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Pain management and support care for cancer patients on terminal stage

Research Project

Project/Area Number 09672393
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Nursing
Research InstitutionOsaka University

Principal Investigator

OGASAWARA Chie  Osaka University, Faculty of Medicine, Professor, 医学部, 教授 (90152363)

Co-Investigator(Kenkyū-buntansha) KUME Yasuko  Faculty of Medicine, Osaka University, Assistant, 医学部, 助手 (30273634)
ASO Yohko  Faculty of Medicine, Osaka University, Professor, 医学部, 教授 (80127175)
OHNO Yuko  Faculty of Medicine, Osaka University, Professor, 医学部, 教授 (60183026)
TAKADA Kiyoko  Faculty of Medicine, Osaka University, Assistant, 医学部, 助手 (80303973)
TSUJI Satoko  Faculty of Medicine, Osaka University, Assistant, 医学部, 助手 (30283782)
田中 結華  大阪大学, 医学部, 助手 (80236645)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 1999: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1998: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1997: ¥1,200,000 (Direct Cost: ¥1,200,000)
Keywordscancer / pain management / barrier / knowledge / attitude / nurse / terminal / 家族 / ペインマネージメント / ホスピス / サポート
Research Abstract

The purpose of this research is to clarify the barriers to pain management for cancer patients in the terminal stage. Once the barriers have been identified we consider effective measures to reduce these barriers.
In 1997, we developed a questionnaire based on a references review and a pretest. A survey was conducted with a sample of Osaka University Hospital nurses. We compared the results of this stage with those of the Slone-Kettering Cancer Center in New York, USA. The findings showed the knowledge-base of pain management in our nurses was lower than their counterparts at the Slone-Kettering Cancer Center : specifically insufficient knowledge and unsuitable assessment. Cross-cultural differences were identified in regards to barrier recognition during the stage of this research.
In 1998, nursing records at Osaka University Hospital were analyzed to identify areas of distress in cancer patients in the terminal stage. Cancer patients mainly exhibited physical distress with notable diff … More erences between the beginning and end of the terminal stage. In addition, both doctors and nurses were surveyed about barriers to pain management. We found that doctors had a low rate of barrier identification while both doctors and nurses rated low in identifying "unsuetable assessment" as a barrier to pain management in cancer patients in the terminal stage.
In 1999, we conducted a survey of the families of cancer patients to determine their expectation of the medical staff. The results showed that families want doctors to administer patient-centered care rather than medical-based research and physical examinations. Families also identified their desire for easily understandable informed-concent, as well as psychological support for cancer patients in the terminal stage. However, the survey showed that families want nurses to be gentle and cheerful with patients while expressing humanistic qualities.
It is necessary to present these results to medical staff and address these issues brought by these results. We need to open the discussion in order to change the system of pain management in hospitals through the continuing education of medical staff. Then the results must be used in the training of nursing students so they will be better aware of efficient pain management of cancer patients in the terminal stage. Less

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] 久米弥寿子、小笠原知枝、他: "がん患者の疼痛管理の妨害因子に対する看護婦と医師の認識と知識、態度、関心度"大阪大学看護学雑誌. 5・1. 8-16 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 高橋育代、小笠原知枝、他: "ターミナル期にあるがん患者の苦痛の分析ー看護記録によるターミナル期初期と終末期の比較"大阪大学看護学雑誌. 5・1. 25-31 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ogasawara, C.: "A field study of pain management and palliative care of cancer patients"Nursing Journal of Osaka University. 3(1). 3-10 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Bookbinder, M. and Ogasawara, C.: "Pain knowledge, attitude, and barriers : a cross cultural study between US and Japanese nurse"Oncology Nursing Society the 13th Annual Meeting Proceeding. 24(2). 314 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Baba, T., Kume, Y., Ogasawara, C., et al.: "Barriers to pain management and palliative care for cancer patient in the terminal stage"Journal of Japanese Nursing Reseach the 29th proceeding. 5(1). 64-66 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kume, Y., Ogasawara, C., et al.: "Nurse and physicians's of barriers for the management of cancer pain and knowledge, attitude and concern"Nursing Journal of Osaka University. 5(1). 8-16 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Takahashi, I., Kume, Y., Ogasawara, C., et al.: "An analysis of total pain in cancer patient at the terminal stage- A comparison of total pain in the beginning and end of the terminal stage from nursing records"Nursing Journal of Osaka University. 5(1). 25-31 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 久米弥寿子、小笠原知枝、他: "がん患者の疼痛管理の妨害因子に対する看護婦と医師の認識と知識、態度、関心度"大阪大学看護学雑誌. 5・1. 8-16 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 高橋育代、小笠原知枝、他: "ターミナル期にあるがん患者の苦痛の分析-看護記録によるターミナル期初期と終末期の比較"大阪大学看護学雑誌. 5・1. 25-31 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 小笠原知枝・他: "末期がん患者の疼痛管理と緩和ケアに対する妨害因子" 第29回日本看護学会論文集 成人看護2. 64-66 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 久米弥寿子・他: "がん患者の疼痛管理の妨害因子に対する看護婦・医師の認識と知識・態度・関心度" 大阪大学看護学雑誌. 4・1. 8-16 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小笠原知枝・他: "ターミナル期にあるがん患者の苦痛の分析-看護記録によるターミナル初期と終末期の苦痛の比較" 大阪大学看護学雑誌. 4・1. 25-31 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Bookbinder,M., Ogasawara,C.: "Pain knowledge,Attitude,and Barriers : A Cross-cultural Study between US and Japanese Nurse" Oncology Nursing Forum. 24-2. 314

    • Related Report
      1997 Annual Research Report
  • [Publications] 小笠原知枝・久米弥寿子他: "痛み管理の妨害因子と看護婦の知識・態度に関する日米比較研究" 日本看護科学会誌. 17-3. 338-339 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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