{"id":26437,"date":"2025-02-07T05:40:00","date_gmt":"2025-02-06T20:40:00","guid":{"rendered":"https:\/\/sakuda-clinic.com\/doctor\/?p=26437"},"modified":"2025-02-07T08:04:52","modified_gmt":"2025-02-06T23:04:52","slug":"%e7%b5%82%e6%9c%ab%e6%9c%9f%e5%8c%bb%e7%99%82%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e6%84%8f%e6%80%9d%e6%b1%ba%e5%ae%9a%e3%82%92%e6%94%af%e6%8f%b4%e3%81%99%e3%82%8bspirit%e3%83%97%e3%83%ad%e3%82%b0","status":"publish","type":"post","link":"https:\/\/sakuda-clinic.com\/doctor\/?p=26437","title":{"rendered":"\u7d42\u672b\u671f\u533b\u7642\u306b\u304a\u3051\u308b\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u63f4\u3059\u308bSPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\uff1a\u900f\u6790\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306e\u305f\u3081\u306e\u65b0\u3057\u3044\u9078\u629e\u80a2\uff08\u30a2\u30e1\u30ea\u30ab\uff09"},"content":{"rendered":"\n

\u3000<\/p>\n\n\n\n

\u8fd1\u5e74\u3001\u9ad8\u9f62\u5316\u3084\u533b\u7642\u6280\u8853\u306e\u9032\u6b69\u306b\u4f34\u3044\u3001\u7d42\u672b\u671f\u533b\u7642\u306b\u304a\u3051\u308b\u60a3\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u63f4\u3059\u308b\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08ACP\uff09\u306e\u91cd\u8981\u6027\u304c\u9ad8\u307e\u3063\u3066\u3044\u307e\u3059\u3002\u900f\u6790\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306b\u3068\u3063\u3066\u3082\u3001\u7d42\u672b\u671f\u533b\u7642\u306b\u304a\u3051\u308b\u4e8b\u524d\u306e\u610f\u601d\u6c7a\u5b9a\u306f\u3001\u7d0d\u5f97\u306e\u3044\u304f\u533b\u7642\u3092\u53d7\u3051\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u5341\u5206\u306a\u8a71\u3057\u5408\u3044\u306e\u6a5f\u4f1a\u3092\u78ba\u4fdd\u3067\u304d\u305a\u3001\u7dca\u6025\u6642\u306b\u9069\u5207\u306a\u533b\u7642\u3092\u9078\u629e\u3067\u304d\u306a\u3044\u30b1\u30fc\u30b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u4eca\u56de\u7d39\u4ecb\u3059\u308b\u300cSPIRIT\uff08Sharing Patient’s Illness Representations to Increase Trust\uff09\u300d\u306f\u3001\u60a3\u8005\u81ea\u8eab\u3068\u4ee3\u7406\u6c7a\u5b9a\u8005\u3068\u306a\u308b\u5bb6\u65cf\u304c\u4e00\u7dd2\u306b\u5c06\u6765\u306e\u6cbb\u7642\u3084\u30b1\u30a2\u3092\u8a71\u3057\u5408\u3046\u624b\u52a9\u3051\u3092\u3059\u308bACP\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3059\u3002\u3053\u306eSPIRIT\u3092\u7c73\u56fd5\u5dde\u306e\u900f\u6790\u30af\u30ea\u30cb\u30c3\u30af\u3067\u5b9f\u65bd\u3057\u3001\u591a\u89d2\u7684\u306a\u8a55\u4fa1\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6982\u8981\u3068\u52b9\u679c<\/strong><\/p>\n\n\n\n

