Development of approach method to disclosure of gear changes in Cancer treatment

开发癌症治疗中齿轮变化披露的方法

• 批准号: 23593235
• 负责人: TERAMACHI Yoshiko
• 金额: $ 2.83万
• 依托单位: Oita University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2013
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23593235/
• 关键词: インフォームド･コンセント; 終末期; がん医療; ギアチェンジ; 意思決定; 緩和ケア; 悪い知らせ; インフォームド・コンセント; 終末期がん患者

The purpose of this study is to clear decision-making support until shift to terminal care from start of treatment by analyzing qualitatively inductively data obtained by semi-structured interview for seven Oncology Certified Nurse Specialists and five physicians.Physicians are based on evidences of treatment and mentalities of patients who want to avoid shift to terminal care,aiming an intention of improving patients'preparation and maintaining their hope.Physicians held these attitudes,explained consciously and progressively a purpose of treatment according to disease stage,a progress of a disease, and an information on palliative care.Oncology Certified Nurse Specialists based on both situations of physicians'explanation and response of patients,was going to approach with intention of preparation for decision-making of terminal care from early stage of treatment for the ultimate purpose resulting in consented among patient,family,and medical staff.

这项研究的目的是要清楚决策支持，直到从治疗开始转移到最终护理，通过分析通过半结构化访谈获得的定性归纳性数据，七个肿瘤学认证的护士专家和五名医生。医师是基于希望避免转向终于护理的患者的治疗和心理学的证据，以改善患者，并探索患者的探索，并保持各种希望，并保持各种探讨，并维持这些探讨，并保持了良好的范围。根据疾病阶段，疾病的进展以及有关姑息治疗的信息，有意识地，逐步的目的是基于医生解放和患者的反应的护士专家，他们的意图是为了在早期的治疗中做好决策，从而使患者的最终目的的治疗终端护理做好准备。

项目成果

終末期医療への円滑な移行を意図した治療開始時からの医師による病状や治療法の説明内容

医生从治疗开始就对病情和治疗方法进行说明，以顺利过渡到临终关怀

• 发表时间: 2014
• 作者: 寺町芳子;鈴木志津枝;東清巳;植田喜久子
• 通讯作者: 植田喜久子