2003 300 2015 500 2015 2006 quality of lifeqol 2012 2016 5 research guideline training practice
4 QOL QOL 2013 3
7 1 8 2 8 1 22 23 2 3 3 47 1 2 3 4. 49 1 50 2 51 1 2 3 4 3 73 1 2 3 4 5
87 1 88 2 88 1 2 3 3 100 1 2 3 4 103 1 104 2 104 1 2 3 4 5 6 3 115 1SIGSpecial Interest Group 2 3 4 5
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22 23 1 2 22 23 119 68 66.0 26.5 22.120.6 38.2 17.6 97.1 86.8 64.7 45.6 22 36.6 8
29.6 26.5 85.3 3 10.3 76.5 4 4.4 72.1 14.9 4 44.1 9
1 100. 45. 34. 0 48..6 1 53.7 68.3 50.0 5 39.0 60.3 36.6 12 4 35.3 46.3 39.0 10
WEB NHK5 http://ganjoho.jp/public/index.htmlweb 2012 3 1 28 28 17 2012 4 6 36 36 18 11
No. 1 2 1 5 2 2 3 WEB 7 4 5 / / 6 P412 7 P426 12
8 9 10 11 2 1 p84-85 15 12 13 13
14 15 16 17 / / No. 1 2004 7 ADL 2 2007 10 29 3 PPT 4 5 2006 8 6 2005 11 7 2006 8 8 9 A5 2 SB 7 14
10 11 12 Problem OP OP step 13 1 2 2POD 34 1 2POD 14 1 / 15 / 3 16 17 18 15
R Cancer Information Japan PDQ R http://cancerinfo.tri-ko be.org/web 2012 4 6 29 29 2012 4 6 22 22 19 No. PDQ 1 2010 11 24 2011 12 19 2 2010 11 19 2011 12 19 3 2009 8 28 2010 12 10 16
4 2011 2 4 2011 12 19 5 6 2010 11 16 2011 12 19 2011 2 9 2011 12 19 7 2010 11 29 2011 12 19 8 2011 5 24 2011 12 19 9 / 2010 10 28 2011 12 19 17
10 2011 5 26 2011 12 19 11 2010 7 28 2011 12 19 12 2011 5 20 2011 12 19 13 2011 1 20 2011 12 19 14 2011 1 6 2011 12 19 15 2011 5 20 2011 12 19 18
16 17 18 19 / 20 21 2011 4 15 2011 12 19 2011 3 24 2011 12 19 2011 1 6 2011 12 19 2011 5 27 2011 12 19 2011 3 10 2011 12 19 2011 1 6 2011 12 19 19
22 23 24 25 26 27 2011 3 10 2011 12 19 2011 5 16 2011 12 19 / 2011 5 24 2011 12 19 2011 3 29 2011 12 19 2011 2 7 2011 12 19 LCH 2010 8 13 2011 12 19 20
28 2010 8 31 2011 12 19 29 2011 5 27 2011 12 19 No. PDQ 1 QOL 2011 1 25 2011 4 25 2 LCH QOL / 2012 1 9 2012 3 21 21
3 QOL / 2011 5 20 2011 7 22 4 / 2011 6 30 2011 9 26 5 cognitive-reframing 36 1 2011 6 30 2011 9 26 6 QOL 22
/ 2011 10 13 2011 12 20 7 2011 12 15 2012 2 21 8 QOL 2011 12 5 2012 2 21 9 QOL / 2011 12 8 2012 2 21 10 / QOL 2011 12 8 2012 2 21 11 QOL / 2011 12 21 2012 2 21 23
12 QOL / 2011 12 14 2012 2 21 13 QOL / 2011 12 8 2012 2 21 14 QOL / 2011 12 6 2012 2 21 15 QOL / 2011 12 8 2012 2 21 16 QOL / 2011 12 23 2012 2 21 17 QOL / 2011 12 9 2012 2 21 24
18 QOL / 2011 12 15 2012 2 2 19 QOL / 2011 12 14 2012 2 21 25
http://www.gsic.jp/ WEB 2012 4 6 160 13 No. 1 2004 3 2 2 5 NPO 2 10 2004 12 3 1 2005 7 4 15 1 2005 4 26
