Psychosocial approach and multimodal care by a multidisciplinary team for eating-related distress in patients with progressive disease and their families

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K10319
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Osaka University (2023); National Cancer Center Japan (2021-2022)
• Principal Investigator: Amano Koji 大阪大学, 医学部附属病院, 特任講師(常勤) (40573093)
• Co-Investigator(Kenkyū-buntansha): 小山田 隼佑 特定非営利活動法人JORTC, データセンター, 生物統計家 (00774085) ; 宮下 光令 東北大学, 医学系研究科, 教授 (90301142)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: サポーティブケア / 緩和ケア / がん悪液質 / 食に影響する症状 / 食に関する苦悩 / がん悪液質関連QOL

Outline of Final Research Achievements

To determine the effectiveness of multimodal care provided by a multidisciplinary team for patients with advanced cancer and their families, we developed a scale to assess eating-related distress in patients and their families, respectively. Moreover, we investigated the relationship between patients' food intake and nutrition impact symptoms, eating-related distress, and cancer cachexia-related quality of life. Furthermore, in order to disseminate the practice of multimodal care, a survey of perception and practice of multimodal care was conducted among healthcare providers engaged in palliative care at designated cancer hospitals across Japan. These findings would be useful for the future development of multimodal care for patients with advanced cancer and their families.

Free Research Field

支持緩和医療

Academic Significance and Societal Importance of the Research Achievements

進行がん患者における食事摂取量と食に影響する症状、食に関する苦悩、がん悪液質関連quality of lifeの関連をみることで、どのような患者にどのような症状と苦悩があるかがみえてくる。同時に患者の家族の苦悩もみえてくる。近年、がん患者数は年々増加しており、がん治療の開発も日進月歩であるが、患者と家族に対する支持・緩和医療はまだまだ未確立である。そのため多職種が連携した多職種ケアの開発が求められており、我々の一連の研究の成果はその開発に貢献できる。