{"id":154,"date":"2026-08-20T09:00:00","date_gmt":"2026-08-20T00:00:00","guid":{"rendered":"https:\/\/phc-ogikubo.com\/blog\/?p=154"},"modified":"2026-08-19T13:09:34","modified_gmt":"2026-08-19T04:09:34","slug":"post-154","status":"publish","type":"post","link":"https:\/\/phc-ogikubo.com\/blog\/post-154\/","title":{"rendered":"\u3010\u5728\u5b85\u533b\u7642\u3068\u81e8\u5e8a\u502b\u7406\u3011\u300c\u305d\u306e\u4eba\u3089\u3057\u3044\u4eba\u751f\u306e\u5b8c\u7d50\u300d\u3092\u652f\u3048\u308b\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u3068\u306f\uff1f"},"content":{"rendered":"\n

\u3000\u5728\u5b85\u533b\u7642\u306e\u73fe\u5834\u3067\u306f\u3001\u65e5\u3005\u3055\u307e\u3056\u307e\u306a\u6c7a\u65ad\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002 \u300c\u3053\u308c\u4ee5\u4e0a\u3001\u70b9\u6ef4\u3084\u6cbb\u7642\u3092\u7d9a\u3051\u308b\u3079\u304d\u304b\u300d\u300c\u6700\u671f\u306f\u3069\u3053\u3067\u904e\u3054\u3059\u306e\u304c\u672c\u4eba\u306b\u3068\u3063\u3066\u5e78\u305b\u306a\u306e\u304b\u300d\u2014\u2014\u3002

\u3000\u502b\u7406\u7684\u306a\u8ff7\u3044\u3084\u845b\u85e4\u306b\u76f4\u9762\u3057\u305f\u3068\u304d\u3001\u79c1\u305f\u3061\u304c\u9053\u3057\u308b\u3079\u3068\u3059\u308b\u306e\u304c\u300c\u81e8\u5e8a\u502b\u7406\u300d<\/strong>\u3068\u3044\u3046\u8003\u3048\u65b9\u3067\u3059\u3002

\u3000\u4eca\u56de\u306f\u3001\u5728\u5b85\u533b\u7642\u306b\u304a\u3051\u308b\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u306e\u3042\u308a\u65b9\u3084\u3001\u60a3\u8005\u3055\u3093\u30fb\u3054\u5bb6\u65cf\u306e\u300c\u7d0d\u5f97\u300d<\/strong>\u3092\u751f\u307f\u51fa\u3059\u305f\u3081\u306e\u30d7\u30ed\u30bb\u30b9\u306b\u3064\u3044\u3066\u304a\u4f1d\u3048\u3057\u307e\u3059\u3002

1. \u5728\u5b85\u533b\u7642\u306b\u304a\u3051\u308b\u300c\u6700\u5584\u306e\u5229\u76ca\uff08Best Interests\uff09\u300d\u3068\u306f\uff1f<\/strong>

\u3000\u81e8\u5e8a\u502b\u7406\u306e\u6839\u5e79\u306b\u3042\u308b\u306e\u306f\u3001\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u306e\u300c\u6700\u5584\u306e\u5229\u76ca\u300d<\/strong>\u3092\u8ffd\u6c42\u3059\u308b\u3053\u3068\u3067\u3059\u3002

\u3000\u3053\u308c\u306f\u3001\u5358\u306b\u533b\u5b66\u7684\u306b\u547d\u3092\u5ef6\u3070\u3059\u3053\u3068\uff08\u5ef6\u547d\uff09\u3060\u3051\u3092\u610f\u5473\u3057\u307e\u305b\u3093\u3002\u533b\u7642\u8005\u304c\u4e00\u65b9\u7684\u306b\u300c\u3053\u308c\u304c\u6b63\u89e3\u3067\u3059\u300d\u3068\u6c7a\u3081\u308b\u3082\u306e\u3067\u3082\u306a\u304f\u3001\u60a3\u8005\u3055\u3093\u81ea\u8eab\u306e\u300c\u4eba\u751f\u306e\u7269\u8a9e\uff08\u30ca\u30e9\u30c6\u30a3\u30d6\uff09\u300d\u306b\u6df1\u304f\u8033\u3092\u50be\u3051\u3001\u5171\u611f\u3059\u308b\u3053\u3068\u304b\u3089\u751f\u307e\u308c\u307e\u3059\u3002

