The Relation between Self-Contribution Degree of Members of Palliative Care Team and Improvement in the Symptom Items Listed in STAS-J

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  • 緩和ケアチームスタッフの自己貢献度と, Support Team Assessment Schedule日本語版 (STAS-J) での介入前後における症状変化との関連
  • 緩和ケアチームスタッフの自己貢献度と,Support Team Assessment Schedule日本語版(STAS-J)での介入前後における症状変化との関連 : 前向き観察研究
  • カンワ ケアチームスタッフ ノ ジコ コウケンド ト,Support Team Assessment Schedule ニホンゴバン(STAS-J)デ ノ カイニュウ ゼンゴ ニ オケル ショウジョウ ヘンカ ト ノ カンレン : マエムキ カンサツ ケンキュウ
  • 前向き観察研究

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Abstract

Purpose: To elucidate the degree of self-conctribution of each member of a palliative care team and the palliative effect patients. Patients and Methods:The degree of self-contribution to intervened patients and the degree of improvements in the symptoms items listed in a Japanese version of the Support Team Assessment Schedule (STAS-J) were examined prospectively. Results: The degree of self-contribution was often higher in doctors, nurses, clinical psychotherapists and pharmacists, and lower in nutritionists. It was related to age, gender, site of primary disease and the duration of intervention. The symptom items which showed improvement were such items as pain, nausea, vomiting, appetite loss and insomnia, but delirium and depression worsened. The degree of self-contribution and the degree of improvement in symptom were correlated in seven items in the case of pharmacists but only in one in the case of other professionals. Discussion: The degree of self-conribution varied and was not always high even after the intervention of the care team. It was considered that the fact that the number of related items was larger in pharmacists than in any other professionals was probably because the pharmacists could assess the symptoms and propose drugs from an objective point of view, although character might be mostly involved. Conslusion: It is to be hoped that every one engaged in palliative care will do what is one’s forte and apply each one’s individuality properly in the future.

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