Development of care model for pain relief for elderly cancer patients with dementia

• Project/Area Number: 18K17630
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Tokyo Medical and Dental University (2022); Tokyo Health Care University (2021); Keio University (2019-2020); Tokyo Metropolitan Institute of Medical Science (2018)
• Principal Investigator: Hirooka Kayo 東京医科歯科大学, 大学院保健衛生学研究科, 准教授 (10407132)
• Project Period (FY): 2018-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2021: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000); Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
• Keywords: がん / 認知症 / 疼痛緩和 / 痛み / 看護職 / 高齢者 / 緩和ケア / 高齢がん患者 / 疼痛マネジメント / ケアの質 / 疼痛 / ケアモデル

Outline of Final Research Achievements

To improve the quality of life of patients with comorbid cancer and dementia, it is essential to improve nurses' knowledge and attitudes leading to appropriate pain management. The purpose of this study was to develop a model of care regarding pain management to provide high-quality palliative care to elderly cancer patients with dementia. Due to the spread of covid-19, the study was changed from the original research plan, but a care model (tentative version) was developed, and the quality of end-of-life care was also examined from the aspect of pain.

Academic Significance and Societal Importance of the Research Achievements

急速な高齢化に伴い、認知症を持つ高齢がん患者が増加する一方、がん患者の痛みを的確にとらえることは難しい。本研究結果を用いることで、高齢がん患者のＱＯＬ向上につながるだけでなく、効果的な看護提供につながると考えられる。

Research Products

• [Journal Article] Quality of end-of-life in cancer patients with dementia: using a nationwide inpatient database (2022)
  • Author(s): Hirooka Kayo、Okumura Yasuyuki、Matsumoto Sachiko、Fukahori Hiroki、Ogawa Asao
  • Journal Title: Journal of Pain and Symptom Management Volume: - Issue: 1 Pages: 1-7
  • DOI: 10.1016/j.jpainsymman.2022.03.016
  • Peer Reviewed / Open Access
• [Journal Article] Impact of dementia on quality of death among cancer patients: An observational study of home palliative care users (2020)
  • Author(s): Hirooka Kayo、Nakanishi Miharu、Fukahori Hiroki、Nishida Atsushi
  • Journal Title: Geriatrics & Gerontology International Volume: 20 Issue: 4 Pages: 354-359
  • DOI: 10.1111/ggi.13860
  • Peer Reviewed
• [Journal Article] Posttraumatic growth in bereaved family members of patients with cancer: a qualitative analysis (2018)
  • Author(s): Hirooka Kayo、Fukahori Hiroki、Taku Kanako、Izawa Sakiko、Ogawa Asao
  • Journal Title: Supportive Care in Cancer Volume: 27 Issue: 4 Pages: 1417-1424
  • DOI: 10.1007/s00520-018-4440-6
  • Peer Reviewed
• [Journal Article] Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis (2018)
  • Author(s): Hirooka Kayo、Nakanishi Miharu、Fukahori Hiroki、Nishida Atsushi
  • Journal Title: Cogent Medicine Volume: 5 Issue: 1 Pages: 1-8
  • DOI: 10.1080/2331205x.2018.1483097
  • Peer Reviewed / Open Access
• [Presentation] 要介護認定をアウトカム指標とした短期集中予防サービスの効果検証 (2021)
  • Author(s): 石橋 智昭、廣岡 佳代、二宮 彩子
  • Organizer: 第80回日本公衆衛生学会総会
• [Presentation] 居宅要介護高齢者に対する緩和ケアの提供状況 (2020)
  • Author(s): 廣岡 佳代、二宮 彩子, 石橋 智昭
  • Organizer: 第79回日本公衆衛生学会総会
• [Presentation] 在宅看取りにおける訪問看護師の介護職に対する支援 (2020)
  • Author(s): 廣岡佳代、深堀浩樹
  • Organizer: 第40回日本看護科学学会学術集会
• [Presentation] 家族との関係性とアドバンス・ケア・プランニングとの関連：アセスメントデータに基づく施設入所者の分析 (2020)
  • Author(s): 廣岡 佳代、二宮 彩子, 石橋 智昭
  • Organizer: 第15回日本応用老年学会
• [Presentation] 認知症の有無ががん患者の看取りの質に与える影響 (2019)
  • Author(s): 廣岡 佳代, 中西 三春, 深堀 浩樹, 西田 淳志
  • Organizer: 第24回日本緩和医療学会学術大会