Tanaka Tomi, Ogawa Asao, Todaka Akiko, Yamanaka Masako, Matsuoka Haruna, Tsujinaka Toshimasa
Palliative Care Team, National Hospital Organization Osaka National Hospital.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:345-7.
At Osaka National Hospital, we established a hospital based palliative care team in July 2004. The team provided consultation to 355 patients (189 males and 166 females). Even though consultation was requested from every department, the department of surgery requested most with 100 cases, of which a request for lung (16%) and gastric (13%) cancer patients were asked fairly often. Some of the consultation requests were 177 in pain control, 221 in psychiatric and 91 in physical related symptoms, respectively. The department of surgery requested PCT intervention most frequently. Finally, a total of 115 patients had died, 81 were discharged and 36 were continually treated with cancer chemotherapy as an outpatient basis. OCNS have a major role in coordination with the PCT and primary team, and intervene directly in the CNS's specialty area. To provide more appropriate care services with the primary team, the OCNS should assume more responsibility for promoting a support relationship with the staff and to enhance staff skills.
2004年7月，我们在大阪国立医院成立了一支以医院为基础的姑息治疗团队。该团队为355名患者（189名男性和166名女性）提供了咨询服务。尽管每个科室都提出了咨询请求，但外科提出的请求最多，达100例，其中肺癌（16%）和胃癌（13%）患者的请求相当频繁。部分咨询请求分别为疼痛控制177例、精神方面221例、身体相关症状91例。外科最常请求姑息治疗团队进行干预。最终，共有115名患者死亡，81名患者出院，36名患者作为门诊患者继续接受癌症化疗。肿瘤临床护理专家在与姑息治疗团队和基层团队的协调中发挥着重要作用，并直接干预肿瘤临床护理专家的专业领域。为了与基层团队提供更合适的护理服务，肿瘤临床护理专家应承担更多责任，促进与工作人员的支持关系，并提高工作人员的技能。
