2024 Fiscal Year Final Research Report
The system construction of patient reported outcome for beneficial home care supports of gynecologic cancer survivors
| Project/Area Number |
21K10742
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | University of Miyazaki (2023-2024)
Kyushu University (2021-2022) |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
木下 由美子 宮崎大学, 医学部, 教授 (30432925)
金岡 麻希 宮崎大学, 医学部, 准教授 (50507796)
山下 貴範 九州大学, 大学病院, 講師 (00807381)
平田 明恵 九州大学, 医学研究院, 講師 (60890671)
中島 直樹 九州大学, 医学研究院, 教授 (60325529)
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| Project Period (FY) |
2021-04-01 – 2025-03-31
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| Keywords | PRO / 婦人科がん / QOL |
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| Outline of Final Research Achievements |
The aim of this study is to improve the quality of home-based care support for gynecologic cancer survivors (cervical cancer and endometrial cancer) by (1) developing a system for regular evaluation and the collection of electronic patient-reported outcomes (ePRO), and (2) examining longitudinal changes in patient-reported outcomes (PRO); including symptoms, functioning, and quality of life (QOL) after hospital discharge.
For (1), characteristic terms were extracted from the textual data of electronic medical records. Most of these terms were related to complications and side effects; however, concerns about cancer recurrence and returning to work were also identified.
Regarding (2), the development of the ePRO evaluation system proved difficult to validate within the current study period. Therefore, further development will continue as an ongoing task to be addressed in the next fiscal year.
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| Free Research Field |
がん看護
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| Academic Significance and Societal Importance of the Research Achievements |
子宮がんは再発率が高く、療養期の婦人科がんサバイバーのPRO（症状・機能・QOL）を継続的に観察する重要性が指摘される。しかし本邦では、長期的支援に有効なePROツールの検討は乏しい。本研究による、婦人科がんサバイバーの療養生活におけるPROを定期測定可能とするePROシステムの開発は、異常の早期発見や迅速な対応を促進するだけでなく、個別ニーズに基づく療養支援の実現を可能とし、さらに収集データは地域連携や支援政策の基礎資料として活用され、看護の質向上に寄与すると考える。
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