Artificial Nutrition in Terminally Ill Cancer Patients

癌症末期患者的人工营养

• 批准号: 6667210
• 负责人: SYDNEY MORSS DY
• 金额: $ 13.69万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-27 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6667210
• 关键词: clinical biomedical equipment; clinical research; decision making; diet route /schedule; health care service evaluation; health care service utilization; health services research tag; hospices; human subject; neoplasm /cancer palliative treatment; nutrition related tag; patient oriented research; perception; quality of life; terminal patient care

DESCRIPTION (provided by applicant): Dr. Dy is an Assistant Professor and the primary physician for the paliative care consultation programs for Johns Hopkins Medicine. Through this award, Dr. Dy would like to conduct health services and decision-making research on an important issue in cancer palliative care: the appropriate use of artificial nutrition at the end of life. She will have the mentorship and support of experts in oncology, palliative care, geriatrics and artificial nutrition, and health services research methods. To complement her research, Dr. Dy will take courses in qualitative research, communication, and advanced health services research and biostatistics methods. The care of terminally ill patients with cancer often involves difficult choices. The use of technology such as artificial nutrition at the end of life is often not helpful and may be detrimental to quality of life. Through a series of 3 research projects, this grant will examine the potential contribution of interventions to improve the appropriateness of technologic use at three different levels. First, on the individual patient level, we will explore the decision-making process for artificial nutrition in terminally ill cancer patients, as well as patients' and surrogates' perceptions of the process and how it might be improved. Secondly, on the hospital level, we will explore whether the growth in palliative care consultation services has impacted the use of artificial nutrition at the local level. Finally, on the regional level, we will examine whether the growth of hospice services has impacted the use of artificial nutrition. The combination of qualitative and quantitative primary data collection and research utilizing existing data sources, the excellent mentorship of senior scientists, the available coursework, research conferences, and observation experiences, and the supportive environment at Johns Hopkins University will provide Dr. Dy with the skills she needs to develop into an independent clinical researcher in oncology palliative care decision-making and health services research.

描述（由申请人提供）：Dy博士是约翰·霍普金斯医学的养护医疗咨询计划的助理教授和主要医师。 通过该奖项，DY博士想对癌症姑息治疗中的重要问题进行卫生服务和决策研究：生命即将结束时适当使用人造营养。她将获得肿瘤学，姑息治疗，老年医学和人工营养以及卫生服务研究方法的指导和支持。 为了补充她的研究，DY博士将在定性研究，交流和高级卫生服务研究和生物统计学方法中学习课程。 对癌症患者的护理通常会涉及困难的选择。 生命尽头的人造营养等技术通常无济于事，可能对生活质量有害。 通过一系列3个研究项目，该赠款将研究干预措施的潜在贡献，以提高三种不同级别的技术使用的适当性。 首先，在个别患者层面上，我们将探讨绝症患者人造营养的决策过程，以及患者和代理人对过程的看法以及如何改善该过程。 其次，在医院一级，我们将探讨姑息治疗咨询服务的增长是否影响了当地人工营养的使用。 最后，在区域一级，我们将研究临终关怀服务的增长是否影响了人工营养的使用。 利用现有数据源，高级科学家的出色指导，可用的课程，研究会议和观察经验以及约翰·霍普金斯大学（Johns Hopkins University）的支持环境的定性和定量原始数据收集和研究的结合，可为DY提供了她所需的技能，以使她提供的技能将为Oncolatiative Care Care Decient Make Make Make Making and Nevery Servicions neckitial Clinical Isspeient提供。