\u7814\u7a76\u3067\u306f\u3001231\u7d44\u306e\u300c\u900f\u6790\u60a3\u8005\u3068\u5bb6\u65cf\u306e\u30da\u30a2\u300d\u304c\u767b\u9332\u3055\u308c\u3001\u5b9f\u969b\u306b\u30bb\u30c3\u30b7\u30e7\u30f3\u306b\u53c2\u52a0\u3067\u304d\u305f\u306e\u306f82.7%\uff08191\u7d44\uff09\u3067\u3057\u305f\u3002\u3055\u3089\u306b\u3001\u305d\u306e\u3046\u306176.4%\uff08146\u7d44\uff09\u306f\u3001\u30aa\u30d7\u30b7\u30e7\u30f3\u6271\u3044\u306e\u8ffd\u52a0\u30bb\u30c3\u30b7\u30e7\u30f3\u3082\u53d7\u3051\u3066\u3044\u307e\u3057\u305f\u3002\u30bb\u30c3\u30b7\u30e7\u30f3\u306f\u3001\u5bfe\u9762\u5f0f\u3067\u5b9f\u65bd\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u30011\u56de\u76ee\u306f\u5e73\u574760\u5206\u30012\u56de\u76ee\u306f\u5e73\u574715\u5206\u7a0b\u5ea6\u3067\u3059\u3002\u5bfe\u9762\u5f0f\u3092\u57fa\u672c\u3068\u3057\u3064\u3064\u3001\u60a3\u8005\u3055\u3093\u306e\u75b2\u52b4\u3084\u5bb6\u65cf\u306e\u79fb\u52d5\u306b\u914d\u616e\u3057\u3001\u30d3\u30c7\u30aa\u4f1a\u8b70\u3084\u96fb\u8a71\u306a\u3069\u3092\u6d3b\u7528\u3057\u305f\u67d4\u8edf\u306a\u5bfe\u5fdc\u3082\u53ef\u80fd\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u3053\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u5185\u5bb9\u3092\u660e\u78ba\u5316\u3057\u3066\u3044\u308b\u70b9\u304c\u7279\u5fb4\u3067\u3059\u3002\u4f8b\u3048\u3070\u3001\u904e\u53bb\u306e\u3064\u3089\u3044\u6cbb\u7642\u7d4c\u9a13\u304b\u3089\u751f\u3058\u308b\u4e0d\u5b89\u3092\u6574\u7406\u3057\u3001\u300e\u81ea\u5206\u306b\u3068\u3063\u3066\u53d7\u3051\u5165\u308c\u304c\u305f\u3044\u72b6\u614b\u300f\u3092\u5177\u4f53\u7684\u306b\u660e\u78ba\u306b\u3059\u308b\u30b9\u30c6\u30c3\u30d7\u304c\u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u901a\u3058\u3066\u3001\u60a3\u8005\u3068\u5bb6\u65cf\u304c\u81ea\u7136\u3068\u6cbb\u7642\u65b9\u91dd\u3084\u7d42\u672b\u671f\u306e\u4fa1\u5024\u89b3\u3092\u5171\u6709\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u7d71\u8a08\u7684\u306b\u3082\u3001\u60a3\u8005\u3068\u5bb6\u65cf\u305d\u308c\u305e\u308c\u306e\u30a2\u30f3\u30b1\u30fc\u30c8\u7d50\u679c\u304b\u3089\u3001\u9ad8\u3044\u6e80\u8db3\u5ea6\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u30029\u5272\u8fd1\u304f\u306e\u53c2\u52a0\u8005\u304c\u300c5\u30c9\u30eb\u7a0b\u5ea6\u306e\u81ea\u5df1\u8ca0\u62c5\u304c\u3042\u3063\u3066\u3082\u30bb\u30c3\u30b7\u30e7\u30f3\u3092\u53d7\u3051\u305f\u3044\u300d\u3068\u56de\u7b54\u3057\u3066\u304a\u308a\u3001\u5bb6\u65cf\u3084\u533b\u7642\u30b9\u30bf\u30c3\u30d5\u304b\u3089\u3082\u300c\u4f1a\u8a71\u304c\u6df1\u307e\u308b\u300d\u300c\u60a3\u8005\u306e\u5e0c\u671b\u3092\u660e\u78ba\u306b\u7406\u89e3\u3067\u304d\u308b\u300d\u3068\u3044\u3063\u305f\u80af\u5b9a\u7684\u306a\u610f\u898b\u304c\u591a\u6570\u5bc4\u305b\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u8ab2\u984c\u3068\u4eca\u5f8c\u306e\u5c55\u671b<\/strong><\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u5c0e\u5165\u73fe\u5834\u3067\u306f\u3001\u6642\u9593\u3084\u4eba\u54e1\u306a\u3069\u306e\u30ea\u30bd\u30fc\u30b9\u78ba\u4fdd\u3001\u305d\u3057\u3066\u9032\u884c\u5f79\u3092\u52d9\u3081\u308b\u62c5\u5f53\u8005\u306e\u7cbe\u795e\u7684\u8ca0\u62c5\u306a\u3069\u304c\u8ab2\u984c\u3068\u3057\u3066\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u900f\u6790\u30af\u30ea\u30cb\u30c3\u30af\u306e\u65e5\u5e38\u696d\u52d9\u306f\u591a\u5fd9\u3067\u3042\u308a\u3001\u7279\u306b1\u4eba\u306e\u30bd\u30fc\u30b7\u30e3\u30eb\u30ef\u30fc\u30ab\u30fc\u304c\u6570\u5341\u4eba\u304b\u3089100\u4eba\u4ee5\u4e0a\u306e\u60a3\u8005\u3092\u62c5\u5f53\u3057\u3066\u3044\u308b\u5834\u5408\u3001\u307e\u3068\u307e\u3063\u305f\u8a71\u3057\u5408\u3044\u306e\u6642\u9593\u3092\u78ba\u4fdd\u3059\u308b\u3053\u3068\u306f\u56f0\u96e3\u3067\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u672c\u7814\u7a76\u306e\u6210