\u3000\u82f1\u56fd\u306e\u300c2005\u5e74\u610f\u601d\u6c7a\u5b9a\u80fd\u529b\u6cd5\uff08MCA\uff09\u300d<\/strong>\u306b\u3042\u308b\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u3067\u3082\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u59ff\u52e2\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002

\u3000\u2022\t\u898b\u305f\u76ee\u3084\u5e74\u9f62\u3067\u5224\u65ad\u3057\u306a\u3044\uff08\u4ecb\u8b77\u529b\u3084\u7d4c\u6e08\u72b6\u6cc1\u306a\u3069\u306e\u80cc\u666f\u3082\u542b\u3081\u3066\u8003\u3048\u308b\uff09
\u3000\u2022\t\u8a8d\u77e5\u75c7\u306a\u3069\u3067\u610f\u601d\u8868\u793a\u304c\u96e3\u3057\u304f\u3066\u3082\u3001\u672c\u4eba\u304c\u53c2\u52a0\u3067\u304d\u308b\u6a5f\u4f1a\u3092\u3064\u304f\u308b
\u3000\u2022\t\u300c\u672c\u4eba\u304c\u907f\u3051\u305f\u3044\u3053\u3068\u306f\u4f55\u304b\u300d\u3092\u3001\u904e\u53bb\u306e\u8a00\u52d5\u304b\u3089\u771f\u646f\u306b\u63a8\u5bdf\u3059\u308b

\u3000\u75c5\u9662\u304c\u300c\u75c5\u6c17\u3092\u6cbb\u3059\u5834\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u81ea\u5b85\u306f\u300c\u751f\u6d3b\u3092\u55b6\u3080\u5834\u300d\u3067\u3059\u3002\u3060\u304b\u3089\u3053\u305d\u3001\u533b\u5b66\u7684\u306b\u6b63\u3057\u3044\u304b\u3069\u3046\u304b\u4ee5\u4e0a\u306b\u300c\u672c\u4eba\u304c\u3069\u3046\u751f\u304d\u305f\u3044\u304b\u300d\u3092\u6700\u512a\u5148\u306b\u8003\u3048\u308b\u59ff\u52e2\u304c\u554f\u308f\u308c\u307e\u3059\u3002

2. \u610f\u601d\u6c7a\u5b9a\u3092\u652f\u3048\u308b\u300c\u4e09\u672c\u67f1\u300d\u3068\u300c3\u3064\u306e\u6642\u9593\u8ef8\u300d<\/strong>

\u3000\u672c\u4eba\u306e\u5c0a\u53b3\u3092\u5b88\u308a\u3001\u7d0d\u5f97\u306e\u3044\u304f\u9078\u629e\u3092\u3059\u308b\u305f\u3081\u306b\u306f\u30013\u3064\u306e\u57fa\u76e4\u30683\u3064\u306e\u6642\u9593\u8ef8\u3067\u982d\u3092\u6574\u7406\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002

\u610f\u601d\u6c7a\u5b9a\u3092\u652f\u3048\u308b\u300c\u4e09\u672c\u67f1\u300d<\/strong>

