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Development of a rehabilitation programmme for terminal cancer patients

为晚期癌症患者制定康复计划

基本信息

批准号：
10838010
负责人：
KIMURA Shinya
金额：
$ 1.22万
依托单位：
Aichi Medical University (1999-2000)The University of Tokyo (1998)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10838010/
关键词：
terminal cancer rehabilitation QOL severe deconditioning ADL palliative care geriatrics pain 活動性

项目摘要

I.Study of rehabilitation needs in terminal cancer patients.Fifty eight patients, who were in severe deconditioning state due to teraminal cancer, were reviewed. We evaluated their medical problems, stage of diseases, risk factors for daily activities, impairments, disabilities, handicaps, and subjective aspect as to hope for the end of their life. Older patients (over 65 years old age) tended to have more needs about their family life , and younger patients (less than 65 years old age) to have needs about social life, vocational activities and leisure activities. Rate of return to home was slightly higher in younger patients than older patients.II . Study in disability oriented rehabilitation program and pain management.We developed a pain rating scale in daily activities and ADL scales, and studied outcome of our disability oriented programme. After two weeks from initiation of programme, pain was reduced markedly, and independence of ADL improved, especially in mobility as walking activities, and sitting up from lying position.III.Study in comprehensive evaluation methods and program revision for terminal cancer patientsWe found excellent inter-rater reliability of a Comprehensive QOL assessment method developed by Okawa and Ueda in terminal cancer patients. We developed the questionnaire forms of a pain rating scale in daily activities and ADL scale, and proposed a rehabilitation program for terminal cancer patients in sever deconditioning states.

一、晚期癌症患者康复需求研究。对58例因晚期癌症而处于严重失调状态的患者进行了研究。我们评估了他们的医疗问题、疾病阶段、日常活动的危险因素、损伤、残疾、残障以及对生命终结的主观方面的希望。老年患者（65岁以上）往往对家庭生活有更多需求，年轻患者（65岁以下）对社交生活、职业活动和休闲活动有更多需求。年轻患者的回家率略高于老年患者。研究以残疾为导向的康复计划和疼痛管理。我们开发了日常活动疼痛评定量表和 ADL 量表，并研究了以残疾为导向的计划的结果。项目开始两周后，疼痛明显减轻，ADL的独立性得到改善，特别是步行活动和从卧位坐起的活动能力。三、晚期癌症患者综合评估方法和项目修订的研究我们发现，大川和上田开发的晚期癌症患者综合生活质量评估方法具有出色的评估者间可靠性。我们开发了日常活动疼痛评定量表和ADL量表的问卷形式，并提出了针对处于严重失调状态的晚期癌症患者的康复方案。