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Multi-disciplinary study on the long-term and medical care that promote satisfaction at the end of life

Research Project

Project/Area Number 26310101
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section特設分野
Research Field Neo-Gerontology
Research InstitutionUniversity of Tsukuba

Principal Investigator

TAMIYA Nanako  筑波大学, 医学医療系, 教授 (20236748)

Co-Investigator(Kenkyū-buntansha) 森山 葉子  国立保健医療科学院, 医療・福祉サービス研究部, 主任研究官 (10642457)
山岡 祐衣  筑波大学, 医学医療系, 助教 (20726351)
本澤 巳代子  筑波大学, 人文社会系, 教授 (70200342)
高橋 秀人  福島県立医科大学, 放射線医学県民健康管理センター, 教授 (80261808)
阿部 智一  筑波大学, 医学医療系, 客員准教授 (70633973)
Co-Investigator(Renkei-kenkyūsha) Nobuyuki Izumida  国立社会保障・人口問題研究所, 社会保障応用分析研究部, 部長 (70360716)
Research Collaborator Moody Sandra Y.  Kameda Medical Center
Miyata Sumiko  介護老人保健施設ごぎょうの里, 施設長
Suzuki Atsuko  南大和介護老人保健施設, 施設長
Mayers Thomas  筑波大学, 医学医療系, 助教
Sandoval Felipe  早稲田大学, 日本学術振興会特別研究員
Ito Tomoko  筑波大学, 医学医療系, 助教
Sekine Ryuichi  亀田総合病院, 疼痛・緩和ケア科, 部長
Medeiros Kate de  Miami University Script gerontology Center, 教授
Jin Xueying  筑波大学, 医学医療系, 研究員
Kashiwagi Masayo  横浜市立大学, 医学部看護学科, 教授
Okouchi Jiro  介護老人保健施設竜間之郷, 施設長
Kawamura Akira  早稲田大学, 政治経済学術院, 助教
Ueshima Hiroaki  筑波大学, 医学医療系, 研究員
Noguchi Haruko  早稲田大学, 政治経済学術院, 教授
Nagata Isao  筑波大学, 医学医療系, 研究員
Uchida Masatoshi  筑波大学, 医学医療系, 研究員
Gallagher Joshua  筑波大学, 人間総合科学研究科フロンティア医科学専攻
Kotake Rina  筑波大学, 医学群医学類
Taniguchi Yudai  筑波大学, 医学群医学類
Project Period (FY) 2014-07-18 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥16,250,000 (Direct Cost: ¥12,500,000、Indirect Cost: ¥3,750,000)
Fiscal Year 2016: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2015: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2014: ¥6,110,000 (Direct Cost: ¥4,700,000、Indirect Cost: ¥1,410,000)
Keywords社会医学 / 医療・福祉 / 臨床 / 緩和ケア / 救命医療 / 救急医療 / 老化 / 文化人類 / 臨床、老化 / 文化人類学
Outline of Final Research Achievements

To provide the foundation for a system where anyone can have achieve satisfaction at the end of life, we performed a multi-disciplinary study on long-term and medical care in Japan.
The contents included; a review of end-of-life care and guidelines. Empirical studies consisted of: 1) A survey of medical records of older patients transferrd from institutional care to ambulance care, and the situation and prognosis of artificial nutrition in Japan. 2) A Long-term care survey, including a patient record survey of the decision-making process among families and the elderly, a survey of bereaved family members, and careworkers. Special focus was given to the meaning of bathing after death, as offered in institutional care.
In conlusion, from the evidence that we gathered; devising and implementing a system to encourage explanation and discussion with older people and their families, and the provision of more rich care to provide satisfaction at the end of life are needed.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • Research Products

    (15 results)

All 2017 2016 2015

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results,  Acknowledgement Compliant: 2 results) Presentation (12 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] 介護施設における湯灌(死後の入浴ケア)の意義-ターミナルケア態度との関連と経験した職員への調査からの考察-2017

    • Author(s)
      宮田 澄子、田宮 菜奈子、金 雪瑩、森山 葉子、柏木 聖代
    • Journal Title

      厚生の指標

      Volume: 64(1) Pages: 7-15

    • NAID

      40021073697

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 高齢者施設における看取りについて2016

    • Author(s)
      泉田 信行、大河内 二郎、田宮 菜奈子
    • Journal Title

      日本老年医学会雑誌

      Volume: 53(2) Pages: 116-122

    • Related Report
      2016 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] 全国介護レセプトを用いた経口移行者実態把握の試み2016

