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首页> 外文期刊>Medicine. >A Cross-Cultural Study on Behaviors When Death Is Approaching in East Asian Countries What Are the Physician-Perceived Common Beliefs and Practices?
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A Cross-Cultural Study on Behaviors When Death Is Approaching in East Asian Countries What Are the Physician-Perceived Common Beliefs and Practices?

机译：在东亚国家接近死亡时行为的跨文化研究是什么意思察觉的普遍信仰和做法？

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摘要

The primary aim of this study was to explore common beliefs and practices when death is approaching in East-Asian countries.A cross-sectional survey was performed involving palliative care physicians in Japan, Korea, and Taiwan. Measurement outcomes were physician-perceived frequencies of the following when patient death was approaching: (1) reluctance to take part in end-of-life discussions, (2) role of family members, (3) home death, and (4) circumstances surrounding death.A total of 505, 211, and 207 responses were obtained from Japanese, Korea, and Taiwan physicians, respectively. While 50% of the Japanese physicians reported that they often or very often experienced families as being reluctant to discuss end-of-life issues, the corresponding figures were 59% in Korea and 70% in Taiwan. Two specific reasons to avoid end-of-life discussion, bad things happen after you say them out loud and a bad life is better than a good death were significantly more frequently observed in Taiwan. Prioritizing the oldest of the family in breaking bad news and having all family members present at the time of death were significantly more frequently observed in Korea and Taiwan. Half of Taiwanese physicians reported they often or very often experienced the patients/family wanted to go back home to die because the soul would not be able to return from the hospital. In all countries, more than 70% of the physicians reported certain family members were expected to care for the patient at home. At the time of death, while no Japanese physicians stated that they often experienced patients wanted a religious person to visit, the corresponding figure in Korean and Taiwan was about 40%. Uncovered expression of emotion was significantly frequently observed in Korean and Taiwan, and 42% of the Japanese physicians reported family members cleaned the dead body of the patient themselves.There seem to be significant intercountry differences in beliefs and practices when death is approaching in East Asian countries. Future studies on direct observations of patients and families are needed.
机译：该研究的主要目的是探讨当东亚国家接近死亡时的共同信念和实践。涉及日本，韩国和台湾的姑息治疗医师进行横断面调查。当患者死亡接近时，测量结果是以下内容的医生频率：（1）不愿参与生活结束讨论，（2）家庭成员的作用，（3）家庭死亡和（4）情况周围死亡。分别从日本，韩国和台湾医师获得505,211和207份反应。虽然50％的日本医生报告说，他们经常或经常经验丰富的家庭是不愿意讨论生活终止问题，韩国的59％和台湾70％。避免终身讨论的两种具体原因，在你大声说出来之后发生了糟糕的事情，糟糕的生活比在台湾的良好死亡比良好的死亡更常见。在突破坏消息中优先考虑最古老的家庭，并在韩国和台湾在死亡时出现的所有家庭成员在韩国和台湾观察到。一半的台湾医生报道他们经常或经常经历患者/家人希望回到家死，因为灵魂无法从医院返回。在所有国家，70％以上的医生报告了某些家庭成员预计将为家里的患者提供关注患者。在死亡时，虽然没有日本的医生常常经历过患者想要一个宗教者的访问，但韩国和台湾的相应数字约为40％。在韩国和台湾显着观察到情绪的表达，42％的日本医生报告了家庭成员自己清理了患者的尸体。当死亡在东亚死亡时似乎是信仰和做法的重要跨界差异国家。需要有关直接观察患者和家庭的研究。

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  • 来源
    《Medicine.》 |2015年第39期|共6页
  • 作者

    Cheng Shao-Yi; Suh Sang-Yeon; Morita Tatsuya; Oyama Yasuhiro; Chiu Tai-Yuan; Koh Su Jin; Kim Hyun Sook; Hwang Shinn-Jang; Yoshie Taeko; Tsuneto Satoru;

  • 作者单位

    Natl Taiwan Univ Dept Family Med Coll Med &

    Hosp 7 Chung Shan S Rd Taipei 10764 Taiwan;

    Dongguk Univ Sch Med Ilsan Hosp Dept Family Med Seoul South Korea;

    Seirei Mikatahara Gen Hosp Palliat Care Team Dept Palliat &

    Support Care Hamamatsu Shizuoka;

    Kyoto Univ Div Clin Psychol Kyoto Japan;

    Natl Taiwan Univ Dept Family Med Coll Med &

    Hosp 7 Chung Shan S Rd Taipei 10764 Taiwan;

    Univ Ulsan Ulsan Univ Hosp Dept Hematol &

    Oncol Coll Med Ulsan 680749 South Korea;

    Korea Natl Univ Transportat Dept Social Welf Chungju City South Korea;

    Taipei Vet Gen Hosp Dept Family Med Taipei Taiwan;

    Kyoto Univ Grad Sch Educ Kyoto Japan;

    Kyoto Univ Grad Sch Med Dept Multidisciplinary Canc Treatment Kyoto Japan;

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  • 正文语种 eng
  • 中图分类 医药、卫生;
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