Construction of the Whole System of Palliative Care in the Community : Focusing on the Expectation for Psychosomatics and Nursing to Promote Japanese Palliative Care System(How Can Psychosomatic Medicine Contribute to the Improvement of Palliative Care?)

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  • Fukui Sakiko
    Department of Community Health Nursing, Graduate School of Nursing, The Japanese Red Cross College of Nursing

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  • 地域全体をとらえた緩和ケア提供体制のあり方 : 緩和ケア推進のために心身医学と看護学が貢献できること(緩和ケアにおいて心身医学はどのような貢献ができるか?,2011年,第52回日本心身医学会総会ならびに学術講演会(横浜))
  • 地域全体をとらえた緩和ケア提供体制のあり方 : 緩和ケア推進のために心身医学と看護学が貢献できること
  • チイキ ゼンタイ オ トラエタ カンワ ケア テイキョウ タイセイ ノ アリカタ : カンワ ケア スイシン ノ タメニ シンシン イガク ト カンゴガク ガ コウケン デキル コト

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Abstract

This manuscript indicated that 1) Psychosomatics and Nursing are expected to provide bio-psycho-social support to patients who have palliative care needs ; 2) Cancer Control Act and Basic Plan to Promote Cancer Control Programs (2007) made a goal "Reduction of burden and improvement of quality of life among cancer patients and their families" ; 3) Our study showed that there is a statistically significant correlation between the presence of psychological symptoms at the time of discharge and home death among terminal cancer patients. Based on this result, we suggested that our urgent task is building psychological care systems both in hospital and at home ; 4) Collaborative works between Psychosomatics and Nursing are expected to build hospital and home psychological care systems.

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