医療心理学・行動医学に関するネットワーク

5月, 2005のアーカイブ

肺がん患者の外来化学療法移行の意思決定に関する探索的研究

日曜日, 5月 15th, 2005

平井啓, 所昭宏, 中宣敬, 小河原光正, & 河原正明. (2005). 肺がん患者の外来化学療法移行の意思決定に関する探索的研究. 肺癌, 45, 319-327.

肺癌患者を対象に、インタビューを行い、外来化学療法移行への意思決定について恩恵要因・阻害要因、それぞれの内容について明らかにしました。

看護師に対する構造化された心理学的サポートグループによる介入プログラムの開発に関する研究

土曜日, 5月 14th, 2005

平井啓, 平井麻紀, 前野正子, 保坂隆, & 山田冨美雄. (2005). 看護師に対する構造化された心理学的サポートグループによる介入プログラムの開発に関する研究. 心身医学, 45, 359-366.

看護師を対象に開発した「構造化された心理学的サポートグループ」の開発についてその有用性の一部を示すデータを紹介しました。

がん医療における行動科学的研究

土曜日, 5月 14th, 2005

平井啓. (2005). がん医療における行動科学的研究. 行動科学, 44(33-38).

Professionally perceived effectiveness of psychosocial interventions for existential suffering of terminally ill cancer patients

金曜日, 5月 13th, 2005

Hirai, K., Morita, T., & Kashiwagi, T. (2003). Professionally perceived effectiveness of psychosocial interventions for existential suffering of terminally ill cancer patients. Palliat Med, 17(8), 688-694.

Abstract

BACKGROUND: Although integrated care for existential suffering is an essential part of palliative care, little is known about its concept and efficacy as perceived by professionals. A questionnaire survey was carried out to 1) explore the underlying structure of psychosocial interventions recommended by specialists, 2) identify the professionally perceived effectiveness of each intervention for specific existential distress, and 3) examine the effects of specialty on their recommendations. METHODS: A questionnaire with three scenarios representing terminally ill cancer patients with uncertainty-related anxiety, guilt feelings, and dependency-related meaninglessness was mailed to 701 Japanese psychiatrists, 118 psychologists, and 372 palliative care nurses. RESULTS: A total of 456 responses were obtained (response rate = 38%). Recommended psychosocial interventions were classified into six subcategories: ‘a supportive-expressive approach,’ ‘providing comfortable environments,’ ‘meaning-centered approach,’ ‘being,’ ‘education and coping skills training,’ and ‘a religious approach.’ A ‘supportive-expressive approach’ was consistently recommended in all vignettes. On the other hand, ‘providing comfortable environments’ was most recommended for patients with uncertainty-related anxiety, and a ‘meaning-centered approach’ and ‘being’ were most recommended for patients feeling dependency-related meaninglessness. Psychiatrists estimated the effectiveness of psychopharmacological treatment significantly higher than psychologists and nurses, while nurses evaluated efficacy of all other interventions significantly higher than psychiatrists and psychologists. CONCLUSIONS: Experts evaluated a variety of clinical interventions as effective in palliating existential suffering, although the perceived levels of efficacy of each intervention differed according to the nature of suffering and their specialties. To effectively alleviate existential suffering in terminally ill cancer patients, an integrated care by an interdisciplinary team is necessary.