フランスのがんセンターでの"l'O à la bouche"治療患者教育プログラムの実施:がん後の口腔毒性の管理のための多学科的アプローチ
Caroline de Bataille1, Nathalie Caunes-Hilary1, Aurélie Robello1
1Département de Soins de Support, IUCT Oncopole-Institut Claudius Regaud, Toulouse, France.
まとめ
口腔の毒性を経験する頭頸がん患者のために,新しい治療教育プログラム"l'O à la bouche"が開発されました. このプログラムは,唾液変異やその他の口腔の副作用に対処することによって,自己管理と生活の質を改善することを目的としています.
科学分野:
- 腫瘍学
- 患者 の 教育
- 口腔 衛生
背景:
- 頭頸部がんの治療は,特に放射線治療は,患者の生活の質に影響を与える重度の口腔毒性を引き起こします.
- 既存の治療的患者教育 (TPE) プログラムは,頭頸部がんの生存者の口腔合併症に関する特定のモジュールを欠いています.
- 口内毒性には唾液機能障害,消化不全,骨動性縮症などがあり,標的を絞った介入が必要である.
研究 の 目的:
- 口内毒性のある頭頸がん患者のための革新的なTPEプログラム"l'O à la bouche"の開発と実施について説明します.
- 唾液変異とその経口後遺症に焦点を当てた 専門的なTPEの未充足のニーズに対処する.
主な方法:
- 医療従事者や患者のパートナーを含む 複数の分野からなるチームが このプログラムを開発しました
- 2020年2月から2021年6月にかけて作成されたプログラムは,4つのワークショップで構成されています.
- ワークショップでは口腔生理学,アスピレーションリスク管理,自己ケアテクニック,心理社会的支援を対象としています.
主要な成果:
- その
- オー・ラ・ブース
- プログラムは2020年12月に承認され,2021年6月に開始されました.
- プログラムでは年間12回のワークショップを行い,それぞれ5~8人の患者を診察しています.
- このイニシアチブは,頭頸部がんに関連した口腔合併症のTPEの全国的なギャップを埋めています.
結論:
- その
- オー・ラ・ブース
- 頭頸部がんの患者さんには 専門のTPEを用意しています
- 患者中心のデザインは,臨床的関連性を確保し,患者の自己管理を強化します.
- このモデルは 治療の順守を向上させ 標的型教育を通じて 生活の質を最適化できます
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