図 1 緩和ケアチーム情報共有データベースの患者情報画面 1 患者氏名, 生年月日, 性別, 緩和ケアチームへの依頼内容について,2 入退院記録, 3カンファレンス ラウンド実施一覧,4 問題点のリスト,5 介入内容の記録. 図 2 緩和ケアチームカンファレンス ラウンドによる患者評価入力画面 (
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1 2015; 10(2): 活動報告 緩和ケアチームデータベースの改良に向けた取り組み 渡邊裕之 1,4), 江藤美和子 2,4) 3,4), 山﨑圭一 受付日 2014 年 9 月 10 日 / 改訂日 2015 年 1 月 29 日 / 受理日 2015 年 2 月 3 日 2011 年に, ベルランド総合病院緩和ケアチーム ( 以下,PCT) で構築した PCT 情報共有データベース ( 以下,DB) の有用性を報告した. 今回は,PCT のニーズに応じて DB の改良を行った. おもに以下の 5 点について DB の改良を行った. 1) 各 PCT メンバーが患者介入時の記録を自由記載するフォームを設けた.2) 問題点ごとに提案内容を入力するフォームの改良を行った.3) 患者情報データシート上に STAS J の評価を時系列に表示できるようにした.4)Palliative Prognostic Index の計算フォームを追加した.5) 日本緩和医療学会に提出する緩和ケアチーム登録に必要なデータを簡便に抽出できるようにした. この DB は市販の DB 作成ソフトで構築されており, どの施設でも利用可能であることが有用な点であると思われる. Palliat Care Res 2015; 10(2): Key words: 緩和ケアチーム, データベース, 情報共有,Microsoft Access 緒言 PCT CR PCT MSW CR PCT 1 DB DB 1 DB STAS Support Team Assessment Schedule 2 STAS STAS J 3,4 PCT CR DB PCT DB DB 1 方法 (DB の改良 ) DB Microsoft Access 2007 DB 5 1 介入内容の追加 ( 図 1 5) DB PCT CR CR 2 問題点ごとの提案内容入力フォームの追加 DB PCT 図 Palliative Prognostic Index の追加 ( 図 2) Palliative Prognostic Index 5 4 患者情報データシートの改良 ( 図 3) DB A4 2 1 ID CR ADL activities of daily living performance status PCT 2 PCT DB STAS J 図 3 右下 Corresponding Author TEL FAX E mail nabe_hirow1212_pharma@yahoo.co.jp 緩和ケアチームデータベースの改良 901
2 図 1 緩和ケアチーム情報共有データベースの患者情報画面 1 患者氏名, 生年月日, 性別, 緩和ケアチームへの依頼内容について,2 入退院記録, 3カンファレンス ラウンド実施一覧,4 問題点のリスト,5 介入内容の記録. 図 2 緩和ケアチームカンファレンス ラウンドによる患者評価入力画面 ( 左上 ) と Palliative Prognostic Index 計算フォーム ( 右下 ) 902 緩和ケアチームデータベースの改良
3 緩和ケアチーム情報共有データベースから出力される患者情報データシート 2 枚目 緩和ケアチームからの提案内容 最新順 時系列で示した STAS J の評価 1 枚目 患者基本情報 ID 氏名 性別 年齢 カンファレンスおよび病棟ラウンド実施 日 ラウンド対象有無 ADL activities of daily living performance status 安静度 疼痛部位 痛みの性質 緩和ケアチームへの依頼内容 各職種の情報 介入内 容 図3 Palliative Care Research 緩和ケアチームデータベースの改良 903
4 5 緩和ケアチーム登録のデータ抽出機能 http: pct index.php DB ID performance status 考察 PCT DB PCT CR CR PCT STAS J 1 DB PCT 1 PCT PCT 1 CR PCT STAS J PCT PCT CR STAS J Palliative Prognostic Index 5 1 PCT DB DB DB PCT DB PCT PCT 謝辞 DB PCT 文献 1 Palliative Care Res Carson MG, Fitch MI, Vachon ML. Measuring patient outcomes in palliative care a reliability and validity study of the Support Team Assessment Schedule. Palliat Med STAS J Miyashita M, Matoba K, Sasahara T, et al. Reliability and validity of the Japanese version of the Support Team Assessment Schedule STAS J. Palliat Support Care Morita T, Tsunoda J, Inoue S, et al. The Palliative Prognostic Index a scoring system for survival prediction of terminally ill cancer patients. Support Care Cancer 緩和ケアチームデータベースの改良
5 Clinical Practice Report The approach for development of palliative care team database Hiroyuki Watanabe 1,4), Miwako Eto 2,4) and Keiichi Yamasaki 3,4) 1 Department of Pharmacy, Bell Land General Hospital currently Department of Pharmacy, Nara Medical University Hospital, 2 Department of Nursing, Bell Land General Hospital, 3 Department of Breast Surgery and Palliative Medicine, ditto, 4 Palliative Care Team, ditto In 2011, we reported the usefulness of a database(db)that was established by the members of a palliative care team (PCT). Since then, we updated DB depending on the requests of PCT. We revised DB mentioned below. We developed a form for keeping a record of PCT members care for patients, their family members or others, and a record of recommendation for each problem list. We also updated another form so that the evaluation of Support Team Assessment Schedule of Japan(STAS J)had been showed sequentially, added an entry form of Palliative Prognostic Index, and extracted data required by Japan Society for Palliative Medicine in order to evaluate the activity of PCT. The database could be used by many hospitals, because it was created by the commercially available software. Palliat Care Res 2015; 10(2): Key words: palliative care team, database, information sharing, Microsoft Access Development of palliative care team database 905
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