\u30001.\t\u672c\u4eba\u306e\u610f\u601d\u3068\u4fa1\u5024\u89b3\uff08\u81ea\u5df1\u6c7a\u5b9a\uff09<\/strong>\uff1a \u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u3092\u3069\u3046\u751f\u304d\u305f\u3044\u304b\u3001\u4f55\u3092\u5927\u5207\u306b\u3057\u305f\u3044\u304b\u3068\u3044\u3046\u9858\u3044\u3002
\u30002.\t\u533b\u5b66\u7684\u59a5\u5f53\u6027\u3068\u5ba2\u89b3\u7684\u4e8b\u5b9f\uff08\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong>\uff09\uff1a \u75c5\u72b6\u306e\u9032\u884c\u5ea6\u3084\u4e88\u5f8c\u3001\u6cbb\u7642\u3084\u30b1\u30a2\u306e\u52b9\u679c\u3068\u8eab\u4f53\u7684\u8ca0\u62c5\u306e\u30d0\u30e9\u30f3\u30b9\u3002
\u30003.\t\u5bb6\u65cf\u30fb\u30b1\u30a2\u30c1\u30fc\u30e0\u306e\u5bfe\u8a71\uff08\u5354\u50cd\u95a2\u4fc2\uff09<\/strong>\uff1a \u3054\u5bb6\u65cf\u306e\u60f3\u3044\u3068\u3001\u591a\u8077\u7a2e\uff08\u533b\u5e2b\u3001\u770b\u8b77\u5e2b\u3001\u4ecb\u8b77\u8077\u306a\u3069\uff09\u306e\u5c02\u9580\u7684\u898b\u5730\u306e\u7d71\u5408\u3002

\u300c\u672c\u4eba\u306e\u610f\u601d\u300d\u3092\u6349\u3048\u308b3\u3064\u306e\u6642\u9593\u8ef8<\/strong>

\u3000\u2022\t\u3010\u904e\u53bb\u3011\u306e\u610f\u601d<\/strong>\uff1a \u3053\u308c\u307e\u3067\u306e\u751f\u304d\u65b9\u3084\u4fa1\u5024\u89b3\u3001\u4e8b\u524d\u610f\u601d\u8868\u793a\uff08ACP\uff1a\u4eba\u751f\u4f1a\u8b70\u3084\u30ea\u30d3\u30f3\u30b0\u30a6\u30a3\u30eb\uff09\u304b\u3089\u63a8\u6e2c\u3059\u308b\u610f\u601d\u3002
\u3000\u2022\t\u3010\u73fe\u5728\u3011\u306e\u610f\u601d<\/strong>\uff1a \u4eca\u3053\u306e\u77ac\u9593\u306e\u8868\u60c5\u3001\u3046\u306a\u305a\u304d\u3001\u6d99\u3001\u62d2\u5426\u306e\u4ed5\u8349\u306a\u3069\u3001\u8a00\u8449\u306b\u306a\u3089\u306a\u3044\u308f\u305a\u304b\u306a\u30b5\u30a4\u30f3\u3002
\u3000\u2022\t\u3010\u672a\u6765\u3011\u306e\u610f\u601d<\/strong>\uff1a \u4eca\u5f8c\u306e\u751f\u6d3b\u5834\u6240\u3084\u5bb6\u65cf\u306e\u66ae\u3089\u3057\u3082\u542b\u3081\u3001\u3053\u308c\u304b\u3089\u3069\u3046\u6b69\u3093\u3067\u3044\u304f\u304b\u3068\u3044\u3046\u5c55\u671b\u3002

\u3000\u5143\u6c17\u306a\u6642\u306b\u6b8b\u3057\u305f\u300c\u904e\u53bb\u306e\u610f\u601d\u300d\u304c\u3042\u3063\u3066\u3082\u3001\u75c5\u72b6\u304c\u9032\u3080\u3068\u300c\u4eca\u306e\u610f\u601d\u300d\u304c\u63fa\u308c\u308b\u306e\u306f\u5f53\u7136\u306e\u3053\u3068\u3067\u3059\u3002\u65e5\u3005\u306e\u8a2a\u554f\u306e\u4e2d\u3067\u3001\u305d\u306e\u5c0f\u3055\u306a\u5909\u5316\u3092\u898b\u9003\u3055\u305a\u306b\u5bc4\u308a\u6dfb\u3044\u7d9a\u3051\u308b\u3053\u3068\u304c\u5728\u5b85\u533b\u7642\u306e\u5f79\u5272\u3067\u3059\u3002