    • Author(s)
      川村 顕、田宮 菜奈子、泉田 信行、植嶋 大晃、高橋 秀人、野口 晴子
    • Journal Title

      厚生の指標

      Volume: 63(15) Pages: 29-36

    • NAID

      40021043140

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Out-of-hospital cardiac arrest (OHCA) in centenarians in Japan2016

    • Author(s)
      T. Abe, N. Tamiya, I. Ngata, M. Uchida, Y. Yamaoka
    • Organizer
      Society of Critical Care Medicine's 45rd Critical Care Congress
    • Place of Presentation
      Orland, Florida (U.S.A)
    • Year and Date
      2016-02-20
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Family involvement in advance directives at a Long-Term Care Facility in Japan2016

    • Author(s)
      J. Gallagher, N. Tamiya, A. Suzuki, T. Ishikawa
    • Organizer
      第75回日本公衆衛生学会総会
    • Place of Presentation
      グランフロント大阪(大阪府大阪市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 介護施設から救急搬送された重症患者の終末期意思決定2016

    • Author(s)
      内田 雅俊、阿部 智一、田宮 菜奈子
    • Organizer
      第75回日本公衆衛生学会総会
    • Place of Presentation
      グランフロント大阪(大阪府大阪市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 老人保険施設における看取りの遺族満足度と施設の管理医属性および説明体制との関連2016

    • Author(s)
      小竹 理奈、田宮 菜奈子、泉田 信行、大河内 二郎
    • Organizer
      第75回日本公衆衛生学会総会
    • Place of Presentation
      グランフロント大阪(大阪府大阪市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] Access to Specialised Palliative Care Services in Japan: An Overview2016

    • Author(s)
      J. Gallagher, N. Tamiya
    • Organizer
      The 4th International Conference on Global Aging Tsukuba (CGAT)
    • Place of Presentation
      つくば国際会議場(茨城県つくば市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] 全国介護レセプトデータを用いた介護保険施設における経管栄養者の経口移行の実態2015

    • Author(s)
      川村顕, 田宮菜奈子, 泉田信行, 植嶋大晃, 森山葉子
    • Organizer
      第74回日本公衆衛生学会学術総会
    • Place of Presentation
      長崎新聞文化ホール (長崎市)
    • Year and Date
      2015-11-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] 湯灌(ゆかん:死後の入浴)がターミナルケアに与える影響2015

    • Author(s)
      宮田澄子, 田宮菜奈子, 金雪瑩, 森山葉子, 柏木聖代
    • Organizer
      第74回日本公衆衛生学会学術総会
    • Place of Presentation
      長崎新聞文化ホール(長崎市)
    • Year and Date
      2015-11-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] Caregivers situation and care burdens: Using LTOP Baseline Survey in Thailand2015

    • Author(s)
      Shiho Kashiwagi, Felipe Sandoval, Nanako Tamiya
    • Organizer
      International Association of Gerontology and Geriatrics
    • Place of Presentation
      Chiang Mai (Thailand)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Factors associated with satisfaction of bereaved family for end of life in institutional settings based on the survey data in geriatric health services facilities in Japan2015

    • Author(s)
      N. Izumida, N. Tamiya, K. Takamuku, J. Ohkouchi, K Higashi
    • Organizer
      International Association of Gerontology and Geriatrics
    • Place of Presentation
      Chiang Mai (Thailand)
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Challenges of Palliative Care: A Global Perspective2015

    • Author(s)
      Sandra Moody
    • Organizer
      第10回グローバルエイジングセミナー:End of Life in Global Aging
    • Place of Presentation
      筑波大学(茨城県つくば市)
    • Year and Date
      2015-01-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] Challenges of Palliative Care In Japan (to be confirmed)2015

    • Author(s)
      Ryuichi Sekine
    • Organizer
      第10回グローバルエイジングセミナー:End of Life in Global Aging
    • Place of Presentation
      筑波大学(茨城県つくば市)
    • Year and Date
      2015-01-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] End of life care in joint program for global aging in Miami University and Mahidol University2015

    • Author(s)
      Kate de Medeiros
    • Organizer
      第10回グローバルエイジングセミナー:End of Life in Global Aging
    • Place of Presentation
      筑波大学(茨城県つくば市)
    • Year and Date
      2015-01-27
    • Related Report
      2014 Annual Research Report

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Published: 2014-09-09   Modified: 2018-03-22  

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