{"created":"2023-05-15T09:17:40.081537+00:00","id":651,"links":{},"metadata":{"_buckets":{"deposit":"0d6f00aa-e416-4597-ad29-0ee0aa80838b"},"_deposit":{"created_by":15,"id":"651","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"651"},"status":"published"},"_oai":{"id":"oai:iuhw.repo.nii.ac.jp:00000651","sets":["2:121"]},"author_link":["277","1526","1525","1527"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-02-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"61","bibliographicPageStart":"49","bibliographicVolumeNumber":"20","bibliographic_titles":[{"bibliographic_title":"国際医療福祉大学学会誌"},{"bibliographic_title":"Journal of the International University of Health and Welfare","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Dyspnea in patients with end-stage cancer may develop not as a primary disease but be caused by general debility such as muscle weakness. Furthermore, disease progression in patients with end-stage cancer affects their recognition of dyspnea , thereby making evaluation difficult. This literature review investigated the state of use of evaluation indices for dyspnea in patients with end-stage cancer. Data was extracted from reports published between 1990 and 2013. The state of use of evaluation indices was analyzed when classified by the evaluation method, subjects, and age range. Intervention studies aiming to alleviate the sensation of dyspnea in patients with end-stage cancer were also identified and classified according to the evaluation index used. The different methods of evaluating dyspnea involved measuring the severity of breathlessness, describing the quality of breathlessness, and measuring functional impairment caused by breathlessness. Of these, the most commonly used index for patients with end-stage cancer was measuring the severity of breathlessness, which required measurement of the level of intensity. Most intervention studies aiming to alleviate symptoms in particular used subjective measurement of the severity of breathlessness, which can measure changes in intensity and degree, and discussed the importance of simple methods of evaluation that minimize the burden on patients. Moreover, studies suggested that describing the quality of breathlessness and measuring functional impairment caused by breathlessness, which is mainly used for chronic diseases, could also be used for long-term evaluation of intervention for patients with end-stage cancer and for managing dyspnea.","subitem_description_type":"Abstract"}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"終末期がん患者の呼吸困難感は，原疾患だけでなく筋力低下などの全身衰弱によっても生じ，さらに病状の悪化はその認知にも影響し評価を難しくしている．本研究は，終末期がん患者の呼吸困難感評価指標の使用実態を検討した．1990 ～ 2013 年までを対象に呼吸困難評価に関する文献レビューを実施し，評価方法別，対象別，年代別，介入研究に使用された評価指標について分類整理し，分析を行った．呼吸困難感の評価指標として緩和ケアの視点で分類される量的評価，質的評価（どのような息苦しさか），機能評価（生活への影響）の中でも活用頻度が高かったのは，強さの程度を測る量的評価であった．特に症状緩和を目的とした介入研究においては，強度や程度の変化を測ることができる主観的定量的評価が主流であり，患者への負担を最小限とした評価の簡便性は重要な要素であることが考察された．また質的評価や慢性疾患を中心として使用されていた機能評価は，終末期がん患者における介入の効果の長期的な評価や，呼吸困難感を管理する指標としての可能性を含んでいることが示唆された．","subitem_description_type":"Other"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Maeda, Setsuko"}]},{"nameIdentifiers":[{}],"names":[{"name":"Yamamoto, Keiko"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国際医療福祉大学学会"}]},"item_10001_radio_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_radio_item":"publisher"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID（NCID）","attribute_value_mlt":[{"subitem_source_identifier":"AA12537130","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21863652","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"前田, 節子"},{"creatorName":"マエダ, セツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 敬子"},{"creatorName":"ヤマモト, ケイコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-03-04"}],"displaytype":"simple","filename":"20_1(49-61p).pdf","filesize":[{"value":"967.8 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"本文(PDF)","url":"https://iuhw.repo.nii.ac.jp/record/651/files/20_1(49-61p).pdf"},"version_id":"2d1ff16a-ad54-47e3-b1fb-2d628b1b617a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"呼吸困難感","subitem_subject_scheme":"Other"},{"subitem_subject":"評価指標","subitem_subject_scheme":"Other"},{"subitem_subject":"終末期がん患者","subitem_subject_scheme":"Other"},{"subitem_subject":"文献レビュー","subitem_subject_scheme":"Other"},{"subitem_subject":"dyspnea","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"evaluation indices","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"patients with end-stage cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"literature review","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"終末期がん患者における呼吸困難感評価指標に関する文献レビュー","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"終末期がん患者における呼吸困難感評価指標に関する文献レビュー"},{"subitem_title":"literature review of evaluation indices for dyspnea in patients with end-stage cancer","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"15","path":["121"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-03-04"},"publish_date":"2015-03-04","publish_status":"0","recid":"651","relation_version_is_last":true,"title":["終末期がん患者における呼吸困難感評価指標に関する文献レビュー"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-06-21T10:43:54.348491+00:00"}