Journal of palliative medicine · 2026
The Impact of Advance Care Planning on Bereaved Cancer Families, Their Relationships, and Their Views on Life and Death in Japan: Findings from the J-HOPE4 Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Urushibara-Miyachi Yuka, Shiozaki Mariko, Tsuneto Satoru, Morita Tatsuya, Kizawa Yoshiyuki, Masukawa Kento, Shima Yasuo, Miyashita Mitsunori
Аннотация
BACKGROUND: Advance care planning (ACP) improves end-of-life care and communication; however, its long-term effects on bereaved family members remain underexplored.
OBJECTIVES: This study aimed to (1) examine how bereaved family members' participation in a deceased cancer patient's ACP influenced their own ACP behavior and (2) explore its impact on their interpersonal relationships and values regarding life and death.
DESIGN: A nationwide, cross-sectional, anonymous questionnaire survey was conducted as part of the Japan Hospice and Palliative Evaluation Study 4.
SETTING/SUBJECTS: Participants were bereaved family members of cancer patients who had received care at designated palliative care units in Japan and had died before January 31, 2018.
MEASUREMENTS: The survey assessed bereaved individuals' ACP behavior (thinking about, discussing, or documenting preferences), discussion partners, and psychological outcomes. Logistic regression analyses identified factors associated with ACP engagement.
RESULTS: Of the 639 questionnaires returned (response rate: 63.5%), 544 valid responses were analyzed. Among respondents, 75% had thought about their own ACP, 42.1% had discussed it, and 7.9% had documented it. Participation in a loved one's ACP was significantly associated with thinking about (odds ratio [OR] = 5.07) and discussing (OR = 2.46) one's own ACP. Conversations were linked to increased trust, emotional understanding, and reduced anxiety.
CONCLUSIONS: Participation in a loved one's ACP was associated with greater engagement in bereaved individuals' own ACP, along with enhanced interpersonal trust and reflection on life and death. These findings support viewing ACP as a relational and life-oriented process.
OBJECTIVES: This study aimed to (1) examine how bereaved family members' participation in a deceased cancer patient's ACP influenced their own ACP behavior and (2) explore its impact on their interpersonal relationships and values regarding life and death.
DESIGN: A nationwide, cross-sectional, anonymous questionnaire survey was conducted as part of the Japan Hospice and Palliative Evaluation Study 4.
SETTING/SUBJECTS: Participants were bereaved family members of cancer patients who had received care at designated palliative care units in Japan and had died before January 31, 2018.
MEASUREMENTS: The survey assessed bereaved individuals' ACP behavior (thinking about, discussing, or documenting preferences), discussion partners, and psychological outcomes. Logistic regression analyses identified factors associated with ACP engagement.
RESULTS: Of the 639 questionnaires returned (response rate: 63.5%), 544 valid responses were analyzed. Among respondents, 75% had thought about their own ACP, 42.1% had discussed it, and 7.9% had documented it. Participation in a loved one's ACP was significantly associated with thinking about (odds ratio [OR] = 5.07) and discussing (OR = 2.46) one's own ACP. Conversations were linked to increased trust, emotional understanding, and reduced anxiety.
CONCLUSIONS: Participation in a loved one's ACP was associated with greater engagement in bereaved individuals' own ACP, along with enhanced interpersonal trust and reflection on life and death. These findings support viewing ACP as a relational and life-oriented process.