Japanese Dialects for Expressing Symptoms in Palliative Care: A Nationwide Questionnaire Survey of Palliative Care Specialists

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  • Miwa Satoru
    Seirei Hospice, Seirei Mikatahara General Hospital
  • Morita Tatsuya
    Palliative and Supportive Care Division, Seirei Mikatahara General Hospital
  • Matsumoto Yoshihisa
    Department of Palliative Medicine, National Cancer Center Hospital East Department of Palliative Medicine, Juntendo University Graduate School of Medicine
  • Uehara Yuko
    Department of Palliative Medicine, National Cancer Center Hospital East Department of Palliative Medicine, Juntendo University Graduate School of Medicine
  • Kato Masashi
    Division of Medical Support and Partnership, Center for Cancer Control and Information Services, National Cancer Center
  • Kosugi Fumitoshi
    Department of Palliative Medicine, Saga-ken Medical Center Koseikan
  • Sone Miyuki
    Department of Diagnostic Radiology, National Cancer Center Hospital
  • Nakamura Naoki
    Department of Radiology, St. Marianna University School of Medicine
  • Mizushima Akio
    Department of Palliative Medicine, Juntendo University Graduate School of Medicine
  • Miyashita Mitsunori
    Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Yamaguchi Takahiro
    Division of Biostatistics, Tohoku University Graduate School of Medicine
  • Satomi Eriko
    Department of Palliative Medicine, National Cancer Center Hospital

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  • 緩和ケア医が苦痛の評価を行う上で知っておくことが必要と考える方言：緩和医療専門医・認定医に対する質問紙調査

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<p>Objective: The aim of this study was to investigate Japanese dialects for expressing symptoms that palliative care specialists believe they should know. Method: A nationwide questionnaire mail survey was conducted between February and April 2020 with 762 palliative care specialists. Japanese dialects and their meanings that specialists need to know when assessing symptoms were surveyed and a content analysis was performed. Results: A total of 492 (64.8%) specialists responded, and 233 (47.4%) mentioned a total of 116 dialects, out of which 101 were used to express symptoms. The dialects were classified into the following categories: “fatigue, unspecified distress, and discomfort” (N=62), “pain” (N=13), “respiratory and cardiovascular symptoms” (N=8),“psychological symptoms” (N=8), “gastrointestinal symptoms” (N=5), and “neurological, muscular, and dermatological symptoms” (N=5). Conclusion: We identified Japanese dialects and their meanings that specialists would need to know when assessing symptoms. The understanding of various dialects may help better assess symptoms.</p>

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