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Development of a support program that has continued since the end of life to improve QOL in the bereaved family caregivers of cancer patients

Research Project

Project/Area Number 17K17459
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Clinical nursing
Research InstitutionTokyo Women's Medical University (2018-2020)
National Cancer Center Japan (2017)

Principal Investigator

KAWAHARA Miki  東京女子医科大学, 看護学部, 助教 (10758840)

Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
KeywordsQuality of Life / がん患者の遺族 / ケアの満足度 / 終末期から継続した支援 / 縦断研究 / Quality of life / Pre-post study
Outline of Final Research Achievements

Although previous retrospective cross-sectional studies of the bereaved family members of cancer patients have suggested that lower satisfaction with care given to terminal cancer patients was related to lower QOL of the bereaved family, the retrospective cross-sectional study design has limitations. This study aimed to clarify family caregivers’ satisfaction with the care of terminal cancer patients and bereaved families ’QOL.
We enrolled primary caregivers of cancer patients who hospitalized in palliative care unit. The participants completed the self-administered questionnaires at two time periods, within a month (baseline) and after 6 months since patients died. A total of 114 caregivers were included in each analysis. After the patient’s death, family caregivers’ QOL (mental component summary(MCS) of SF-36) significantly differed between low- and high-satisfaction caregiver groups (p=0.04). MCS and satisfaction with care were significantly correlated (p=0.01).

Academic Significance and Societal Importance of the Research Achievements

がん患者の遺族に対するケアについて、終末期から継続することが重要であること、死別後のQOLへの関連要因を示したことで、今後の遺族ケアの立案に対して新たな視点を提供した。このことは、今後、日本人の特徴を取り入れた遺族のQOLの側面、および遺族のQOLを向上するために必要なケアが検討・体系化され、前向き介入研究のデザインが構築されることに貢献したと予想する。遺族の QOLを改善することは、早期社会復帰を通した経済的なメリットもにもつながり社会的な意義についても大きいと考える。

Report

(5 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (10 results)

All 2021 2020 2019 2018 2017

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (6 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] What Contributes to Satisfaction with Care for Family Caregivers of Terminal Cancer Patients Admitted to General Wards? A Qualitative Study2020

    • Author(s)
      Morishita-Kawahara Miki、Kamibeppu Kiyoko
    • Journal Title

      Open Journal of Nursing

      Volume: 10 Issue: 11 Pages: 1081-1094

    • DOI

      10.4236/ojn.2020.1011077

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relation between Family Functioning and Quality of Life among Family Caregivers of Patients with Terminal Cancer Hospitalized in General Wards2020

    • Author(s)
      Morishita-Kawahara Miki、Kawahara Takuya、Kamibeppu Kiyoko
    • Journal Title

      Open Journal of Nursing

      Volume: 10 Issue: 12 Pages: 1233-1240

    • DOI

      10.4236/ojn.2020.1012089

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Explicit prognostic disclosure to Asian women with breast cancer: A randomized, scripted video-vignette study (J-SUPPORT1601).2019

    • Author(s)
      Mori M, Fujimori M, van Vliet LM, Yamaguchi T, Shimizu C, Kinoshita T, Morishita-Kawahara M, Inoue A, Inoguchi H, Matsuoka Y, Bruera E, Morita T, Uchitomi Y.
    • Journal Title

      Cancer

      Volume: 125 Issue: 19 Pages: 3320-3329

    • DOI

      10.1002/cncr.32327

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 終末期がん患者の家族介護者におけるケアの満足度と死別後の精神的側面を中心とした健康アウトカムとの縦断的関連2020

    • Author(s)
      川原美紀、津村明美、相木佐代、清好志恵、岩本由美子、松井春希、川原拓也
    • Organizer
      緩和・支持・心のケア合同学術大会2020
    • Related Report
      2020 Annual Research Report
  • [Presentation] Development of Educational Program for Mixed Groups of Citizens and Healthcare Providers to Facilitate Readiness Toward Advance Care Planning: Pilot Study.2019

    • Author(s)
      Nagae H, Takahashi Z, Sakai S, Harasawa N, Kawahara M, Iwasaki T, Ikeda M,Tanigaki S, Katayama Y, Watanabe K, Takenouchi S.
    • Organizer
      The 16th World Congress of the European Association for Palliative Care
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] The effects of eye contact when disclosing prognosis to women with breast cancer: a rondomized scripted vedeo-vignette study (J-SUPPORT 1601)2018

    • Author(s)
      M. Fujimori, M. Mori (co-primary author), L. van Vliet, T. Yamaguchi, C. Shimizu, T. Kinoshita, M. Kawahara, H. Inoguchi, Y. Matsuoka, J. Bensing, E. Bruera, T. Morita, Y. Uchitomi
    • Organizer
      MASCC/ISOO Annual Meeting on Supportive Care in Cancer 2018
    • Related Report
      2018 Research-status Report
  • [Presentation] Explicit prognostic disclosure to asian women with breast cancer: a randomized, scripted video-vignette study (J-Support 1601)2018

    • Author(s)
      M. Mori, M. Fujimori (co-primary author), L. van Vliet, T. Yamaguchi, C. Shimizu, T. Kinoshita, M. Kawahara, H. Inoguchi, Y. Matsuoka, J. Bensing, E. Bruera, T. Morita, Y. Uchitomi
    • Organizer
      MASCC/ISOO Annual Meeting on Supportive Care in Cancer 2018
    • Related Report
      2018 Research-status Report
  • [Presentation] Barriers for an implementation of educational program for patients taking oral cancer agents in Japan: consideration of utilization of MOATT(TM)2018

    • Author(s)
      K. Kunitomo, A. Tsumura, M. Kawahara, N. Mikoshiba
    • Organizer
      MASCC/ISOO Annual Meeting on Supportive Care in Cancer 2018
    • Related Report
      2018 Research-status Report
  • [Presentation] 一般病棟に入院中の終末期がん患者の家族介護者における家族機能とQuality of Lifeとの関連2017

    • Author(s)
      川原美紀、小池和彦、川原拓也、上別府圭子
    • Organizer
      第22回日本緩和医療学会学術大会
    • Related Report
      2017 Research-status Report
  • [Book] Quality of life for family caregivers is impacted by satisfaction with care.2021

    • Author(s)
      Morishita-Kawahara Miki
    • Total Pages
      4
    • Publisher
      Research Outreach
    • Related Report
      2020 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2022-01-27  

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