Effect of fan for dyspnea in advanced cancer patients; A Randomized, Controlled, Crossover Trial

• Project/Area Number: 15K20723
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical nursing
• Research Institution: Hiroshima University (2018); National Cancer Center Japan (2015-2017)
• Principal Investigator: Kako Jun 広島大学, 医系科学研究科(保), 助教 (90751438)
• Research Collaborator: Morita Tatsuya ; Yamaguchi Takuhiro ; Sekimoto Asuko ; Kobayashi Masamitsu ; Kinoshita Hiroya ; Ogawa Asao ; Zenda Sadamoto ; Uchitomi Yosuke ; Inoguchi Hironobu ; Matsushima Eisuke
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000); Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
• Keywords: 呼吸困難 / がん / 緩和ケア / 看護 / 看護支援 / 無作為化比較試験 / 進行がん患者 / 送風 / 終末期がん

Outline of Final Research Achievements

The primary aim of this study was to evaluate the effectiveness of fan therapy for dyspnea in patients with terminally ill cancer. A total of 40 patients were included and were randomly assigned to the two groups: 20 patients to the fan-to-face and
20 to the fan-to-legs groups. The mean scores changed by -1.35 points in the fan-to-face group versus by -0.1 points in the fan-to-legs group (P < 0.001).

Academic Significance and Societal Importance of the Research Achievements

安静時呼吸困難を有する終末期がん患者について、扇風機を用いて顔に送風した群（送風療法）では、呼吸困難の程度が有意に改善した。また、有害事象の出現も見られなかったことから、送風療法は、安全に実施できる可能性が高い。また、送風療法は、実施に際して特別な知識や技術を必要とせず、実施場所も選ばない。さらに、安価であることから、臨床では導入しやすい支援であると言える。

Research Products

• [Presentation] 呼吸困難に対する送風の有効性についての文献検討 (2018)
  • Author(s): 角甲純, 小林成光
  • Organizer: 第32回日本がん看護学会学術集会
• [Presentation] Effect of fan therapy for dyspnea in advanced cancer patients- A Randomized, Controlled, Tial (2018)
  • Author(s): Kako J, Morita T, Yamaguchi T, Kobayashi M, Sekimoto A, Kinoshita H, Ogawa A, Zenda S, Uchitomi Y, Inoguchi H, Matsushima E.
  • Organizer: ONS 43rd Annual Congress
  • Int'l Joint Research