5 6 7 15 8 9 3 2005 8 2006 9 2007 1 2007 9 QOL 2008 4 WOC WOCN 27
10 2 11 12 7 13 59 2 2008 4 2008 10 2009 6 2011 2 NHK 2012 3 31 14 No. 1 2 2 20 45 15 1995 2 28 8 35 50 2 1 6 2003 12 16 28
3 NHK 20 00 109 2007 12 29 4 8 35 2008 NTT 1 9 VTR 5 20 00 15 2009 3 16 1 6 20 00 15 2009 3 17 2 7 20 00 15 2009 9 23 29
8 9 10 11 1 20 30 15 20 00 29 20 00 43 E 20 00 29 2010 2010 6 24 2010 12 2 2012 1 20 2012 1 23 30
12 E 20 00 29 2012 1 23 1 2 2008 13 19 30 2012 25 2 3 "" 14 8 15 45 2012 3 21 1 31
5 2012 3 31 12 No. 1 2007 8 11 2007 835 9 2 2 3 15 1,024 2009 4 9 3 28 2,691 2009 4 17 4 LIFE 15 2,155 2011 2 18 5 2010 18 1,765 2011 3 6 6 2010 4 9 1,361 2011 3 24 7 3 30 1,031 2011 7 7 32
8 29 2011 952 7 8 4 9 31 2011 951 7 9 5 10 34 2011 979 7 10 6 11 9 2011 2,681 7 14 12 29 2011 1,186 9 1 2 33
/ / 2012 3 31 27 No. 1 2 3 4 15 2 5 1998 3 1 1999 1 10 1999 2 5 2001 4 5 2001 5 1 100 106 53 116 70 71 120 121 34
6 2001 161 9 20 34 7 2002 74 5 7 76 8 2002 417 11 420 9 2002 76 NHK 12 80 10 ALLAY 2004 108 1 109 35
11 2005 114 NHK 7 119 12 2006 332 8 333 PTOT 13 2007 41 3 5 14 2007 81 BP 10 15 2007 138 12 1 141 36
16 2009 42 BP 2 43 17 2009 74 NHK 3 81 18 AERA 2009 52 2008 7 6 54 19 2009 9 56 NHK 59 20 2009 86 NHK 11 89 37
21 2009 3 2010 91 NHK 3 93 22 2010 62 NHK 6 65 23 2010 162 8 174 24 THEMIS 2010 95 9 25 2010 61 10 30 26 2011 114 9 9 27 STORY 2012 212 3 214 38
amazon WEB 2012 3 1 2,271 2012 3 1 30 12 No. 1 2011 7 6 2 2010 2 24 3 2010 2 19 4 2009 5 8 5 2009 4 1 6 Jack E Thomas Robert L Keith 2008 9 7 2007 5 15 8 2006 4 9 2001 4 10 2000 7 39
11 12 Diana Stumm 1997 3 1991 8 22 200 1 22 23 23 119 2122 5 192 675 22 200 1 21 22 1 64.5% 3 5 40
e-learning A 21 6 27 28 B 22 1 23 24 C 22 7 31 8 1 D 22 7 10 11 E 22 8 21 22 A 59 57.3 103 40 160 60 B 57 67.9 84 30 84 30 C 68 65.4 104 26 932 233 D 128 66.7 192 48 1,236 309 E 125 65.1 192 48 536 129 437 64.5 675 192 2,948 761 A 11.9 30.5 33.9 18.6 5.1 0.0 B 17.5 28.1 29.8 21.1 3.5 0.0 C 25.0 22.1 30.9 19.1 2.9 0.0 D 21.1 19.5 40.6 15.6 3.1 0.0 E 28.2 21.6 32.0 12.0 4.8 0.8 20.7 24.4 33.4 17.3 3.9 0.2 41
