{"id":2971,"date":"2026-01-14T08:52:16","date_gmt":"2026-01-13T23:52:16","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2971"},"modified":"2026-01-14T08:52:16","modified_gmt":"2026-01-13T23:52:16","slug":"%e7%b5%82%e6%9c%ab%e6%9c%9f%e3%81%8c%e3%82%93%e6%82%a3%e8%80%85%e3%81%ae%e5%9c%a8%e5%ae%85%e7%99%82%e9%a4%8a%e7%b6%99%e7%b6%9a%e3%82%92%e4%bf%83%e9%80%b2%e3%83%bb%e9%98%bb%e5%ae%b3%e3%81%99%e3%82%8b","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2971","title":{"rendered":"\u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306e\u5728\u5b85\u7642\u990a\u7d99\u7d9a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u304c\u6b7b\u4ea1\u5834\u6240\u306b\u4e0e\u3048\u305f\u5f71\u97ff\uff0d\u7d4c\u6642\u7684\u306a\u30d1\u30bf\u30fc\u30f3\u306e\u5206\u985e\u5316\uff0d"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\n\u5927\u5712\u5eb7\u6587, \u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306e\u5728\u5b85\u7642\u990a\u7d99\u7d9a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u304c\u6b7b\u4ea1\u5834\u6240\u306b\u4e0e\u3048\u305f\u5f71\u97ff\uff0d\u7d4c\u6642\u7684\u306a\u30d1\u30bf\u30fc\u30f3\u306e\u5206\u985e\u5316\uff0d, Palliative Care Research, 2014\uff1b9(1)\uff1a121-8<\/p>\n<p>-\u8981\u7d04-<br \/>\n1. Introduction\uff1a\u7814\u7a76\u306e\u80cc\u666f\u3068\u76ee\u7684<br \/>\n\u80cc\u666f\uff1a\u5728\u5b85\u7642\u990a\u306e\u73fe\u72b6\u3068\u8ab2\u984c<br \/>\n\u56fd\u6c11\u306e\u5e0c\u671b\u3068\u73fe\u5b9f\u306e\u4e56\u96e2: \u65e5\u672c\u306e\u4e00\u822c\u56fd\u6c11\u306e40\u301c60%\u304c\u7d42\u672b\u671f\u3092\u81ea\u5b85\u3067\u904e\u3054\u3057\u305f\u3044\u3068\u671b\u3093\u3067\u3044\u307e\u3059\u304c\u30012010\u5e74\u6642\u70b9\u3067\u306e\u75c5\u9662\u6b7b\u306f\u7d0477.9%\u306b\u4e0a\u308a\u3001\u304c\u3093\u60a3\u8005\u306e\u5728\u5b85\u6b7b\u306f\u7d047.4%\u306b\u7559\u307e\u3063\u3066\u3044\u307e\u3059 \u3002<br \/>\n\u7642\u990a\u7d99\u7d9a\u306e\u56f0\u96e3\u3055: \u5728\u5b85\u7642\u990a\u3092\u65ad\u5ff5\u3059\u308b\u7406\u7531\u3068\u3057\u3066\u3001\u5bb6\u65cf\u306e\u4ecb\u8b77\u8ca0\u62c5\u3084\u75c7\u72b6\u6025\u5909\u6642\u3078\u306e\u4e0d\u5b89\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059 \u3002<br \/>\n\u5148\u884c\u7814\u7a76\u3067\u5206\u304b\u3063\u3066\u3044\u306a\u3044\u3053\u3068<br \/>\n\u5728\u5b85\u6b7b\u306e\u95a2\u9023\u8981\u56e0\u3084\u5e0c\u671b\u3068\u5b9f\u969b\u306e\u6b7b\u4ea1\u5834\u6240\u306e\u4e00\u81f4\u306b\u95a2\u3059\u308b\u7814\u7a76\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u5728\u5b85\u7642\u990a\u4e2d\u306e\u51fa\u6765\u4e8b\u304c\u300c\u4fc3\u9032\u300d\u307e\u305f\u306f\u300c\u963b\u5bb3\u300d\u306e\u3069\u3061\u3089\u306b\u50cd\u304d\u3001\u6700\u7d42\u7684\u306a\u6b7b\u4ea1\u5834\u6240\u306b\u3069\u3046\u5f71\u97ff\u3059\u308b\u304b\u3092\u7d4c\u6642\u7684\u306b\u5206\u6790\u3057\u305f\u7814\u7a76\u306f\u898b\u5f53\u305f\u308a\u307e\u305b\u3093 \u3002<br \/>\n\u672c\u7814\u7a76\u306e\u76ee\u7684<br \/>\n\u8a2a\u554f\u770b\u8b77\u5e2b\u3078\u306e\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u901a\u3058\u3066\u3001\u5728\u5b85\u7642\u990a\u7d99\u7d9a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u3092\u6642\u7cfb\u5217\u3067\u6574\u7406\u3057\u3001\u305d\u308c\u304c\u6b7b\u4ea1\u5834\u6240\u306b\u4e0e\u3048\u305f\u5f71\u97ff\u3092\u30d1\u30bf\u30fc\u30f3\u5206\u985e\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059 \u3002<\/p>\n<p>2. Method\uff1a\u7814\u7a76\u65b9\u6cd5<br \/>\n\u8abf\u67fb\u5bfe\u8c61\u3068\u65b9\u6cd5<br \/>\n\u3000\u5bfe\u8c61\u8005: \u95a2\u6771\u30fb\u4e2d\u90e8\u5730\u65b9\u306e\u8a2a\u554f\u770b\u8b77\u30b9\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u52e4\u52d9\u3059\u308b\u3001\u7d4c\u9a131\u5e74\u4ee5\u4e0a\u306e\u8a2a\u554f\u770b\u8b77\u5e2b17\u540d \u3002<br \/>\n\u3000\u30c7\u30fc\u30bf\u53ce\u96c6: \u8a2a\u554f\u770b\u8b77\u5e2b\u304c\u62c5\u5f53\u3057\u305f\u300c\u5728\u5b85\u6b7b\u4e8b\u4f8b\u300d\u3068\u300c\u75c5\u9662\u6b7b\u4e8b\u4f8b\u300d\u8a0834\u4e8b\u4f8b\u306b\u3064\u3044\u3066\u3001\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u5b9f\u65bd\u3057\u307e\u3057\u305f \u3002<br \/>\n\u3000\u5206\u6790\u306e\u6642\u671f\u533a\u5206: \u5728\u5b85\u7642\u990a\u671f\u9593\u3092\u4ee5\u4e0b\u306e3\u671f\u306b\u5206\u985e\u3057\u307e\u3057\u305f \u3002<br \/>\n\u3000\u5c0e\u5165\u671f: \u9000\u9662\u6570\u65e5\u524d\u301c\u958b\u59cb1\u9031\u9593<br \/>\n\u3000\u5b89\u5b9a\u671f: 2\u9031\u9593\u76ee\u301c\u6b7b\u4ea11\u9031\u9593\u524d<br \/>\n\u3000\u81e8\u6b7b\u671f: \u6b7b\u4ea1\u524d\u7d041\u9031\u9593<br \/>\n\u7279\u6b8a\u306a\u5206\u6790\u624b\u6cd5\uff1a\u6570\u5024\u5316\u3068\u30d1\u30bf\u30fc\u30f3\u5316<br \/>\n\u3000\u70b9\u6570\u5316: \u4fc3\u9032\u3059\u308b\u51fa\u6765\u4e8b\u3092\u300c+1\u70b9\u300d\u3001\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u3092\u300c-1\u70b9\u300d\u3068\u8a2d\u5b9a\u3057\u307e\u3057\u305f \u3002<br \/>\n\u3000\u59cb\u70b9\u306e\u8a2d\u5b9a: \u5c0e\u5165\u671f\u306b\u5728\u5b85\u6b7b\u306e\u5e0c\u671b\u304c\u3042\u308c\u3070\u300c+1\u300d\u3001\u5165\u9662\u5e0c\u671b\u306a\u3089\u300c-1\u300d\u3001\u4e0d\u660e\u306a\u3089\u300c0\u300d\u304b\u3089\u958b\u59cb\u3057\u307e\u3057\u305f \u3002<br \/>\n\u3000\u30d1\u30bf\u30fc\u30f3\u306e\u5c0e\u51fa: \u6642\u7cfb\u5217\u306b\u70b9\u6570\u3092\u30ab\u30a6\u30f3\u30c8\u3057\u3001\u305d\u306e\u52d5\u304d\u306e\u985e\u4f3c\u6027\u304b\u3089\u30d1\u30bf\u30fc\u30f3\u3092\u5206\u985e\u3057\u307e\u3057\u305f \u3002<\/p>\n<p>3. Results\uff1a\u7814\u7a76\u7d50\u679c<br \/>\n\u5728\u5b85\u7642\u990a\u306e\u7d99\u7d9a\u3092\u5de6\u53f3\u3059\u308b\u51fa\u6765\u4e8b\u304c\u62bd\u51fa\u3055\u308c\u3001\u6700\u7d42\u7684\u306b6\u3064\u306e\u30d1\u30bf\u30fc\u30f3\u306b\u5206\u985e\u3055\u308c\u307e\u3057\u305f \u3002<br \/>\n\u5728\u5b85\u7642\u990a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u4e3b\u306a\u51fa\u6765\u4e8b\uff08\u629c\u7c8b\uff09<br \/>\n\u6642\u671f<br \/>\n\u3000\u4fc3\u9032\u3059\u308b\u51fa\u6765\u4e8b\uff08\u4f8b\uff09<br \/>\n\u3000\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\uff08\u4f8b\uff09<br \/>\n\u5c0e\u5165\u671f<br \/>\n\u3000\u7642\u990a\u8005\u30fb\u5bb6\u65cf\u306e\u5728\u5b85\u5e0c\u671b\u3001\u4ecb\u8b77\u529b\u304c\u3042\u308b<br \/>\n\u3000\u5bb6\u65cf\u306e\u4ecb\u8b77\u6d88\u6975\u6027\u3001\u672a\u544a\u77e5\u3001\u4ecb\u8b77\u529b\u4e0d\u8db3<br \/>\n\u5b89\u5b9a\u671f<br \/>\n\u3000\u4e3b\u6cbb\u533b\u306e\u7a4d\u6975\u7684\u95a2\u4e0e\u3001\u75c7\u72b6\u306e\u5b89\u5b9a<br \/>\n\u3000\u4e3b\u6cbb\u533b\u306e\u5165\u9662\u63a8\u5968\u3001\u5bb6\u65cf\u306e\u4ecb\u8b77\u8ca0\u62c5\u30fb\u4e0d\u5b89<br \/>\n\u81e8\u6b7b\u671f<br \/>\n\u3000\u81ea\u5b85\u3067\u306e\u770b\u53d6\u308a\u8aac\u660e\u3001\u526f\u4ecb\u8b77\u8005\u306e\u5f37\u3044\u5e0c\u671b<br \/>\n\u3000\u75c7\u72b6\u5897\u5f37\uff08\u75bc\u75db\u30fb\u547c\u5438\u56f0\u96e3\uff09\u3001ADL\u4f4e\u4e0b<\/p>\n<p>\u6b7b\u4ea1\u5834\u6240\u5225\u306e\u30d1\u30bf\u30fc\u30f3\u5206\u985e<br \/>\nA. \u5728\u5b85\u6b7b\u306b\u81f3\u3063\u305f\u30d1\u30bf\u30fc\u30f3\uff08\u8a0817\u4f8b\uff09<br \/>\n\u3000\u7d42\u59cb\u5728\u5b85\u7642\u990a\u5e0c\u671b\u578b: \u5c0e\u5165\u671f\u304b\u3089\u5f37\u3044\u5e0c\u671b\u304c\u3042\u308a\u3001\u75c7\u72b6\u3082\u6bd4\u8f03\u7684\u5b89\u5b9a\u3057\u3066\u7d4c\u904e\uff087\u4f8b\uff09<br \/>\n\u3000\u63fa\u308c\u52d5\u304d\u578b: \u4ecb\u8b77\u8ca0\u62c5\u3084\u4e0d\u5b89\u3067\u5165\u9662\u3092\u691c\u8a0e\u3057\u3064\u3064\u3082\u3001\u533b\u7642\u8005\u306e\u652f\u63f4\u3067\u5728\u5b85\u6b7b\uff087\u4f8b\uff09<br \/>\n\u3000\u526f\u4ecb\u8b77\u8005\u4e3b\u5c0e\u578b: \u4e3b\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u304c\u9650\u754c\u306b\u9054\u3057\u3066\u3082\u3001\u540c\u5c45\u3057\u3066\u3044\u306a\u3044\u89aa\u65cf\u7b49\u306e\u5f37\u3044\u5e0c\u671b\u3067\u7d99\u7d9a\uff083\u4f8b\uff09<br \/>\nB. \u75c5\u9662\u6b7b\u306b\u81f3\u3063\u305f\u30d1\u30bf\u30fc\u30f3\uff08\u8a0817\u4f8b\uff09<br \/>\n\u3000\u75c7\u72b6\u5897\u5f37\u6642\u5165\u9662\u578b: \u6bd4\u8f03\u7684\u5b89\u5b9a\u3057\u3066\u3044\u305f\u304c\u3001\u81e8\u6b7b\u671f\u306e\u82e6\u75db\u75c7\u72b6\u306b\u5bb6\u65cf\u304c\u5bfe\u5fdc\u3067\u304d\u305a\u5165\u9662\u3059\u308b\uff086\u4f8b\uff09 \u3002<br \/>\n\u3000\u963b\u5bb3\u51fa\u6765\u4e8b\u84c4\u7a4d\u578b: \u7642\u990a\u8005\u306e\u5e0c\u671b\u304c\u3042\u3063\u3066\u3082\u3001\u4ecb\u8b77\u529b\u4e0d\u8db3\u3084\u8ca0\u62c5\u5897\u304c\u7a4d\u307f\u91cd\u306a\u308a\u5165\u9662\u306b\u81f3\u308b\uff086\u4f8b\uff09 \u3002<br \/>\n\u3000\u6d88\u6975\u7684\u5728\u5b85\u7642\u990a\u578b: \u5c0e\u5165\u671f\u304b\u3089\u5bb6\u65cf\u304c\u6d88\u6975\u7684\u3001\u307e\u305f\u306f\u533b\u5e2b\u304c\u6700\u521d\u304b\u3089\u5165\u9662\u65b9\u91dd\u3067\u3042\u308a\u5165\u9662\u3068\u306a\u308b\uff085\u4f8b\uff09 \u3002<\/p>\n<p>4. Discussion\uff1a\u8003\u5bdf\u3068\u4eca\u5f8c\u306e\u8ab2\u984c<br \/>\n\u672c\u7814\u7a76\u306e\u793a\u5506<br \/>\n\u3000\u65e9\u671f\u306e\u610f\u601d\u6c7a\u5b9a: \u7a4d\u6975\u7684\u6cbb\u7642\u304c\u56f0\u96e3\u306b\u306a\u3063\u305f\u6bb5\u968e\u304b\u3089\u3001\u6b8b\u3055\u308c\u305f\u6642\u9593\u306e\u904e\u3054\u3057\u65b9\u306b\u3064\u3044\u3066\u672c\u4eba\u30fb\u5bb6\u65cf\u306e\u610f\u601d\u3092\u660e\u78ba\u306b\u3059\u308b\u3053\u3000\u3068\u304c\u91cd\u8981\u3067\u3059 \u3002<br \/>\n\u3000\u4e88\u6e2c\u7684\u306a\u60c5\u5831\u63d0\u4f9b: \u300c\u75c7\u72b6\u5897\u5f37\u6642\u5165\u9662\u578b\u300d\u3092\u56de\u907f\u3059\u308b\u306b\u306f\u3001\u4eca\u5f8c\u8d77\u3053\u308a\u3046\u308b\u75c7\u72b6\u3068\u305d\u306e\u5bfe\u5fdc\u7b56\u3092\u4e8b\u524d\u306b\u4f1d\u3048\u3001\u5bb6\u65cf\u306e\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u652f\u63f4\u304c\u6c42\u3081\u3089\u308c\u307e\u3059 \u3002<br \/>\n\u3000\u4eba\u7684\u74b0\u5883\u306e\u8abf\u6574: \u4e3b\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u3092\u628a\u63e1\u3057\u3001\u526f\u4ecb\u8b77\u8005\u306e\u5354\u529b\u3092\u5f15\u304d\u51fa\u3059\u3053\u3068\u304c\u5728\u5b85\u6b7b\u5b9f\u73fe\u306e\u9375\u3068\u306a\u308a\u307e\u3059 \u3002<br \/>\n\u7814\u7a76\u306e\u9650\u754c\u3068\u8ab2\u984c<br \/>\n\u3000\u5bfe\u8c61\u306e\u504f\u308a: \u8a2a\u554f\u770b\u8b77\u5e2b17\u540d\u306b\u3088\u308b\u9061\u53ca\u7684\u306a\u5831\u544a\u3067\u3042\u308a\u3001\u4e8b\u4f8b\u6570\u304c\u5c11\u306a\u3044\u305f\u3081\u3001\u5b9f\u614b\u3092\u5341\u5206\u306b\u53cd\u6620\u3067\u304d\u3066\u3044\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059 \u3002<br \/>\n\u3000\u8996\u70b9\u306e\u9650\u5b9a: \u7642\u990a\u8005\u672c\u4eba\u3084\u5bb6\u65cf\u304b\u3089\u76f4\u63a5\u5f97\u3089\u308c\u305f\u30c7\u30fc\u30bf\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u672a\u62bd\u51fa\u306e\u8981\u56e0\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093 \u3002<br \/>\n\u3000\u4eca\u5f8c\u306e\u8ab2\u984c: \u5b9f\u969b\u306b\u7642\u990a\u4e2d\u306e\u60a3\u8005\u30fb\u5bb6\u65cf\u3084\u3001\u533b\u5e2b\u30fb\u30b1\u30a2\u30de\u30cd\u30b8\u30e3\u30fc\u306a\u3069\u591a\u8077\u7a2e\u3092\u5bfe\u8c61\u3068\u3057\u305f\u8abf\u67fb\u3092\u884c\u3044\u3001\u3088\u308a\u5305\u62ec\u7684\u306a\u610f\u601d\u6c7a\u5b9a\u652f\u63f4\u3092\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059 \u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112026\u5e741\u670814\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>-\u6587\u732e\u540d- \u5927\u5712\u5eb7\u6587, \u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306e\u5728\u5b85\u7642\u990a\u7d99\u7d9a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u304c\u6b7b\u4ea1\u5834\u6240\u306b\u4e0e\u3048\u305f\u5f71\u97ff\uff0d\u7d4c\u6642\u7684\u306a\u30d1\u30bf\u30fc\u30f3\u306e\u5206\u985e\u5316\uff0d, Palliative Care Research, 2014\uff1b9(1)\uff1a121-8 -\u8981\u7d04- &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2971\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u7d42\u672b\u671f\u304c\u3093\u60a3\u8005\u306e\u5728\u5b85\u7642\u990a\u7d99\u7d9a\u3092\u4fc3\u9032\u30fb\u963b\u5bb3\u3059\u308b\u51fa\u6765\u4e8b\u304c\u6b7b\u4ea1\u5834\u6240\u306b\u4e0e\u3048\u305f\u5f71\u97ff\uff0d\u7d4c\u6642\u7684\u306a\u30d1\u30bf\u30fc\u30f3\u306e\u5206\u985e\u5316\uff0d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,12],"tags":[],"class_list":["post-2971","post","type-post","status-publish","format-standard","hentry","category-4","category-12"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2971"}],"version-history":[{"count":5,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2971\/revisions"}],"predecessor-version":[{"id":2983,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2971\/revisions\/2983"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}