日本におけるプライマリケア医のがん生存ケア実践に関連する要因:横断的なアンケート調査

Akihiro Nishi¹, Hiroki Matsui², Takashi Chinen³

¹Home Care Medicine Kameda Medical Center Chiba Japan.

Journal of general and family medicine

|September 4, 2025

まとめ

癌の生存者のケアには主要医療従事者の関与が不可欠です患者と腫瘍学者の要求は,様々なケアコンポーネントにおけるPCPの実践に大きく影響し,その重要な役割を強調しています.

科学分野:

腫瘍学
主要治療薬
医療サービス研究

背景:

主治医 (PCP) は,がん生存者のケアにおいて重要な役割を果たします.
現在,PCPの生存者ケアへの関与は不十分です.
特定の生存者ケアにおけるPCPの関与に影響を与える要因は十分に研究されていない.

研究の目的:

癌の生存ケアにおけるPCPの実践に関連する要因を特定する.
PCPが再発の監視,遅い効果のケア,心理的な問題,社会的問題に関与するかを評価する.

主な方法:

オンラインアンケート調査は,日本の1091人の家庭医に配布されました.
4つのがん生存ケア要素が評価されました.
多変数ロジスティック回帰は,実践と知識,情報資源,腫瘍学者のアクセス,および要求の間の関連を分析しました.

主要な成果:

知識・情報資源は,後遺症のケア (OR,5.09) と心理的問題 (OR,4.77) と関連付けられました.
腫瘍医へのアクセスが再発の監視と相関している (OR, 2.97).
患者と腫瘍学者の要求は,ほとんどのケアコンポーネントと関連していました.

結論:

患者と腫瘍学者の要求は,PCPの生存者ケアへの関与に不可欠です.
PCPは積極的に患者のニーズを特定する必要があります.
患者と腫瘍医との信頼関係を築くことは生存者のケアを改善するために不可欠です

キーワード:

癌の生存者横断的な研究腫瘍学者医療従事者調査とアンケート生き残りについて

さらに関連する動画

04:57

Establishing a Competing Risk Regression Nomogram Model for Survival Data

Published on: October 23, 2020

10.3K

06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.4K

関連する概念動画

01:21

Cancer Survival Analysis

445

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

445

01:18

Factors Affecting Illness

4.4K

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...

4.4K

02:59

Cancer Prevention

6.3K

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...

6.3K

02:56

Treatment Resistant Cancers

3.4K

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...

3.4K

01:27

Nursing Ethical Principles II

1.3K

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...

1.3K

01:13

Patient-centered Care

2.3K

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...