A 57.1 14.3 14.3 14.3 0.0 0.0 0.0 B 40.0 20.0 10.0 10.0 0.0 10.0 10.0 C 52.9 5.9 0.0 0.0 17.6 17.6 5.9 D 51.9 7.4 0.0 3.7 11.1 22.2 3.7 E 13.9 5.6 5.6 2.8 27.8 38.9 5.6 43.2 10.6 6.0 6.2 11.3 17.7 5.0 A 47.5 45.8 6.8 0.0 0.0 B 45.6 50.9 3.5 0.0 0.0 C 39,7 50.0 8.8 0.0 1.5 D 38.3 52.3 8.6 0.8 0.0 E 24.8 64.8 8.0 1.6 0.8 39.1 52.8 7.1 0.5 0.5 A 8.5 74.6 16.9 0.0 0.0 B 5.3 91.2 3.5 0.0 0.0 C 13.2 82.4 4.4 0.0 0.0 D 9.4 71.9 18.0 0.8 0.0 E 2.4 77.6 20.0 0.0 0.0 7.8 79.5 12.6 0.2 0.0 A 61.0 16.9 54.2 10.2 6.8 B 70.2 14.0 35.1 10.5 7.0 C 58.8 4.4 36.8 14.7 4.4 D 66.4 24.2 50.0 10.9 1.6 E 52.8 12.8 52.8 14.4 5.6 61.8 14.5 45.8 12.1 5.1 42
A 15.3 44.1 37.3 3.4 0.0 B 10.5 38.6 45.6 5.3 0.0 C 13.2 38.2 35.3 11.8 1.5 D 7.0 39.1 44.5 9.4 0.0 E 6.4 36.8 44.8 12.0 0.0 10.5 39.4 41.4 8.4 0.3 A 32.0 30.5 25.4 8.5 16.9 30.5 B 17.5 28.1 22.8 8.8 21.1 26.3 C 14.7 14.7 19.1 4.4 27.9 39.7 D 41.4 35.2 18.0 3.9 17.2 31.3 E 31.2 24.8 24.0 4.8 17.6 32.8 27.4 26.7 21.9 6.1 20.1 32.1 A 5.1 23.7 22.0 25.4 23.7 B 3.5 24.6 24.6 21.1 26.3 C 4.4 14.7 16.2 17.6 47.1 D 6.3 24.2 16.4 22.7 30.5 E 3.2 20.8 13.6 23.2 39.2 4.5 21.6 18.6 22.0 33.4 A 5.2 27.6 43.1 15.5 8.6 B 22.8 21.1 36.8 12.3 7.0 C 64.4 15.3 15.3 3.4 1.7 D 68.2 12.4 11.6 6.2 1.6 E 45.1 13.5 24.8 9.0 7.5 41.1 18.0 26.3 9.3 5.3 43
1 22.3 2 18.1 3 12.8 4 11.7 5 10.6 6 6.4 7 6.4 8 5.3 9 5.3 10 1.1 1 25.6 2 24.8 3 12.8 4 9.8 5 6.8 5 6.8 7 6.0 8 3.8 9 2.3 10 1.5 A 40.7 62.7 23.7 10.2 22.0 62.7 11.9 B 35.1 59.6 19.3 15.8 21.1 57.9 5.3 C 32.4 69.1 20.6 14.7 17.6 41.2 13.2 D 30.5 65.6 19.5 10.9 10.2 59.4 15.6 E 16.0 39.2 25.6 12.8 14.4 52.8 9.6 2012 1 14 181 44
72 26 93 27 24 2 23 MSW 24 5 96 45 9 1 1 14 3 3 2 2 0 1 2 5 6 9 10 19 20 29 30 39 40 50 11 45 38 49 28 5 0 1 4 33.0 48.6 11.6 0 0 6.6 55.8 35.9 3.3 0 0 5.0 18.8 39.2 176.6 5.5 1.1 18.7 10.5 31.5 27.6 10.5 0 19.9 13.8 48.0 20.4 8.8 0 8.8 1 35.9 13.8 21.5 13.8 6.1 8.8 45
1 116 2 90 3 49 4 45 5 43 6 20 7 36 5% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100 % 10 37 14 18 5 1 1 1 0 5 10 61 18 46
3 Web WEB NHK5 WEB NHK Q 47
e-learning 49 10 151617 48
49
quality of lifeqol Subspeciality QOL QOL activities of daily living ADL instrumental activities of daily livingiadl QOL QOL 50
3 3 31 WEB 4 4 9 WEB 51
3 41.3.30 3 11.3.31 379 1 41.3.30 3 3 3 4 3 4 10.8.28 2 22 52
11 B b c d 18 B f 4 98 21 2 100 23 2 ------------------------------------------------------------------------------------------------------ 22 2 A b 6 A B C D E 7 A B C D E A E o A E b e 53
8 A B C D E 9 A B 10 C D E A B C D E A E c A E a b c d e f g A E i 3 B d 3 B d I e 54
