{"created":"2024-12-12T01:08:41.218247+00:00","id":2009006,"links":{},"metadata":{"_buckets":{"deposit":"0820bf7e-cfc4-419a-bc4b-1a5b2e9fe4ca"},"_deposit":{"created_by":7,"id":"2009006","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2009006"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02009006","sets":["1713853213384:1713853295607"]},"author_link":["477"],"item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"Decision-making Support in Medical Care and Welfare for Peoples with Higher Brain Dysfunction","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-06-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"177","bibliographicPageStart":"172","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"高次脳機能研究","bibliographic_titleLang":"ja"},{"bibliographic_title":"Higher Brain Function Research","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"脳損傷により高次脳機能障害を呈した場合，認知能力とともに，意思決定能力も低下すると考えられている。意思決定能力とは，自分の意思を伝えることができること，関連する情報を理解していること，選択した理由に合理性があることとされており，医療同意能力や判断能力を包含する。しかし，意思決定能力を定量・客観的に測定する指標は未だなく，意思決定支援の定式化には及んでいない。したがって，多職種による合意形成や，質問方法の工夫といった支援者側のスキルが求められることになる。\n本稿では，高次脳機能障害者の医療と福祉における意思決定支援に関して，それぞれの立場におけるポイントを概説し，これまで行ってきた研究の一部を紹介する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Higher brain dysfunction due to brain injury is thought to reduce cognitive ability as well as decision-making ability. Decision-making ability is defined as being able to convey oneʼs intentions, understanding relevant information, and having a rational reason for selection, and includes medical consent ability and judgment ability. However, there is no index for quantitatively and objectively measuring decision-making ability, and it has not reached the formulation of decision-making. Supporter skills such as consensus building by multiple occupations and devising questioning methods will be required.\nThis paper outlines the points in each position regarding decision-making support of medical and welfare for peoples with higher brain dysfunction, and introduces some of the research conducted so far.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本高次脳機能障害学会","subitem_publisher_language":"ja"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"13484818","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"18806554","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA1182424X","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.2496/hbfr.41.172"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2496/hbfr.41.172","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"376608"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"白山, 靖彦","creatorNameLang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"477","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"北村, 美渚","creatorNameLang":"ja"},{"creatorName":"キタムラ, ミオ","creatorNameLang":"ja-Kana"},{"creatorName":"Kitamura, Mio","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"伊賀上, 舞","creatorNameLang":"ja"},{"creatorName":"イガウエ, マイ","creatorNameLang":"ja-Kana"},{"creatorName":"Igaue, Mai","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"木戸, 保秀","creatorNameLang":"ja"},{"creatorName":"キド, ヤスヒデ","creatorNameLang":"ja-Kana"},{"creatorName":"Kido, Yasuhide","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2022-07-01"}],"displaytype":"detail","filename":"hbfr_41_2_172.pdf","filesize":[{"value":"458 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2009006/files/hbfr_41_2_172.pdf"},"version_id":"9de50917-463c-48b0-89fd-57b70ce4914e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高次脳機能障害","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"意思決定支援","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"合意形成","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"医療同意能力","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"質問","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"higher brain dysfunction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"decision-making support","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"consensus building","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical consent ability","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"question","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"高次脳機能障害者の医療と福祉における意思決定支援","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高次脳機能障害者の医療と福祉における意思決定支援","subitem_title_language":"ja"}]},"item_type_id":"40001","owner":"7","path":["1713853295607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-09-01"},"publish_date":"2021-09-01","publish_status":"0","recid":"2009006","relation_version_is_last":true,"title":["高次脳機能障害者の医療と福祉における意思決定支援"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2024-12-12T01:08:49.907653+00:00"}