คุณหมอเต็มศักดิ์ที่นับถือ ส่งบทคัดย่องานวิจัยมาให้ค่ะ มีลิงก์งานวิจัยใกล้เคียงกันในญี่ปุ่น อเมริกา ฟินแลนด์ มาให้ด้วย หวังว่าจะเป็นประโยชน์
Patient living wills in Germany: conditions for their increase and reasons for refusal
[Article in German]
Lang FR, Wagner GG. Institut für Psychogerontologie, Universität Erlangen-Nürnberg, Erlangen. [email protected]
OBJECTIVES: There is few data about how many people in Germany have deposited a living will or intend to do so. Most studies report distributions among patients, medical doctors or clinical personal. It is unclear, which pre-clinical conditions endorse the distribution of living wills. We were interested in which social contexts contribute to refusal of depositing a living will. METHOD: In two representative surveys with 400 and with 1023 adults, who were between 16 and 92 years old. Within both two multiple-purpose surveys it was assessed whether a living will was available, and if not, whether respondents planned or objected to do so. RESULTS: About 10 percent of adults in Germany had deposited a living will pre-clinically. About fifty percent object to depositing a living will. Logistic regression analyses revealed that the distribution and acceptance of living will deposition depends on chronological age and personal experience with death and dying, even after statistically controlling for effects of socio-economic variables (education, income, household size). Adults are more likely to object to depositing a living will, if they are below 50 years old, do not eat healthy food, do no sports, have low income, and have not experienced death of a relative or acquaintance during the past year. CONCLUSION: Acceptance of living will deposition depends in the pre-clinical phase of life on subjective experience related to medical end-of-life treatment. If people are confronted with death and dying in their social world, they will be more willing to consider their personal preference of end-of-life treatment.
http://www.ncbi.nlm.nih.gov/pubmed/18033650
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http://www.journals.elsevierhealth.com/periodicals/jns/article/PIIS0022510X05001966/abstract
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http://www.professionalnursing.org/article/PIIS8755722396801001/abstract
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Hanson LC, Rodgman E. Division of General Medicine, University of North Carolina, Chapel Hill, USA.
Physicians's reports on the impact of living wills at the end of life in Japan.
Masuda Y, Fetters MD, Hattori A, Mogi N, Naito M, Iguchi A, Uemura K. Department of Geriatrics, Nagoya University School of Medicine, Nagoya, Japan. [email protected]
Attitudes to some aspects of death and dying, living wills and substituted health care decision-making in South Australia: public opinion survey for a parliamentary select committee.
Ashby M, Wakefield M. Royal Adelaide Hospital, Australia.
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Hildén HM, Louhiala P, Palo J. Department of Public Health, University of Helsinki, Pajalahdentie 9B23, 00200 Helsinki, Finland. [email protected]
Outcomes of written living wills in Japan--a survey of the deceased ones' families.
Masuda Y, Fetters M, Shimokata H, Muto E, Mogi N, Iguchi A, Uemura K.