4 47 24 4 46 23 3 45 22 1 44 21 1 200 44 21 45 22 46 23 47 24 ------------------------------------------------------------------------------------------------------ 20 2 A B 6 A O B C D E 55
7 A B C D E 8 A B C D E 9 A B C D E 10 A B C D E e c i 3 I e 4 I e 3 47 2 46 2 45 1 200 45 22 46 23 47 24 ADL ------------------------------------------------------------------------------------------------------ 56
20 4 4 B E 1 D c 4 F b 5 A h d B d e C f a c D 6 C a b c d 2 C a b c 57
1 B E b 1 a b c 1 2 3TE 4 d 1 2 3TE 2 D c 3 12 22 4 13 23 4 14 24 3 200 12 22 13 23 14 24 58
2008 10 11 11 30 8 33 2009 10 30 11 29 6 36 2010 10 10 11 28 6 44 2011 9 23 25 3 77 1. 2. 3. 4. 5. 20 2007 9 2010 2010 59
2011 2012 2 2425 2 56 2009 2011 3 2011 2 2009 9 2627 2 40 2010 8 2122 2 91 2010 5 2223 2 83 2010 12 45 2 100 2011 11 56 2 71 2012 1 1415 2 66 60
2009 2011 3 2011 2011 2011 11 27 1 83 2008 2012 2008 6 51 2009 6 28 2010 6 35 2011 2007 2007 3 9 34 79 29 6 2008 2 17 55 48 20 9 2009 2 32 69 56 36 10 2010 2 74 74 87 48 13 2011 3 144 144 165 91 32 2012 4 203 202 228 113 62 16 479 578 663 337 132 61
2010 2010 4 185 186 225 113 34 2011 4 186 186 211 133 29 2012 4 175 174 204 109 35 12 546 546 640 355 98 20 21 22 23 24 1 1 0 0 0 2 2 4 4 10 62
2 5 3 1 2 23 35 19 20 21 22 23 24 0 2 1 2 2 0 7 0 5 4 8 1 5 23 0 2 3 2 1 3 11 0 0 0 2 0 0 2 2009 3 10 30 2 10 p317-326 2.5% 9 p290-298 2.3% 393 63
4 2,784 2010 3,109 5 0.2% 3 13 4 24 300323 4 7% 333 1 2 3 4 5 1 2 3 4 5 6 2 2004 7 p340-343 4 8 p388-397 10 10 1p472-473 2 477 3.4 64
2007 1 5 6 2008 3 19 2 24 2009 8 5 1 1 15 2010 4 2 3 9 20 38 2011 1 10 11 4 2 16 48 23 1 94 2007 2011 5 94 48 23 16 2008 2007 2011 5 69 17 12 65
2007 0 3 1 1 0 0 2 0 1 8 2008 3 2 0 2 1 0 4 0 7 19 2009 1 4 0 3 1 0 1 0 1 11 2010 4 4 0 2 0 0 1 0 1 12 2011 4 4 0 2 0 2 4 1 2 19 12 17 1 10 2 2 12 1 12 69 ADL QOL 2007 1 1 2008 1 1 2 3 7 2009 1 3 4 2010 4 3 4 7 3 2 7 30 2011 2 1 5 1 1 2 1 13 7 5 9 7 1 7 2 1 2 14 55 2007 2011 5 55 ADLQOL ADLQOL 2010 2 66
2007 2011 5 42 33 2007 3 1 4 2008 3 2 1 6 2009 2 1 1 1 1 1 7 2010 4 1 2 1 1 2 1 12 2011 2 2 4 2 10 4 8 2 2 3 2 33 23 4 1 388 http://ganjoho.jp/public/index.html 25 2 397 WEB 397 179 45.1 19.1 325 1,846 25 2 18.6 WEB 24 2 15 CN 67
24 11 388 24 388 382 98.4 4,082 77,844 5.2 388 23 9 388 331 85.3%1,572 3.5% 0.2%2006 0.1%25 0.2%70 47.2% 18.7% 1 3 3 57 2012 1 1 57,196 44,863 78.4% 23 4 1 388 24 2 388 290 74.7 290 780 13 98 68
