日本COVID-19疫情期间提前护理计划实践的比率:一项横断面调查研究

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Hungu Jung, Masahiro Akishita, Yuji Iwamoto, Junpei Tanabe, Kenta Hirohama, Shinya Ishii
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引用次数: 0

摘要

背景:预先护理计划(ACP)确保在严重疾病期间提供未来护理,考虑到个人的意愿;这对老年人尤其重要。关于新冠肺炎疫情期间ACP的实践,虽然有关于患者的报道,但关于老年医生的报道很少。目的通过对老年医师的问卷调查,评估新冠肺炎疫情期间ACP的使用率。方法:这项横断面研究在2022年10月至12月期间使用匿名在线问卷调查了日本老年病学会成员的老年专家。问卷内容包括COVID-19患者的治疗、照顾老年COVID-19感染患者时遇到的困难以及COVID-19后遗症。采用多元逻辑回归法逐步确定与ACP实践相关的因素。结果258名受访医生中,74名(28.7%)采用ACP。多元logistic回归发现,年龄20-49岁和治疗(或到医院治疗)COVID-19感染患者的经验是与医生相关的因素,与ACP实践显著正相关。此外,患者认知功能的显著下降和预防COVID-19感染的困难与医生实施的ACP呈正相关。结论老年痴呆患者在感染新冠病毒前应行ACP治疗,ACP治疗会加重老年痴呆症状。此外,对于住院的老年患者,应强调ACP。我们的研究结果可以帮助制定有效的措施来促进ACP的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rate of advance care planning practice during the COVID-19 outbreak in Japan: a cross-sectional survey study

Background

Advance care planning (ACP) ensures that future care is provided during serious illness, considering an individual’s wishes; it is particularly important for older adults. Regarding ACP practices during the coronavirus disease (COVID-19) outbreak, although there are reports on patients, reports on geriatricians are scarce.

Aim

This study evaluated the rate of ACP practice during the COVID-19 outbreak through a questionnaire survey of geriatricians.

Methods

This cross-sectional study surveyed geriatric specialists, who were members of the Japanese Geriatric Society, between October and December 2022 using an anonymous online questionnaire. The questionnaire covered the treatment of COVID-19 patients, difficulties encountered when caring for older patients with COVID-19 infection, and COVID-19 sequelae. Multiple logistic regression with a forward stepwise method was performed to determine the factors associated with ACP practices.

Results

Of the 258 surveyed doctors, 74 (28.7%) practiced ACP. Multiple logistic regression identified that age 20–49 years and experience in treating (or visiting facilities to treat) patients with COVID-19 infection were factors related to doctors that were significantly and positively associated with ACP practice. Additionally, a significant decline in the patients’ cognitive functions and difficulties in preventing COVID-19 infection were positively associated with ACP practiced by doctors.

Conclusions

This study suggested that ACP should be practiced for older patients with dementia before COVID-19 infection, which would worsen their dementia symptoms. Moreover, ACP should be emphasized for older patients admitted to facilities. Our results could help devise effective measures to facilitate ACP practices.

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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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