Community residents’ confidence in spending their end-of-life at home and the related factors : a cross-sectional study

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  • SAKAI Mahiro
    Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo
  • YANASE Hiroki
    Tokyo Metropolis Bunkyo City Office, Health Service Center
  • TAGUCHI Atsko
    Department of Public Health Nursing, Division of Advanced Nursing Practice and Health Development Nursing, Graduate School of Medicine, Tohoku University
  • NARUSE Takashi
    Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo
  • NAGATA Satoko
    Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo

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  • Community residents’ confidence in spending their end-of-life at home and the related factors : a cross-sectional study

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Background : This study examined the community residents’ confidence in spending their end-of-life period at home, as well as the factors associated with the confidence.<br>Methods : We conducted a cross-sectional survey in two municipalities of the Fukuoka prefecture. In total, 1,800 community residents aged 20 to 79 received an anonymous self-administered questionnaire. Participants responded their confidence in spending their end-of-life period at home, assuming they had a life expectancy of less than 6 months, had no physical pain, and needed caregiver assistance in their daily activities. After the participants’ characteristics were described, a multivariate logistic regression analysis was conducted to identify factors associated with the confidence in spending the end-of-life period at home.<br>Results : In total, 1,168 valid questionnaires (64.9%) were returned. Among these, 195 (16.7%) respondents preferred their “home” and were confident in spending their end-of-life period at home. The result of the multivariate logistic regression analysis showed low confidence was associated with an older age and being male. On the other hand, a positive health status and the awareness of the availability of home care assistance from hospitals or medical clinics, as well as of 24-hour visiting nursing services, were associated with high confidence.<br>Conclusions : Sixteen point seven percent of the 1,168 participants stated they would feel confident in spending their end-of-life period at home. To enhance the community residents’ confidence, this study suggested the need to provide community residents with information about home care and medical services, which are available at home.

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