24 24 23 24 * 21 2 2 20 197 15 69 14 33 4 4 5 6 0 0 6 40 5 20 4 7 0 0 0 9 2 2 8 46 8 20 6 6 1 0 5 7 0 0 7 76 6 33 4 17 4 1 11 8 0 0 8 65 8 31 6 11 2 0 4 6 2 2 6 37 6 19 6 17 2 0 2 8 1 1 8 188 8 128 5 30 1 0 1 9 4 5 9 118 8 46 5 14 5 0.1 5 6 1 1 6 69 5 37 5 16 4 0.8 6 9 3 3 8 56 7 26 7 14 3 0.8 6 11 3 3 11 121 8 30 4 19 4 0.2 6 14 3 3 13 138 13 58 10 40 9 0.2 11 21 10 14 20 226 19 73 16 54 16 4.6 37 13 6 7 13 132 10 47 9 27 7 0 18 4 0 0 4 18 3 6 2 2 2 0 3 9 0 0 9 69 7 21 7 12 4 0 7 8 3 3 8 222 8 104 8 30 6 0 7 69
* 8 1 1 8 74 8 34 7 14 3 0.2 3 5 1 1 5 59 5 20 5 14 2 0 2 5 3 4 5 58 4 21 4 14 3 0 5 7 6 6 7 122 7 41 7 28 2 0.1 2 11 3 5 11 150 10 66 9 24 5 0.3 11 15 7 15 14 217 14 78 14 46 11 1.2 21 6 2 3 6 36 6 20 4 9 1 0 1 6 2 3 6 77 5 29 6 15 4 0 7 9 5 5 9 93 9 33 7 13 6 0.1 13 14 2 2 14 127 13 44 12 31 9 1.2 14 14 3 4 14 123 12 45 7 15 5 0.6 9 5 1 1 5 40 3 7 4 4 1 0 1 6 1 1 6 50 4 14 6 10 1 0 7 5 0 0 5 38 4 11 4 6 3 0 5 5 1 1 5 51 5 20 5 11 4 0 7 7 1 1 7 121 7 54 7 24 6 0 18 11 6 9 11 91 10 27 10 19 3 0 4 7 2 2 7 61 5 15 6 9 1 0 1 4 0 0 4 23 4 9 3 5 2 0 3 5 0 0 5 57 5 22 5 16 4 0 5 7 2 2 7 66 6 28 6 14 5 0 6 3 1 1 3 29 2 9 3 3 3 0 7 70
* 15 4 4 15 255 11 82 10 35 6 0.2 17 4 1 1 4 34 3 7 3 7 1 0.1 1 6 1 1 6 36 4 10 2 6 1 1 0 8 1 1 8 70 7 24 5 11 5 0 7 7 1 2 7 41 4 15 4 7 3 0 6 3 0 0 3 11 1 3 2 4 1 0 2 8 1 2 8 31 6 11 4 11 3 2.4 5 3 0 0 3 23 3 5 1 6 1 0 1 388 99 124 382 4,082 331 1,572 290 780 179 19.1 325 * 71
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quality of lifeqol 1 23 A 2 22 22 119 200 38.2 17.6 88
2 22 36.6 50 30 11 6 11 6 9 21 10 11 32 03,466 18 5 89
2008 30 2 Hamag 2 uchi 1 A 1,693 5 A 2010 20 10 2 9 010 K.75 94.5 K 45 10 90
1-2 10 DVT 1 5 3-5 3-5 2 67 62 8 90 15.8 K 91
81.7 20 2008 52 010 15 35 31 21 13 15 48 21 2 26 10 35 15 2007 9 K 10 10 23 26 1330 K 35 30 77 18 2010 23 13 26 35 8 28 23 92
A 90 A 2 100 7 http://ganjoho.jp/public/index.html http://www.pref.kanagawa.jp/c nt/f417303/p446906.html http://www.iryo-kensaku.jp/kanagawa/ 93
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415 1 A 650 63 B 48625 31 100 C 442187 D 5024 E 21811 F 199171037 G 1904 H 136211451 I 1248 3 350 2 1 1 2224 8 A 25 B 3 C 95
11 8 6 11 17 6 21 17 40 7 8 11 9 433 25 2 0 17 4 9 1 20 0 0 0 5 26 5 7 0 1 96
5 3 6.49 11 TS1 3 22 4.1 10 5.2 15.7 97
K 0 5 12.6 10 28 6 5.9 14.5 12.6 12.6 15 3.9 11.5 2 20 8.9 25 30 8.9 3.6 7.8 3.9 29.9 18.2 35 10 0 6 58 / 98