\u679c\u306f\u3001\u4fe1\u983c\u6027\u306e\u9ad8\u3044ACP\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u5b9f\u81e8\u5e8a\u306b\u5c0e\u5165\u3059\u308b\u4e0a\u3067\u3001\u91cd\u8981\u306a\u793a\u5506\u3092\u4e0e\u3048\u3066\u3044\u307e\u3059\u3002\u9ad8\u9f62\u5316\u3084\u6162\u6027\u75be\u60a3\u306e\u5897\u52a0\u306b\u4f34\u3044\u3001\u900f\u6790\u60a3\u8005\u306e\u533b\u7642\u30cb\u30fc\u30ba\u306f\u307e\u3059\u307e\u3059\u8907\u96d1\u5316\u3057\u3066\u3044\u304f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u72b6\u6cc1\u4e0b\u306b\u304a\u3044\u3066\u3001\u300e\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u304c\u7d0d\u5f97\u3067\u304d\u308b\u6cbb\u7642\u65b9\u91dd\u3092\u65e9\u671f\u306b\u5171\u6709\u3059\u308b\u3053\u3068\u300f<\/strong>\u306f\u3001\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u4eca\u5f8c\u3001SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u591a\u69d8\u306a\u8a00\u8a9e\u3084\u6587\u5316\u306b\u5bfe\u5fdc\u3057\u305f\u30d7\u30ed\u30b0\u30e9\u30e0\u3078\u3068\u767a\u5c55\u3057\u3001\u8a3a\u7642\u5831\u916c\u5236\u5ea6\u306a\u3069\u306e\u6574\u5099\u304c\u9032\u3081\u3070\u3001\u591a\u304f\u306e\u900f\u6790\u533b\u7642\u73fe\u5834\u3078\u306e\u5c0e\u5165\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u4ed6\u306e\u533b\u7642\u65bd\u8a2d\u304b\u3089\u3082\u3001\u300c\u660e\u78ba\u306a\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u300d\u300c\u5145\u5b9f\u3057\u305f\u7814\u4fee\u4f53\u5236\u300d\u300c\u5341\u5206\u306a\u4eba\u54e1\u914d\u7f6e\u300d\u306a\u3069\u306e\u6761\u4ef6\u304c\u6574\u5099\u3055\u308c\u308c\u3070\u3001\u5c0e\u5165\u306f\u5341\u5206\u306b\u53ef\u80fd\u3067\u3042\u308b\u3068\u306e\u610f\u898b\u304c\u5bc4\u305b\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u3001SPIRIT\u306e\u3088\u3046\u306a\u624b\u9806\u5316\u3055\u308c\u305f\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u5c02\u9580\u7684\u306a\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u30b9\u30ad\u30eb\u306b\u52a0\u3048\u3066\u3001\u5fc5\u8981\u306a\u8cea\u554f\u9805\u76ee\u3084\u8981\u70b9\u3092\u6574\u7406\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u5c0e\u5165\u521d\u671f\u6bb5\u968e\u304b\u3089\u30b9\u30e0\u30fc\u30ba\u306a\u8a71\u3057\u5408\u3044\u3092\u9032\u3081\u3084\u3059\u3044\u3068\u3044\u3046\u5229\u70b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u7814\u7a76\u30c1\u30fc\u30e0\u306f\u3001SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u7d99\u7d9a\u7684\u306a\u5b9f\u65bd\u306b\u5411\u3051\u305f\u4f53\u5236\u69cb\u7bc9\u3001\u304a\u3088\u3073\u30b9\u30bf\u30c3\u30d5\u306e\u8ca0\u62c5\u8efd\u6e1b\u306e\u305f\u3081\u306e\u5bfe\u7b56\u3092\u691c\u8a0e\u3057\u3066\u3044\u304f\u5fc5\u8981\u6027\u3092\u5f37\u8abf\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u4ed6\u306e\u533b\u7642\u73fe\u5834\u306b\u304a\u3051\u308b\u5171\u901a\u8ab2\u984c\u3067\u3082\u3042\u308a\u3001\u591a\u69d8\u306a\u5206\u91ce\u306e\u5c02\u9580\u5bb6\u3084\u5b66\u4f1a\u304c\u9023\u643a\u3057\u3066\u53d6\u308a\u7d44\u3080\u3079\u304d\u8ab2\u984c\u3068\u8a00\u3048\u308b\u3067\u3057\u3087\u3046\u3002\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u306f\u3001\u533b\u7642\u8005\u3001\u60a3\u8005\u3001\u305d\u3057\u3066\u5bb6\u65cf\u3092\u300e\u5bfe\u7b49\u306a\u30d1\u30fc\u30c8\u30ca\u30fc\u300f\u3068\u3057\u3066\u3001\u3088\u308a\u826f\u3044\u533b\u7642\u306e\u5b9f\u73fe\u3092\u652f\u63f4\u3059\u308b\u6709\u52b9\u306a\u624b\u6bb5\u3067\u3042\u308a\u3001\u4eca\u5f8c\u306e\u7814\u7a76\u306e\u9032\u5c55\u3068\u793e\u4f1a\u7684\u306a\u652f\u63f4\u4f53\u5236\u306e\u69cb\u7bc9\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u610f\u7fa9\uff1a\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u306e\u5b9f\u73fe\u306b\u5411\u3051\u3066<\/strong><\/p>\n\n\n\n

SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u5358\u306b\u66f8\u9762\u3067\u610f\u601d\u8868\u793a\u3092\u884c\u3046\u306e\u3067\u306f\u306a\u304f\u3001\u60a3\u8005\u81ea\u8eab\u306e\u75c5\u6c17\u3084\u4fa1\u5024\u89b3\u3078\u306e\u7406\u89e3\u3092\u6df1\u3081\u308b\u30d7\u30ed\u30bb\u30b9\u3092\u91cd\u8996\u3057\u3066\u3044\u308b\u70b9\u304c\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u900f\u6790\u60a3\u8005\u306b\u9650\u3089\u305a\u3001\u3059\u3079\u3066\u306e\u4eba\u304c\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u3092\u8fce\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u57fa\u76e4\u3092\u69cb\u7bc9\u3057\u3066\u304a\u304f\u3053\u3068\u306f\u3001\u60a3\u8005\u81ea\u8eab\u306e\u5fc3\u306e\u5b89\u5b9a\u306b\u7e4b\u304c\u308a\u3001\u5bb6\u65cf\u3084\u5468\u56f2\u306e\u4eba\u3005\u306b\u3068\u3063\u3066\u3082\u5927\u304d\u306a\u652f\u3048\u3068\u306a\u308b\u3067\u3057\u3087\u3046\u3002SPIRIT\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6210\u679c\u306f\u3001\u4e8b\u524d\u6e96\u5099\u306e\u91cd\u8981\u6027\u3092\u793a\u3059\u5177\u4f53\u7684\u306a\u4e8b\u4f8b\u3068\u3057\u3066\u3001\u591a\u304f\u306e\u4eba\u3005\u306e\u53c2\u8003\u306b\u306a\u308b\u3082\u306e\u3068\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u3000<\/p>\n\n\n\n

\u53c2\u8003\u6587\u732e\uff1a<\/strong><\/p>\n\n\n\n

Song MK, Plantinga L, Metzger M, et al. Implementation of An Advance Care Planning Intervention in Dialysis Clinics. Am J Kidney Dis<\/em>. Published online January 23, 2025. doi:10.1053\/j.ajkd.2024.12.003<\/strong><\/p>\n\n\n\n

\u3000<\/strong><\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

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