Sciences, Nagoya University
  • Sato Kazuki
    Graduate School of Medicine School of Health Sciences, Nagoya University

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  • 一般市民の予後説明・終末期医療・意思決定者の希望とその関連要因

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Abstract

<p>Purpose: This study clarified the general public’s end-of-life decision-making expectations and related factors. Method: We analyzed secondary data of 1,000 adults surveyed through the Internet. The outcome was to determine the life expectancy at the end of life, end-of-life care, and decision-makers’ wishes. Results: Regarding the prognosis, 54% wanted to know the life expectancy in end-of-life. This preference was independently associated with being notified of cancer at a young age, trust in medical professionals, and the view of life and death that disappears. Regarding end-of-life care preferences, 11% requested active treatment, and 58% requested palliative care. This preference was independently associated with older age, women, and an emphasis on being pain-free and being yourself. Regarding decision-makers’ preferences, 77% wanted to decide for themselves, and 11% wanted to decide for their families. This preference was independently associated with the young, carefree of life and death, who did not want to be notified of cancer. Conclusion: We revealed the general public’s desire for end-of-life decision-making and associated factors. In clinical practice, it can be used for screening.</p>

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