{"created":"2023-05-15T14:18:58.331599+00:00","id":205,"links":{},"metadata":{"_buckets":{"deposit":"71b797da-14a2-4df1-9190-37c5dd1d0c59"},"_deposit":{"created_by":3,"id":"205","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"205"},"status":"published"},"_oai":{"id":"oai:bunkyo.repo.nii.ac.jp:00000205","sets":["1:22:118"]},"author_link":["615"],"item_5_biblio_info_13":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-01-01"},"bibliographicPageEnd":"92","bibliographicPageStart":"83","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"人間科学研究"},{"bibliographic_title":"Bulletin of Human Science"}]}]},"item_5_date_43":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2009-01-21"}]},"item_5_description_12":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The purpose of this study is to investigate the autonomy preference of the Japanese, particularly with regard to sion-making(DM), in clinical settings and also to develop an instrument for measuring thisDM preference. The subjects were a representative sample of the Japanese population and comprised 3110 individuals selected using a two stage-stratified sampling of 4500 people in Japan. The questionnaire comprised 19 DM question items based on 5 hypothetical clinical vignettes with different severities as well as DM preference in general.The factor analysis identified three major factors, based on which 18 items were selected from the original19 items. The result reveals that unlike the information seeking scores, the DM scores for all the cases were not high. Some DM scores in the setting of terminal cancer were higher than those in the other settings. Lower DM scores were also associated with older age. A multiple regression analysis identified several factors for predicting DM in the terminal cancer setting. It showed that higher DM scores in cerebra vascular accidents (CVAs), in hemiparesis after CVAs, at a younger age, at higher education levels, and in general proved to be the significant predictors of higher terminal cancer scores.\n\\n本研究はさまざまな疾病に自分が罹患したという仮定の下で,医療行為に対する意思決定度を検討することを第一の目的とした.さらに末期がんに対する意思決定の程度を,\"がん\"という言葉を用いずに測定するための説明変数を検討することを第二の目的とした.被調査者は日本全国から抽出した 3110 名であった.調査用紙は 5 つの仮定の疾病ケースと,医療行為に対する一般的な意思決定を尋ねる 19 項目から成っていた.その結果,情報希求度とは異なり,意思決定度は全体的にあまり高くなかった.また末期がんにおける意思決定度は,他のケースより高いものもあった.因子分析の結果,3 因子が抽出され,それを基に 19 項目中18 項目を採択した.すべてのケースと一般質問において年齢差がみられ,年齢が若いほど意思決定度は高かった.重回帰分析の結果,末期がんの説明変数として,マヒ,一般質問,脳卒中,学歴,年齢の 5 変数が選択された.","subitem_description_type":"Abstract"}]},"item_5_description_38":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03882152"}]},"item_5_text_39":{"attribute_name":"本文言語","attribute_value_mlt":[{"subitem_text_value":"日本語"}]},"item_5_text_42":{"attribute_name":"ID","attribute_value_mlt":[{"subitem_text_value":"BKK0000052"}]},"item_5_text_7":{"attribute_name":"Author","attribute_value_mlt":[{"subitem_text_value":"Ohki, Momoyo"}]},"item_5_text_8":{"attribute_name":"所属機関","attribute_value_mlt":[{"subitem_text_value":"文教大学人間科学部"}]},"item_5_text_9":{"attribute_name":"Institution","attribute_value_mlt":[{"subitem_text_value":"Bunkyo University, Faculty of Human Science"}]},"item_5_version_type_35":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大木, 桃代"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-22"}],"displaytype":"detail","filename":"BKK0000052.pdf","filesize":[{"value":"175.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"BKK0000052.pdf","url":"https://bunkyo.repo.nii.ac.jp/record/205/files/BKK0000052.pdf"},"version_id":"f2898ea9-d589-4c43-afba-bee6aff4f8b3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"意思決定"},{"subitem_subject":"自律性"},{"subitem_subject":"医療行為"},{"subitem_subject":"末期がん"},{"subitem_subject":"インフォームド・コンセント"},{"subitem_subject":"decision making"},{"subitem_subject":"autonomy"},{"subitem_subject":"clinical settings"},{"subitem_subject":"terminal cancer"},{"subitem_subject":"informed consent"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"日本人の医療行為に対する意思決定度の測定","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"日本人の医療行為に対する意思決定度の測定"},{"subitem_title":"Measurement of Decision-making with Respect to Medical Practices by Japanese"}]},"item_type_id":"5","owner":"3","path":["118"],"pubdate":{"attribute_name":"公開日","attribute_value":"2009-01-20"},"publish_date":"2009-01-20","publish_status":"0","recid":"205","relation_version_is_last":true,"title":["日本人の医療行為に対する意思決定度の測定"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-05-16T18:50:37.592849+00:00"}