activities of daily living ADL / QOL 14 99
4 6 100
ADL 3 1 Hamaguchi T, Okamura H, Nakaya N, et al: Survey of the current status of cancer rehabilitation in Japan. Disabil Rehabil 30: 559-564, 2008. 2,,, :. 70: 231-238, 2011. 3,,, :. Jpn J Rehabil Med 47: 488, 2010. 4,,, :. Jpn J Rehabil Med 47: S167, 2010. 5,,, :. 12: 2-7, 2011. 6,,, : 1 Jpn J Rehabil Med 47: 486, 2010. 7,,, : QOL. 36: 111-118, 2010. 8,,, :. 14: 475, 2010. 9 :. MED REHABIL 111: 45-50, 2009. 10,,, :. Jpn J Rehabil Med 47: 487-488, 2010. 11,, :. 47: 440-444, 2010. 101
103
QOL 2004 2010 2010 2010 30 2011 72 2012 54 14 2008 49 2011 104
1993 7 2003 15 1994 4 2004 39 1995 6 2005 39 1996 4 2006 39 1997 26 2007 33 1998 4 2008 40 1999 9 2009 42 2000 21 2010 59 2001 16 2011 78 2002 18 2012 120 140 120 100 80 60 40 20 0 1 2004 2010 30 2011 72 2012 54 105
2007 14 2008 32 2009 24 2010 24 2011 30 2007 9 2008 16 2009 16 2010 16 2011 15 2007 11 0 0 0 2008 2 0 1 0 2009 7 0 0 0 2010 12 0 0 0 2011 18 1 1 0 2008 18 0 0 2009 17 0 0 2010 35 0 0 2011 27 1 0 2012 21 0 0 106
MEDLINE 19932011 MEDLINE cancer rehabilitation japan 2000 2 2 123 178 MEDLINE 1993 19 15 1994 14 19 1995 12 17 1996 17 10 1997 17 5 1998 18 9 1999 13 11 2000 15 15 2001 13 13 2002 16 16 2003 24 14 2004 19 15 2005 32 30 2006 22 20 2007 38 29 2008 31 25 2009 33 24 2010 34 48 2011 25 24 107
60 50 40 30 20 MEDLINE 10 0 2 2 123 178 19932011 1993 0 0 2003 0 0 1994 0 0 2004 0 0 1995 0 0 2005 0 0 1996 2 0 2006 1 3 1997 0 0 2007 0 0 1998 2 0 2008 1 0 1999 1 0 2009 0 0 2000 1 0 2010 2 1 2001 0 1 2011 0 0 2002 0 0 2012 1 5 108
MEDLINE 0 202 21 1 28 18 2 61 15 3 104 11 4 108 52 5 31 45 6 29 3 7 19 14 8 47 14 629 193 MEDLINE MEDLINE 629 193 MEDLINE 202 100 19 52 3 randomized controlled trialrct Ia RCT Ib IIa IIb III IV I 109
Ia RCT RCT Ib RCT IIa IIb III IV MEDLINE Ia 18 Ib 215 IIa 19 IIb 63 12 III 77 22 IV 20 10 MEDLINE MEDLINE 2000 I RCT 110
QOL 2012 1 14 1 300 23 2 111
CLINICAL REHABILITATION ------------------------------------------------------------------------------------------------------ 112
------------------------------------------------------------------------------------------------------ 2013 1 12 2 MD Rajesh R. Yadav 4 300 ------------------------------------------------------------------------------------------------------ 113
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2224 3 2013 3 14 160-8582 35 TEL03-3353-1211