3. \u306a\u305c\u610f\u601d\u6c7a\u5b9a\u306f\u96e3\u3057\u304f\u306a\u308b\u306e\u304b\uff1f<\/strong>

\u3000\u7406\u60f3\u901a\u308a\u306b\u8a71\u3057\u5408\u3044\u304c\u9032\u307e\u306a\u3044\u3053\u3068\u3082\u591a\u3005\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u80cc\u666f\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u56f0\u96e3\u306a\u7406\u7531\uff08\u30d0\u30ea\u30a2\uff09\u304c\u5b58\u5728\u3057\u307e\u3059\u3002

\u3000\u2022\t\u5168\u4eba\u7684\u82e6\u75db\uff08Total Pain\uff09<\/strong>\uff1a \u8eab\u4f53\u306e\u75db\u307f\u3060\u3051\u3067\u306a\u304f\u3001\u7cbe\u795e\u7684\u3064\u3089\u3055\u3001\u793e\u4f1a\u7684\u7acb\u5834\u3001\u6b7b\u751f\u89b3\u306b\u95a2\u308f\u308b\u30b9\u30d4\u30ea\u30c1\u30e5\u30a2\u30eb\u306a\u82e6\u75db\u304c\u91cd\u306a\u308a\u3001\u51b7\u9759\u306a\u5224\u65ad\u304c\u96e3\u3057\u304f\u306a\u308b\u3002
\u3000\u2022\t\u60c5\u5831\u306e\u4e0d\u8db3\u30fb\u884c\u304d\u9055\u3044<\/strong>\uff1a \u75c5\u72b6\u3084\u4e88\u5f8c\u3001\u56de\u5fa9\u4e0d\u80fd\u70b9\uff08Point of no return\uff1a\u3053\u308c\u4ee5\u4e0a\u306f\u826f\u304f\u306a\u3089\u306a\u3044\u6bb5\u968e\uff09\u306b\u3064\u3044\u3066\u306e\u5171\u6709\u304c\u4e0d\u5341\u5206\u3067\u3042\u308b\u3002
\u3000\u2022\t\u5224\u65ad\u80fd\u529b\u306e\u4f4e\u4e0b<\/strong>\uff1a \u8a8d\u77e5\u75c7\u3001\u610f\u8b58\u969c\u5bb3\u3001\u305b\u3093\u5984\u3001\u8074\u529b\u30fb\u8996\u529b\u306e\u4f4e\u4e0b\u306a\u3069\u3002

\u3000\u7279\u306b\u3001\u82e6\u60a9\u304c\u6df1\u3059\u304e\u3066\u8a00\u8449\u306b\u306a\u3089\u306a\u3044\u300c\u6df7\u6c8c\u306e\u8a9e\u308a\u300d\u306b\u76f4\u9762\u3057\u305f\u969b\u3001\u5b89\u6613\u306b\u300c\u524d\u5411\u304d\u306b\u9811\u5f35\u308a\u307e\u3057\u3087\u3046\u300d\u3068\u52b1\u307e\u3059\u306e\u306f\u9006\u52b9\u679c\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002 \u300c\u5f31\u97f3\u3092\u5410\u3044\u3066\u3082\u3044\u3044\u3093\u3060\u300d\u3068\u601d\u3048\u308b\u5b89\u5168\u57fa\u5730\u3068\u306a\u308a\u3001\u300c\u3042\u306a\u305f\u306f\u5927\u5207\u306a\u5b58\u5728\u3067\u3059\u300d\u3068\u307e\u308b\u3054\u3068\u53d7\u3051\u6b62\u3081\u308b\uff08\u5b58\u5728\u80af\u5b9a\uff09\u3053\u3068\u304b\u3089\u3001\u672c\u5f53\u306e\u652f\u63f4\u304c\u59cb\u307e\u308a\u307e\u3059\u3002

