演題抄録

一般口演

開催概要
開催回
第56回・2018年・横浜
 

がん化学療法の副作用に関連した生活の質に対する薬剤師カウンセリングの効果

演題番号 : O49-3

[筆頭演者]
演者)田中 和秀:1,2 
[共同演者]
寺町 ひとみ:2、堀 晃代:1、舘 知也:1,2、大澤 友裕:1、長屋 雄大:1、牧野 哲平:1、井上 誠二:1、安田 昌宏:1、水井 貴詞:1、中田 琢巳:3、後藤 千寿:1

1:岐阜市民病院・薬剤部、2:岐阜薬科大学病院・薬学、3:岐阜市民病院・乳腺外科

 

Background
In recent years, cancer chemotherapy is being conducted at outpatient clinics, wherein pharmacists are involved with patient guidance and the management of adverse events as experts in medication therapy. However, the relationship between pharmacist involvement and patient quality of life has not been clarified. Therefore, the purpose of this study was to clarify the influence of pharmacist involvement during the counseling of patients with cancer on patients' quality of life.

Methods
We conducted a survey to assess the quality of life of 39 patients with breast cancer who underwent their initial course of outpatient cancer chemotherapy at Gifu Municipal Hospital from 2013 to 2015. Patients completed the quality of life survey immediately before the 1st, 2nd, and 3rd courses of treatment. The survey was based on an instrument obtained from a paper entitled, "Quality of Life Questionnaire for Cancer Patients Treated with Anticancer Drugs." Data on the patients' side effects of chemotherapy were obtained from electronic medical records.

Results
Twenty patients were assigned to the counseling group, which received pharmacist counseling. Nineteen patients were assigned to the observation group, which received no pharmacist counseling. Nausea, alopecia, and anorexia were the side effects that occurred in more than half of patients. Significant group differences in the change from before the 1st to 3rd course of treatment were found on total quality of life and the subscales of social relationships for nausea (p=0.049, p=0.006, respectively).

Conclusions
Results suggest that receiving pharmacists' guidance on adverse events and individually adjusted prescriptions tailored to address the occurrence of adverse events improved the treatment environment and enhanced the quality of life in the counseling group. These findings are beneficial in maintaining patients' quality of life during cancer treatment.

キーワード

臓器別:乳腺

手法別:QOL

前へ戻る