Takayanagi Hideo, Motokawa Nahomi, Takahashi Kenta, Hanawa Kazue, Kimura Tomoko
Head of Cancer Consultation Support Center, Palliative Care Team, Sapporo Medical Center NTT EC.
Gan To Kagaku Ryoho. 2011 Dec;38 Suppl 1:89-90.
It has been 5 years since the passage of the Basic Act on Countermeasures against Cancer and the Promotion of Cancer Countermeasures. In 2012, the early stage of cancer treatment was desired based on the revision of these master plans for all cancer patients as well as their families. One third of the 1 million annual deaths were caused by cancer in Japan, and predicted that the cancer mortality ratio has been increasing in trend. Less than 10% of the end-of-life stage cancer patients who prefer to die at home fulfill their desire causing a lot of problems. In order to solve the problems, the importance of medical treatment by a team consisted of multi -disciplinary professionals has been sought out. We have erected palliative care team and cancer consulting support center in our hospital to help the patient and their family since 2009. The contents of the consulting subjects were varied and wide, as we have reported in the 21st Japan Society for Home Therapy Research(2010). In case of the cancer patient who displayed with delirium symptom, for instance, there were many occasions we had to stop the home medical treatment. So we studied how to treat a home cancer patient when the patient encountered with delirium symptom.
《癌症对策基本法》及《促进癌症对策法》通过至今已有5年。2012年，基于这些总体计划的修订，希望为所有癌症患者及其家属提供癌症早期治疗。在日本，每年100万例死亡中三分之一由癌症导致，且预计癌症死亡率呈上升趋势。希望在家中离世的临终期癌症患者中，不到10%的人愿望得以实现，这引发了诸多问题。为解决这些问题，人们开始寻求由多学科专业人员组成的团队进行医疗的重要性。自2009年起，我们医院设立了姑息治疗团队和癌症咨询支持中心，以帮助患者及其家属。咨询主题的内容多样且广泛，正如我们在第21届日本家庭治疗研究学会（2010年）上所报告的那样。例如，对于出现谵妄症状的癌症患者，我们多次不得不停止家庭医疗。因此，我们研究了在家中遇到谵妄症状的癌症患者该如何治疗。
