Artificial Nutrition in Terminally Ill Cancer Patients

癌症末期患者的人工营养

• 批准号: 6667210
• 负责人: SYDNEY MORSS DY
• 金额: $ 13.69万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-27 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6667210
• 关键词: clinical biomedical equipment; clinical research; decision making; diet route /schedule; health care service evaluation; health care service utilization; health services research tag; hospices; human subject; neoplasm /cancer palliative treatment; nutrition related tag; patient oriented research; perception; quality of life; terminal patient care

DESCRIPTION (provided by applicant): Dr. Dy is an Assistant Professor and the primary physician for the paliative care consultation programs for Johns Hopkins Medicine. Through this award, Dr. Dy would like to conduct health services and decision-making research on an important issue in cancer palliative care: the appropriate use of artificial nutrition at the end of life. She will have the mentorship and support of experts in oncology, palliative care, geriatrics and artificial nutrition, and health services research methods. To complement her research, Dr. Dy will take courses in qualitative research, communication, and advanced health services research and biostatistics methods. The care of terminally ill patients with cancer often involves difficult choices. The use of technology such as artificial nutrition at the end of life is often not helpful and may be detrimental to quality of life. Through a series of 3 research projects, this grant will examine the potential contribution of interventions to improve the appropriateness of technologic use at three different levels. First, on the individual patient level, we will explore the decision-making process for artificial nutrition in terminally ill cancer patients, as well as patients' and surrogates' perceptions of the process and how it might be improved. Secondly, on the hospital level, we will explore whether the growth in palliative care consultation services has impacted the use of artificial nutrition at the local level. Finally, on the regional level, we will examine whether the growth of hospice services has impacted the use of artificial nutrition. The combination of qualitative and quantitative primary data collection and research utilizing existing data sources, the excellent mentorship of senior scientists, the available coursework, research conferences, and observation experiences, and the supportive environment at Johns Hopkins University will provide Dr. Dy with the skills she needs to develop into an independent clinical researcher in oncology palliative care decision-making and health services research.

描述（由申请人提供）：Dy 博士是约翰霍普金斯大学医学院姑息治疗咨询项目的助理教授和主治医师。 通过该奖项，Dy 博士希望针对癌症姑息治疗中的一个重要问题开展卫生服务和决策研究：在生命末期适当使用人工营养。她将得到肿瘤学、姑息治疗、老年医学和人工营养以及健康服务研究方法专家的指导和支持。 为了补充她的研究，Dy 博士将学习定性研究、传播、高级卫生服务研究和生物统计学方法等课程。 癌症末期患者的护理常常涉及艰难的选择。 在临终时使用人工营养等技术通常没有帮助，而且可能会损害生活质量。 通过一系列 3 个研究项目，这笔赠款将研究干预措施对提高三个不同层面技术使用适当性的潜在贡献。 首先，在患者个体层面，我们将探讨晚期癌症患者人工营养的决策过程，以及患者和代理人对该过程的看法以及如何改进。 其次，在医院层面，我们将探讨姑息治疗咨询服务的增长是否影响了当地人工营养的使用。 最后，在区域层面，我们将研究临终关怀服务的增长是否影响了人工营养的使用。 定性和定量的原始数据收集和利用现有数据源的研究、资深科学家的出色指导、可用的课程、研究会议和观察经验以及约翰霍普金斯大学的支持环境相结合，将为 Dy 博士提供发展成为肿瘤姑息治疗决策和健康服务研究方面的独立临床研究员所需的技能。