4. \u8ff7\u3063\u305f\u3068\u304d\u306b\u5f79\u7acb\u3064\u300c\u601d\u8003\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u300d<\/strong>

\u3000\u300cA\u3082\u6b63\u3057\u3044\u304c\u3001B\u3082\u6b63\u3057\u3044\u3002\u3069\u3061\u3089\u3092\u9078\u3093\u3067\u3082\u845b\u85e4\u304c\u6b8b\u308b\u300d\u3068\u3044\u3046\u30b8\u30ec\u30f3\u30de\u306b\u76f4\u9762\u3057\u305f\u3068\u304d\u3001\u51b7\u9759\u306b\u5bfe\u8a71\u3092\u9032\u3081\u308b\u305f\u3081\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u304c\u3042\u308a\u307e\u3059\u3002

Jonsen\uff08\u30b8\u30e7\u30f3\u30bb\u30f3\uff09\u306e\u81e8\u5e8a\u502b\u74064\u5206\u5272\u6cd5<\/strong>

\u3000\u4ee5\u4e0b\u306e4\u3064\u306e\u8996\u70b9\u3067\u60c5\u5831\u3092\u6574\u7406\u3057\u3001\u5168\u4f53\u50cf\u3092\u53ef\u8996\u5316\u3057\u307e\u3059\u3002

\u3000\u2022\t\u533b\u5b66\u7684\u9069\u5fdc<\/strong>\uff1a \u8a3a\u65ad\u3001\u4e88\u5f8c\u3001\u6cbb\u7642\u306e\u30ea\u30b9\u30af\uff0f\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\uff08\u5584\u884c\u30fb\u7121\u5371\u5bb3\u539f\u5247\uff09
\u3000\u2022\t\u60a3\u8005\u306e\u610f\u5411<\/strong>\uff1a \u610f\u601d\u6c7a\u5b9a\u80fd\u529b\u3001\u4e8b\u524d\u6307\u793a\u3001\u4fa1\u5024\u89b3\uff08\u81ea\u5f8b\u5c0a\u91cd\u539f\u5247\uff09
\u3000\u2022\t\u5468\u56f2\u306e\u72b6\u6cc1<\/strong>\uff1a \u5bb6\u65cf\u306e\u610f\u5411\u3001\u4ecb\u8b77\u529b\u3001\u7d4c\u6e08\u9762\u3001\u6cd5\u7684\u554f\u984c\uff08\u516c\u6b63\u539f\u5247\uff09
\u3000\u2022\t\u60a3\u8005\u306eQOL<\/strong>\uff1a \u82e6\u75db\u7de9\u548c\u3001\u305d\u306e\u4eba\u3089\u3057\u3044\u6700\u671f\u3078\u306e\u5c55\u671b\uff08\u6700\u79d8\u306e\u5229\u76ca\uff09

MCD\uff08\u9053\u5fb3\u7684\u4e8b\u4f8b\u719f\u8b70\uff09\u3068\u30b8\u30ec\u30f3\u30de\u30fb\u30e1\u30bd\u30c3\u30c9<\/strong>

\u3000\u591a\u8077\u7a2e\u304c\u5bfe\u7b49\u306a\u7acb\u5834\u3067\u8a71\u3057\u5408\u3046\u5bfe\u8a71\u6280\u6cd5\u3067\u3059\u3002 \u3042\u3048\u3066\u300c\u9078\u629e\u80a2A\u300d\u3068\u300c\u9078\u629e\u80a2B\u300d\u306e2\u3064\u306b\u7d5e\u308a\u8fbc\u307f\u3001\u305d\u308c\u305e\u308c\u306e\u4e0d\u90fd\u5408\u3084\u30c0\u30e1\u30fc\u30b8\u3092\u53ef\u8996\u5316\u3057\u307e\u3059\u3002\u76ee\u7684\u306f\u300c\u3069\u3061\u3089\u304c\u6b63\u3057\u3044\u304b\u300d\u3092\u6c7a\u3081\u308b\u6226\u3044\u3067\u306f\u306a\u304f\u3001\u300c\u3069\u3061\u3089\u3092\u9078\u3093\u3067\u3082\u751f\u3058\u3066\u3057\u307e\u3046\u60aa\u3044\u7d50\u679c\uff08\u30e2\u30e9\u30eb\u30fb\u30c0\u30e1\u30fc\u30b8\uff09\u3092\u3001\u30c1\u30fc\u30e0\u3067\u3069\u3046\u5c0f\u3055\u304f\u6291\u3048\u3001\u30b1\u30a2\u3067\u304d\u308b\u304b\u300d\u3068\u3044\u3046\u5171\u901a\u306e\u89e3\u6c7a\u7b56\u3092\u63a2\u3059\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

