Sasahara Tomoyo, Watakabe Akiko, Aruga Etsuko, Fujimoto Koji, Higashi Kenjiro, Hisahara Ko, Hori Natsuki, Ikenaga Masayuki, Izawa Tomoko, Kanai Yoshiaki, Kinoshita Hiroya, Kobayakawa Makoto, Kobayashi Koichiro, Kohara Hiroyuki, Namba Miki, Nozaki-Taguchi Natsuko, Osaka Iwao, Saito Mari, Sekine Ryuichi, Shinjo Takuya, Suga Akihiko, Tokuno Yuko, Yamamoto Ryo, Yomiya Kinomi, Morita Tatsuya
Division of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Saito-Yukokai Hospital, Osaka, Japan.
J Pain Symptom Manage. 2014 Mar;47(3):579-587.e6. doi: 10.1016/j.jpainsymman.2013.04.009. Epub 2013 Aug 21.
The many benefits of hospital palliative care teams (PCTs) are well known. However, their specific activities have not been fully clarified, and no standardized methods for reporting PCT activities are available.
The aim of this study was to investigate, through the use of a standard format, the activities performed by hospital PCTs in Japan.
This was a prospective observational study. A total of 21 hospital PCTs were included in this study, and each recruited approximately 50 consecutively referred patients. Participating PCTs filled in a standard form for reporting activities.
We obtained data from 1055 patients who were referred to PCTs. Of the 1055 patients, 1005 patients (95%) had cancer. The median number of reasons for referral and problems identified by PCTs was two (0-22) and four (0-18), respectively. The two major reasons for referral were pain (63%) and anxiety/depression/grief/emotional burden (22%). The major recommendations were pharmacological treatment (74%), care for the patient's physical symptoms (49%), and support for patient's decision making (38%). The major activities performed by the PCTs were comprehensive assessment (90%), care for the patient's physical symptoms (77%), and pharmacological treatment (74%).
The components of hospital PCT activities were successfully measured using the Standard Format for Reporting Hospital PCT Activity. The results of this study and the format for reporting hospital PCT activity could be effective in improving hospital PCT practice and for the education of new hospital PCT members.
医院姑息治疗团队（PCTs）的诸多益处广为人知。然而，其具体活动尚未完全明确，且尚无报告PCT活动的标准化方法。
本研究旨在通过使用标准格式，调查日本医院PCTs开展的活动。
这是一项前瞻性观察研究。本研究共纳入21个医院PCTs，每个团队连续招募约50例转诊患者。参与的PCTs填写活动报告标准表格。
我们从转诊至PCTs的1055例患者中获取了数据。在这1055例患者中，1005例（95%）患有癌症。PCTs转诊的中位数原因和识别出的问题分别为2个（0 - 22个）和4个（0 - 18个）。转诊的两个主要原因是疼痛（63%）和焦虑/抑郁/悲伤/情感负担（22%）。主要建议包括药物治疗（74%）、患者身体症状护理（49%）和患者决策支持（38%）。PCTs开展的主要活动包括综合评估（90%）、患者身体症状护理（77%）和药物治疗（74%）。
使用《医院PCT活动报告标准格式》成功测量了医院PCT活动的组成部分。本研究结果及医院PCT活动报告格式可能有助于改善医院PCT实践及对新的医院PCT成员的教育。
