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Early Palliative Care-based Nursing Intervention for Oral Mucositis in Head and Neck Cancer Patients Undergoing Chemoradiotherapy

Research Project

Project/Area Number 25293441
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Clinical nursing
Research InstitutionOsaka University

Principal Investigator

ARAO HARUE  大阪大学, 医学(系)研究科(研究院), 教授 (50326302)

Co-Investigator(Kenkyū-buntansha) YAMASHITA RYOKO  大阪大学, 大学院医学系研究科, 助教 (90646788)
KOIKE MARIKO  大阪大学, 大学院医学系研究科, 特任助教 (40737516)
TAZUMI KEIKO  大阪大学, 医学部附属病院, 看護師長 (80572312)
KOBAYASHI TAMAMI  大阪大学, 大学院医学系研究科, 特任講師 (50382263)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords化学放射線療法 / 頭頸部がん / 口腔粘膜炎 / がん疼痛 / 緩和ケア / 化学放射線治療 / 疼痛
Outline of Final Research Achievements

Chemoradiotherapy (CRT) is a key therapy in the treatment of head and neck cancer. However, CRT-related oral mucositis becomes more severe as the irradiation dose increases and thus markedly reduces patient quality of life. That is why nursing care that relieves pain is needed to prevent aggravation of the mucositis. In this study, we therefore aimed to examine the nature of nursing to relieve pain arising from CRT-related oral mucositis, based on the concept of early palliative care for pain. We extracted components for a care model by means of a fact-finding survey of patients and medical professionals and created a care model for the amelioration of pain arising from CRT-related oral mucositis.
The CRT-related mucositis pain amelioration care model clarifies the involvement of nursing itself. If this model were used from an early stage of treatment to perform nursing interventions, comprehensive relief could be achieved for various types of suffering caused by mucositis-related pain.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (6 results)

All 2016 2015 2014 2013

All Presentation (6 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] 放射線治療医が捉える頭頸部がんの化学放射療法に伴う口腔粘膜炎に対する早期からの疼痛緩和の阻害要因2016

    • Author(s)
      山下亮子,山本知美,渡部昌美,田墨惠子,嘉戸怜子,小池万里子,武田佳子,高志慈祥,荒尾晴惠
    • Organizer
      第30回日本がん看護学会学術集会
    • Place of Presentation
      幕張メッセ,ホテルニューオータニ幕張 千葉市 千葉県
    • Year and Date
      2016-02-20
    • Related Report
      2015 Annual Research Report
  • [Presentation] Prevention of severe mucositis of head and neck cancer patients undergoing chemo radiotherapy Case study of nursing support to facilitate the self-care2015

    • Author(s)
      Arao H, Koike M, Miki S, Tazumi K, Kado R, Nishio A, Yamashita R
    • Organizer
      2nd Asian Oncology Nursing Society Conference
    • Place of Presentation
      Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
    • Year and Date
      2015-11-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A Literature Review of Factors of Patient-related Barriers to the Use of Analgesics in Early Stage Cancer Patients2015

    • Author(s)
      Mariko KOIKE, Keiko TAZUMI, Ryoko YAMASHITA, Harue ARAO
    • Organizer
      18th EAST ASIAN FORUM OF NURSING SCHOLARS
    • Place of Presentation
      Taipei Taiwan
    • Year and Date
      2015-02-16
    • Related Report
      2014 Research-status Report
  • [Presentation] The Health Care Professonals’ Barriers to Using Analgesics to Relieve the Chemoradiotherapy-induced Oral Mucositis of Head and Neck Cancer Patients:A Literature Review2015

    • Author(s)
      Jisho TAKASHI,Yoshiko TAKEDA, Keiko TAZUMI, Mariko KOIKE, Ryoko YAMASHITA, Harue ARAO
    • Organizer
      18th EAST ASIAN FORUM OF NURSING SCHOLARS
    • Place of Presentation
      Taipei Taiwan
    • Year and Date
      2015-02-16
    • Related Report
      2014 Research-status Report
  • [Presentation] 化学放射線療法を受ける頭頸部がん患者の栄養状態の変化2014

    • Author(s)
      升谷英子、小林珠実、田墨惠子、荒尾晴惠
    • Organizer
      第28回日本がん看護学会学術集会
    • Place of Presentation
      朱鷺メツセ新潟コンベンションセンター
    • Related Report
      2013 Research-status Report
  • [Presentation] Pain in Head and Neck Cancer Patients with Oral Mucositis Undergoing CHemotherapy2013

    • Author(s)
      Tamami KOBAYASHI, Eiko MASUTANI, Keiko TAZUMI, Harue ARAO
    • Organizer
      The 1st Asian Oncology Nursing Society Conference
    • Place of Presentation
      Bangkok Thailand
    • Related Report
      2013 Research-status Report

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Published: 2013-05-21   Modified: 2019-07-29  

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