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



5. \u5728\u5b85\u73fe\u5834\u3067\u306e\u5177\u4f53\u7684\u306a\u8ab2\u984c\uff1aCPR\u3068TLT\uff08\u671f\u9593\u9650\u5b9a\u8a66\u884c\uff09<\/strong>

\u3000\u7d42\u672b\u671f\u306b\u304a\u3044\u3066\u7279\u306b\u614e\u91cd\u306a\u5408\u610f\u5f62\u6210\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u304c\u3001\u5fc3\u80ba\u8607\u751f\uff08CPR\uff09\u3068\u671f\u9593\u9650\u5b9a\u8a66\u884c\uff08TLT\uff09\u306e\u5224\u65ad\u3067\u3059\u3002

\u25a0 \u5fc3\u80ba\u8607\u751f\uff08CPR\uff09\u3092\u3081\u3050\u308b\u73fe\u5b9f\u3068\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong>

\u3000\u300c\u5fc3\u80ba\u8607\u751f\u3092\u884c\u3048\u3070\u5143\u306e\u751f\u6d3b\u306b\u623b\u308c\u308b\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u305f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u73fe\u5b9f\u306f\u7518\u304f\u3042\u308a\u307e\u305b\u3093\u3002 \u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u3088\u308b\u3068\u3001\u75c5\u9662\u5185\u3067\u5fc3\u505c\u6b62\u3057\u305f\u304c\u3093\u60a3\u8005\u306e\u751f\u5b58\u9000\u9662\u7387\u306f\u308f\u305a\u304b6.2\uff05\u3002\u3055\u3089\u306b\u3001\u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306b\u9650\u308c\u3070\u3001\u8607\u751f\u6210\u529f\u7387\u306f0\uff05\u3068\u3044\u3046\u30c7\u30fc\u30bf\u3082\u3042\u308a\u307e\u3059\u3002 \u7121\u7406\u306aCPR\u306f\u808b\u9aa8\u9aa8\u6298\u306a\u3069\u306e\u5927\u304d\u306a\u82e6\u75db\u3092\u4f34\u3044\u3001\u6700\u671f\u306e\u7a4f\u3084\u304b\u306a\u6642\u9593\u3092\u596a\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u300c\u533b\u5b66\u7684\u7121\u76ca\u6027\u300d<\/strong>\u306b\u3064\u3044\u3066\u4e8b\u524d\u306b\u8aa0\u5b9f\u306a\u60c5\u5831\u5171\u6709\u3092\u884c\u3044\u3001\u73fe\u5b9f\u7684\u306a\u9078\u629e\u80a2\u3092\u4e00\u7dd2\u306b\u8003\u3048\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002

\u25a0 \u300c\u6cbb\u7642\u306e\u4e2d\u6b62\u300d\u3067\u306f\u306a\u304f\u300c\u751f\u306e\u5b8c\u6210\uff08\u7d42\u4e86\uff09\u300d\u3092\u76ee\u6307\u3059TLT<\/strong>

