老人のターミナルケヤに関する調査研究

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We investigated conditions of medical treatment and care for the aged prior to their death. One hundred and ninety-five subjects were selected from patients who were more than 65 years old when they died in 1977. Seventyfive were from the hospital attached to the Osaka Municipal Home(Kosaiin) ; 65 were from five special protective homes for the aged in Osaka prefecture; and 55 were from elderly persons who lived in their own home, There were 93 men and 102 woman in the sample. The results of our questionnaire study are as follows: 1) The mean age at the time of death for our sample was 76.8 years for men and 81.7 years for women. 2) In general, circulatory disease predominated among causes of death. Cases of malignant tumor were prominent amon gpatients who stayed in their own home. 3) The mean duration of the disease causing death was 189.3 day samong the patients in the hospital, 205.5 days for those in homes for the aged, and 656.1 days for those in their own home. 4) The mean duration of confinement to bed was 180.8 days among the patients in the hospital, 514.6 days among those in homes for the aged, and 295.1 days for those in their own home. 5) 22.2% of the patients appeared to have foreseen their end. Many of them had a suspicion of it from their own physical condition. 6) The average time at which they foresaw their end was 10 days prior to their death among the group of the patients who were in the hospita 1,21.2 days prior among the group in the home for the aged, and 59.7 days prior among the group in their own home. 7) Many patients considered death calmly until they died, although they were sometimes confused in mind. However, some resisted death. 8) When some patients faced their own death, they ceased to talk about dying and held onto life, although they had previously said that they wanted to die. 9) 60.9% of the patients received positive medical treatment in the terminal stages of dying. 10) Moreover, as a result of their understanding of terminal stage medical treatment, 47.3% of the patients wanted to receive positive medical treatment at that time.
大手前大学・大手前短期大学の論文

老人のターミナルケヤに関する調査研究

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