{"id":1588,"date":"2018-11-08T11:59:43","date_gmt":"2018-11-08T02:59:43","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1588"},"modified":"2018-11-08T11:59:43","modified_gmt":"2018-11-08T02:59:43","slug":"%e3%82%a2%e3%83%89%e3%83%90%e3%83%b3%e3%82%b9%e3%83%bb%e3%82%b1%e3%82%a2%e3%83%bb%e3%83%97%e3%83%a9%e3%83%b3%e3%83%8b%e3%83%b3%e3%82%b0%e3%81%ae%e5%8a%b9%e7%94%a8","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1588","title":{"rendered":"\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306e\u52b9\u7528"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nKaren M. Detering The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ. 2010; 340: c1345.<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u76ee\u7684\u3011<br \/>\n\u3000\u9ad8\u9f62\u60a3\u8005\u306b\u5bfe\u3059\u308b\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u30b1\u30a2\u306b\u5bfe\u3059\u308b\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306e\u5f71\u97ff\u3092\u8abf\u3079\u308b\u3053\u3068<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br \/>\n\u3000\u30c7\u30b6\u30a4\u30f3\uff1aProspective randomised controlled trial.<br \/>\n\u3000\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\uff1a\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u30e1\u30eb\u30dc\u30eb\u30f3\u5927\u5b66\u306e\u5358\u4e00\u65bd\u8a2d\u7814\u7a76<br \/>\n\u3000\u53c2\u52a0\u8005\uff1a80\u6b73\u4ee5\u4e0a\u306e\u533b\u7642\u5165\u9662\u60a3\u8005309\u540d\u3092\u5bfe\u8c61\u3068\u30576\u30f6\u6708\u3082\u3057\u304f\u306f\u6b7b\u4ea1\u3059\u308b\u307e\u3067\u8ffd\u8de1\u8abf\u67fb\u3057\u305f<br \/>\n\u3000\u4ecb\u5165\u3000\uff1a\u53c2\u52a0\u8005\u306f\u901a\u5e38\u30b1\u30a2\u304b\u901a\u5e38\u30b1\u30a2\uff0b\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08the Respecting Patient Choices model\u3000\u6587\u732e12\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u53d7\u3051\u305f<br \/>\n\u3000\u3000\u3000\u3000\u3000\u770b\u8b77\u5e2b\u307e\u305f\u306f\u30d8\u30eb\u30b9\u30b1\u30a2\u30ef\u30fc\u30ab\u30fc\u304c\u4e3b\u6cbb\u533b\u306a\u3069\u306e\u5354\u529b\u306e\u3082\u3068\u5b9f\u65bd\uff09\u3092\u53d7\u3051\u308b\u305f\u3081\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0<br \/>\n\u3000\u3000\u3000\u3000\u3000\u306f\u60a3\u8005\u304c\u60a3\u8005\u306e\u76ee\u7684\u3001\u4fa1\u5024\u89b3\u3001\u4fe1\u5ff5\u3092\u5c06\u6765\u306e\u6cbb\u7642\u9078\u629e\u306e\u8003\u616e\u3068\u4ee3\u7406\u610f\u601d\u6c7a\u5b9a\u8005\u306e\u4efb\u547d\u3068\u5e0c\u671b\u306e\u6587\u7ae0\u5316\u306b\u53cd\u6620\u3059\u308b\u3053\u3068\u306e\u30b5\u30dd\u30fc\u30c8\u3092\u76ee\u7684\u3068\u3057\u3066<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3044\u308b\u3002<br \/>\n\u3000\u30a2\u30a6\u30c8\u30ab\u30e0\u6e2c\u5b9a\uff1a\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u60a3\u8005\u306e\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u5e0c\u671b\u304c\u77e5\u3089\u308c\u3066\u304a\u308a\u5c0a\u91cd\u3055\u308c\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u3067\u3042\u3063\u305f\u3002\u4ed6\u306e\u7d50\u679c\u306b\u306f\u3001\u5165\u9662\u60a3\u8005<br \/>\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u304a\u3088\u3073\u5bb6\u65cf\u306e\u6e80\u8db3\u5ea6\u3001\u304a\u3088\u3073\u6b7b\u4ea1\u3057\u305f\u60a3\u8005\u306e\u89aa\u65cf\u306b\u304a\u3051\u308b\u30b9\u30c8\u30ec\u30b9\u3001\u4e0d\u5b89\u3001\u3046\u3064\u75c5\u306e\u30ec\u30d9\u30eb\u304c\u542b\u307e\u308c\u3066\u3044\u305f\u3002<br \/>\n&nbsp;<br \/>\n\u3010\u7d50\u679c\u3011<br \/>\n\u3000309\u540d\u306e\u3046\u3061154\u540d\u304c\u4ecb\u5165\u7fa4\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002125\u540d\uff0881%\uff09\u306b\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u304c\u5b9f\u65bd\u3055\u308c\u3001108\u540d\uff0884%\uff09\u304c\u5e0c\u671b\u3092\u8868\u660e\u3057\u305f\u304b\u4ee3\u7406\u610f\u601d\u6c7a\u5b9a\u8005\u3092\u6307\u540d\u3057\u305f\u30026\u30f6\u6708\u3067\u6b7b\u4ea1\u3057\u305f56\u540d\u306e\u3046\u3061\u4ecb\u5165\u7fa4\uff0825\/29,86%\uff09\u306f\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\uff088\/27,30%;P&lt;0.001\uff09\u306b\u6bd4\u3079\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u5e0c\u671b\u304c\u3088\u308a\u77e5\u3089\u308c\u3001\u5f93\u308f\u308c\u308b\u50be\u5411\u306b\u3042\u3063\u305f\u3002\u4ecb\u5165\u7fa4\u3067\u306f\u4ea1\u304f\u306a\u3063\u305f\u60a3\u8005\u5bb6\u65cf\u306e\u30b9\u30c8\u30ec\u30b9\uff08\u4ecb\u5165\u7fa4\uff15\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa415\u3001P&lt;0.001\uff09\u3001\u5fc3\u914d\uff08\u4ecb\u5165\u7fa4\uff10\u3001\u5bfe\u7167\u7fa4\uff13\u3001P\uff1d0.02\uff09\u3001\u6291\u3046\u3064\uff08\u4ecb\u5165\u7fa40\u3001\u5bfe\u7167\u7fa45\u3001P\uff1d0.002\uff09\u304c\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u306b\u5c11\u306a\u304b\u3063\u305f\u3002\u60a3\u8005\u3068\u5bb6\u65cf\u306e\u6e80\u8db3\u5ea6\u306f\u4ecb\u5165\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3088\u308a\u9ad8\u304b\u3063\u305f\u3002<br \/>\n&nbsp;<br \/>\n\u3010\u7d50\u8ad6\u3011<br \/>\n\u3000\u8abf\u6574\u3055\u308c\u305f\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306f\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u30b1\u30a2\u3092\u6539\u5584\u3059\u308b\u3002\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306f\u907a\u65cf\u306e\u4e0d\u5b89\u3001\u6291\u3046\u3064\u3001\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u3092\u8efd\u6e1b\u3059\u308b\u3002\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306f\u5165\u9662\u5f8c\u306e\u60a3\u8005\u3068\u5bb6\u65cf\u306e\u6e80\u8db3\u5ea6\u3092\u6539\u5584\u3059\u308b\u3002<br \/>\n&nbsp;<br \/>\n\u3010Discussion\u3011<br \/>\n\u3000\u30fb\u610f\u601d\u8868\u793a\u80fd\u529b\u304c\u306a\u3044\u60a3\u8005\uff08\u8a8d\u77e5\u75c7\u306a\u3069\uff09\u306e\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306b\u3064\u3044\u3066\u306f\u8a55\u4fa1\u3057\u3066\u3044\u306a\u3044<br \/>\n\u3000\u30fb\u5358\u4e00\u65bd\u8a2d\u7814\u7a76\u306e\u305f\u3081\u5730\u57df\u306e\u6587\u5316\u7684\u3001\u30b7\u30b9\u30c6\u30e0\u7684\u306a\u5f71\u97ff\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044<br \/>\n\u3000\u30fb6\u30f6\u6708\u4ee5\u5185\u3067\u306e\u8ffd\u8de1\u306f\u51fa\u6765\u305f\u304c\u305d\u308c\u4ee5\u964d\u306e\u8ffd\u8de1\u306f\u51fa\u6765\u3066\u3044\u306a\u3044<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff11.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1590\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff11.png\" alt=\"\u6751\u4e95\u5148\u751f\u56f3\uff11\" width=\"602\" height=\"585\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff11.png 602w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff11-300x292.png 300w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff12.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1591\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff12.png\" alt=\"\u6751\u4e95\u5148\u751f\u56f3\uff12\" width=\"595\" height=\"586\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff12.png 595w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff12-300x295.png 300w\" sizes=\"auto, (max-width: 595px) 100vw, 595px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff13.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1592\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff13.png\" alt=\"\u6751\u4e95\u5148\u751f\u56f3\uff13\" width=\"927\" height=\"634\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff13.png 927w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff13-300x205.png 300w\" sizes=\"auto, (max-width: 927px) 100vw, 927px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff14.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1593\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff14.png\" alt=\"\u6751\u4e95\u5148\u751f\u56f3\uff14\" width=\"521\" height=\"817\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff14.png 521w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff14-191x300.png 191w\" sizes=\"auto, (max-width: 521px) 100vw, 521px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff15.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1594\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff15.png\" alt=\"\u6751\u4e95\u5148\u751f\u56f3\uff15\" width=\"582\" height=\"557\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff15.png 582w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2018\/11\/\u6751\u4e95\u5148\u751f\u56f3\uff15-300x287.png 300w\" sizes=\"auto, (max-width: 582px) 100vw, 582px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2018\u5e7411\u67087\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Karen M. Detering The impact of advance care planning on end of life care in elderly patients: randomise &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1588\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306e\u52b9\u7528<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-1588","post","type-post","status-publish","format-standard","hentry","category-12"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1588"}],"version-history":[{"count":5,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1588\/revisions"}],"predecessor-version":[{"id":1598,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1588\/revisions\/1598"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}