\u3000\u300c\u6cbb\u7642\u3092\u3084\u3081\u308b\u300d\u3068\u3044\u3046\u3068\u3001\u300c\u898b\u6368\u3066\u308b\u300d\u3068\u3044\u3046\u30de\u30a4\u30ca\u30b9\u306a\u5370\u8c61\uff08\u4e2d\u6b62\uff09\u3092\u53d7\u3051\u304c\u3061\u3067\u3059\u3002\u305d\u3053\u3067\u6709\u52b9\u306a\u306e\u304cTLT\uff08Time-limited Trial\uff1a\u671f\u9593\u9650\u5b9a\u8a66\u884c\uff09<\/strong>\u3068\u3044\u3046\u624b\u6cd5\u3067\u3059\u3002

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\u30003. \u5ba2\u89b3\u7684\u6307\u6a19\u306e\u5408\u610f<\/strong>\uff1a \u3080\u304f\u307f\u3084\u606f\u82e6\u3057\u3055\u304c\u3069\u3046\u5909\u5316\u3059\u308b\u304b\u3092\u4e00\u7dd2\u306b\u89b3\u5bdf\u3059\u308b\u3002
\u6570\u65e5\u9593\u306e\u7d4c\u904e\u3092\u4e00\u7dd2\u306b\u898b\u5b88\u308b\u3053\u3068\u3067\u3001\u3054\u5bb6\u65cf\u3082\u300c\u70b9\u6ef4\u3092\u6e1b\u3089\u3057\u305f\u65b9\u304c\u697d\u305d\u3046\u3060\u306a\u300d\u3068\u4f53\u611f\u3067\u304d\u3001\u8aac\u5f97\uff08\u5f37\u5236\uff09\u3067\u306f\u306a\u304f\u300c\u7d0d\u5f97\u300d\u306b\u3088\u308b\u5408\u610f\u3078\u3068\u7e4b\u304c\u308a\u307e\u3059\u3002 \u6cbb\u7642\u306e\u5f15\u304d\u969b\u3092\u6574\u3048\u308b\u3053\u3068\u306f\u3001\u300c\u3042\u304d\u3089\u3081\u300d\u3067\u306f\u306a\u304f\u3001\u305d\u306e\u65b9\u306e\u4eba\u751f\u3092\u5927\u5207\u306b\u898b\u5c4a\u3051\u3001\u5b89\u3089\u304b\u306b\u5e55\u3092\u5f15\u304f\u305f\u3081\u306e\u300c\u751f\u306e\u5b8c\u6210\uff08\u7d42\u4e86\uff09\u300d\u306a\u306e\u3067\u3059\u3002<\/p>\n\n\n\n

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



\u307e\u3068\u3081\uff1a\u591a\u8077\u7a2e\u30c1\u30fc\u30e0\u3067\u3064\u304f\u308b\u300c\u7d0d\u5f97\u306e\u30d7\u30ed\u30bb\u30b9\u300d<\/strong>

\u3000\u5728\u5b85\u3067\u306e\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u306b\u304a\u3044\u3066\u3001\u8a2a\u554f\u770b\u8b77\u5e2b\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u591a\u8077\u7a2e\u30c1\u30fc\u30e0\u306f\u3001\u60a3\u8005\u3055\u3093\u306e\u6a29\u5229\u3092\u5b88\u308b\u4ee3\u5f01\u8005\uff08\u30a2\u30c9\u30dc\u30ab\u30b7\u30fc\uff09\u3067\u3042\u308a\u3001\u5bb6\u65cf\u3068\u306e\u8abf\u6574\u5f79\uff08\u30e1\u30c7\u30a3\u30a8\u30c8\u30ea\u30c3\u30af\u30b9\uff09\u3067\u3042\u308a\u3001\u5b89\u5fc3\u3057\u3066\u6c17\u6301\u3061\u3092\u5410\u304d\u51fa\u305b\u308b\u300c\u5b89\u5168\u57fa\u5730\u300d\u3068\u306a\u308a\u307e\u3059\u3002

