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Palliative Care Research ; : 108-113, 2014.
Article in Japanese | WPRIM | ID: wpr-375370

ABSTRACT

<b>Purpose</b>: To clarify the effect of a palliative care team intervention for nausea of cancer patients. <b>Methods</b>: The study participants were all cancer patients who were referred to a palliative care team in Yodogawa Christian Hospital in 2010, and had nausea with score 2 or over of the Support Team Assessment Schedule Japanese version (STAS-J). The causes of nausea were classified into 4 categories. Etiology-based antiemetic medications were recommended, and the intensities of nausea were assessed using the STAS-J on the day of referral, and 7 days after. <b>Result</b>: Among 27 patients were recruited for this study, 24 were assessed 7 days after. Nine patients had chemically induced nausea, eight had impaired gastric emptying, four had vestibular and central nervous system disturbance, and three had bowel obstruction. The mean STAS-J score significantly decreased from 3.0 (SD, 0.55) on the day of referral to 1.1 (0.80) after 7 days (<i>p</i><0.001). Two patients had mild drowsiness. <b>Conclusion</b>: The recommendations of etiology-based antiemetics by the palliative care team may be effective for managing nausea in cancer patients.

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