\u3000\u81e8\u5e8a\u502b\u7406\u306e\u76ee\u7684\u306f\u3001\u5358\u306b\u300c\u3084\u308b\u304b\u30fb\u3084\u3089\u306a\u3044\u304b\u300d\u3092\u6c7a\u3081\u308b\u3053\u3068\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002 \u60a3\u8005\u3055\u3093\u30fb\u3054\u5bb6\u65cf\u30fb\u533b\u7642\u8005\u304c\u5354\u50cd\u3057\u3001\u60a3\u8005\u3055\u3093\u306e\u300c\u4eba\u751f\u306e\u7269\u8a9e\u300d\u306b\u5bc4\u308a\u6dfb\u3044\u306a\u304c\u3089\u3001\u307f\u3093\u306a\u304c\u300c\u3053\u308c\u3067\u826f\u304b\u3063\u305f\u300d\u3068\u7d0d\u5f97\u3067\u304d\u308b\u30d7\u30ed\u30bb\u30b9\u3092\u4f5c\u308a\u4e0a\u3052\u308b\u3053\u3068\u3067\u3059\u3002

\u3000\u8ff7\u3063\u305f\u3068\u304d\u3053\u305d\u539f\u70b9\u306b\u7acb\u3061\u8fd4\u308a\u3001\u79c1\u305f\u3061\u306f\u3053\u308c\u304b\u3089\u3082\u300c\u305d\u306e\u4eba\u306b\u3068\u3063\u3066\u306e\u6700\u5584\u306e\u5229\u76ca\u300d\u3092\u5730\u57df\u30c1\u30fc\u30e0\u5168\u4f53\u3067\u6a21\u7d22\u3057\u7d9a\u3051\u3066\u3044\u304d\u307e\u3059\u3002

\u53c2\u8003\u30fb\u5f15\u7528\u6587\u732e
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\u65e5\u672c\u6551\u6025\u533b\u5b66\u4f1a\u30fb\u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\u30fb\u65e5\u672c\u5faa\u74b0\u5668\u5b66\u4f1a\u30fb\u65e5\u672c\u547c\u5438\u5668\u5b66\u4f1a\u30fb\u65e5\u672c\u8001\u5e74\u533b\u5b66\u4f1a 5\u5b66\u4f1a\u5408\u540c
\u3000\u2022 \u300e\u6551\u6025\u30fb\u96c6\u4e2d\u6cbb\u7642\u306b\u304a\u3051\u308b\u751f\u547d\u7dad\u6301\u6cbb\u7642\u306e\u5dee\u3057\u304b\u3048\u30fb\u5dee\u3057\u63a7\u3048\u306b\u95a2\u3059\u308b\u63d0\u8a00\u300f\uff082020\u5e74\uff09
\u3000\u2022 Jonsen AR, Siegler M, Winslade WJ.
\u3000\u300eClinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine\u300f8th ed. McGraw-Hill Education, 2015.
\u2022 Molewijk AC, et al.
“Moral case deliberation: a method for clinical ethics support in healthcare.” BMC Medical Ethics, 2008; 9: 16.
Department for Constitutional Affairs (UK)
\u2022\u300eMental Capacity Act 2005 Code of Practice\u300fTSO, 2007.
\u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306b\u304a\u3051\u308bCPR\uff08\u5fc3\u80ba\u8607\u751f\uff09\u306e\u7121\u76ca\u6027\u30fb\u6210\u529f\u7387
\u2022Ebell MH, et al. “Survival after in-hospital cardiopulmonary resuscitation. A meta-analysis.” Journal of General Internal Medicine, 1998; 13(12): 805-812.
\u2022Reisfield GM, et al. “In-hospital cardiopulmonary resuscitation from the perspective of the terminal cancer patient.” Respiratory Care, 2006; 51(3): 286-290.
TLT\uff08Time-Limited Trial\uff1a\u671f\u9593\u9650\u5b9a\u8a66\u884c\uff09
\u2022Quill TE, Holloway RG. “Time-limited trials in the ICU.” N Engl J Med, 2011; 364(10): 897-899.
\u2022Vink EE, et al. “Time-limited trials in the intensive care unit: a systematic review.” Critical Care Medicine, 2018; 46(10): 1683-1690.



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