{"id":674,"date":"2011-01-12T10:37:12","date_gmt":"2011-01-12T01:37:12","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=674"},"modified":"2015-08-07T10:39:16","modified_gmt":"2015-08-07T01:39:16","slug":"%ef%bd%9e%e9%87%8d%e7%97%87%e8%aa%8d%e7%9f%a5%e7%97%87%e6%82%a3%e8%80%85%e3%81%ae%e8%82%ba%e7%82%8e%e6%b2%bb%e7%99%82%e3%81%ae%e6%84%8f%e7%be%a9%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=674","title":{"rendered":"\uff5e\u91cd\u75c7\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u80ba\u708e\u6cbb\u7642\u306e\u610f\u7fa9\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011<br \/>\n\u2028Givens JL, Jones RN, et al. Survival and Comfort After Treatment of Pneumonia in Advanced Dementia. Arch Intern Med 170 (13), 1107-9.\u2028\u2028\u2028\u2028<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\u2028[\u76ee\u7684]\u2028\u91cd\u5ea6\u8a8d\u77e5\u75c7\u3084\u8001\u5e74\u671f\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u80ba\u708e\u306e\u6297\u83cc\u85ac\u6cbb\u7642\u304c\u300c\u751f\u547d\u4e88\u5f8c\u300d\u3084\u300c\u751f\u6d3b\u306e\u5feb\u9069\u3055\u30fb\u5b89\u697d\u3055\u300d\u3092\u6539\u5584\u3057\u3046\u308b\u304b\u3069\u3046\u304b\u660e\u3089\u304b\u306b\u3059\u308b\u3002\u2028\u2028<\/p>\n<p>[\u7814\u7a76\u30c7\u30b6\u30a4\u30f3]<br \/>\n\u2028\u524d\u5411\u304d\u30b3\u30db\u30fc\u30c8\u7814\u7a76(CASCADE)\u2028\uff08\u6700\u5927\u306718\u304b\u6708\u53c8\u306f\u4ea1\u304f\u306a\u308b\u307e\u3067\u8ffd\u3063\u305f\u3002\uff09<\/p>\n<p>\u2028\u2028[\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0]\u2028<br \/>\n2003\uff5e2009\u5e74\u306e\u30dc\u30b9\u30c8\u30f3\u3001\u30de\u30b5\u30c1\u30e5\u30fc\u30bb\u30c3\u30c4\u306e22\u30ca\u30fc\u30b7\u30f3\u30b0\u30db\u30fc\u30e0\u5165\u5c45\u8005323\u4eba\u2028\u2028<\/p>\n<p>[\u5bfe\u8c61\u96c6\u56e3]\u2028<br \/>\n\u91cd\u5ea6\u8a8d\u77e5\u75c7\u306e\u5165\u5c45\u8005\u3067\u80ba\u708e\u3068\u78ba\u5b9a\u8a3a\u65ad\u3055\u308c\u305f\u60a3\u8005\u3000Table\uff11\u53c2\u7167\u3002<br \/>\n\u2028\u203b\u3053\u308c\u306fCASCADE\u306e\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u3068\u4f3c\u901a\u3063\u3066\u3044\u308b\u2605\u4ee3\u8868\u7684\u306a\u96c6\u56e3\u304c\u9078\u3070\u308c\u3066\u3044\u308b\u304b\uff1f\u2028<br \/>\n\u30fb60\u6b73\u4ee5\u4e0a\u2028<br \/>\n\u30fb\u3044\u305a\u308c\u306etype\u306e\u8a8d\u77e5\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u305f<br \/>\n\u2028\u30fbCognitive Performance Score 5^6\u70b9\uff08\u91cd\u5ea6\u306e\u8a8d\u77e5\u80fd\u4f4e\u4e0b\uff09<br \/>\n\u2028\u30fbGlobal Deterioration Scale 7\u70b9\uff08\u5bb6\u65cf\u304c\u308f\u304b\u3089\u306a\u3044\u3001\u6700\u4f4e\u9650\u306e\u4f1a\u8a71\u3001\uff21\uff24\uff2c\u5168\u4ecb\u52a9\u3001\u4fbf\u5c3f\u5931\u7981\uff09<\/p>\n<p>\u2028\u2028[\u4ecb\u5165\uff0f\u8981\u56e0]<br \/>\n\u2028\u6297\u83cc\u85ac\u6cbb\u7642\u3092\u3001\u3057\u306a\u3044\u7fa4\u30fb\u7d4c\u53e3\u6cbb\u7642\u306e\u307f\u30fb\u7b4b\u6ce8\u6cbb\u7642\u306e\u307f\u30fb\u70b9\u6ef4\u6cbb\u7642\uff08\u5165\u9662\u3082\u542b\u3080\uff09\u3067\u5206\u985e\u3002<\/p>\n<p>\u2028\u2028[\u4e3b\u8981\u30a2\u30a6\u30c8\u30ab\u30e0]<br \/>\n\u2028\u751f\u547d\u4e88\u5f8c\uff1a\u80ba\u708e\u767a\u75c7\u5f8c\uff5e\u4ea1\u304f\u306a\u308b\u307e\u3067\u306e\u65e5\u6570\u2028<br \/>\n\u5feb\u9069\u3055\uff08scored according to the Symptom Management at End-of-Life in Dementia scale\uff1aSM-EOLD\uff09<br \/>\n\u2028\u6e2c\u5b9a\u524d90\u65e5\u9593\u306e\u75db\u307f\u30fb\u547c\u5438\u82e6\u30fb\u6291\u3046\u3064\u30fb\u6050\u308c\u30fb\u5fc3\u914d\u30fb\u3044\u3089\u3044\u3089\u30fb\u843d\u3061\u7740\u304d\u30fb\u76ae\u819a\u306e\u640d\u50b7\u30fb\u4ecb\u8b77\u3078\u306e\u62b5\u6297\u306e\u9805\u76ee\u306b\u5bfe\u3057\u3066\u983b\u5ea6\uff08\u306a\u3057\u3001\u67081\u56de\u3001\u6708\u6570\u56de\u3001\u90311\u56de\u3001\u9031\u6570\u56de\u3001\u6bce\u65e5\uff09\u3092\u4ecb\u8b77\u58eb\uff1fnursing caring\u304c\u8a18\u8f09\u3002\u70b9\u6570\u304c\u9ad8\u3044\u307b\u3069\u3001\u5feb\u9069\u5ea6\u304c\u9ad8\u3044\u30b9\u30b3\u30a2\u3002\u2028<br \/>\n\u203b90\u4ee5\u5185\u306b\u4ea1\u304f\u306a\u3063\u305f\u65b9\u306f\u9664\u5916\u3055\u308c\u308b\u304c\u3001Comfort Assessment in Dying with Dementia scale\u304c\u6b7b\u4ea1\u5f8c2\u9031\u9593\u4ee5\u5185\u306b\u6e2c\u5b9a\u3055\u308c\u305f\u3002<\/p>\n<p>\u2028\u2028[\u7d71\u8a08\u624b\u6cd5]<br \/>\n\u2028\u751f\u547d\u4e88\u5f8c\uff1a\u30b3\u30c3\u30af\u30b9\u6bd4\u4f8b\u30cf\u30b6\u30fc\u30c9\u30e2\u30c7\u30eb\u2028<br \/>\n\u5feb\u9069\u3055\uff1a\u7dda\u5f62\u56de\u5e30\u30e2\u30c7\u30eb<br \/>\n\u2028\u591a\u5909\u6570\u30e2\u30c7\u30eb\u3092\u5404\u6cbb\u7642\u7fa4\u306e\u5dee\u3092\u8abf\u6574\u3059\u308b\u306e\u306b\u4f7f\u7528<\/p>\n<p>\u2028\u2028[\u7d50\u679c]\u2028<br \/>\n225\u306e\u80ba\u708e\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\uff08133\u4eba41%\uff09\u304c\u3042\u308a\u3001\u6cbb\u7642\u306a\u30578.9%\u3001\u7d4c\u53e3\u6cbb\u7642\u306e\u307f55.1%\u3001\u7b4b\u6ce8\u6cbb\u7642\u306e\u307f15.6%\u3001\u70b9\u6ef4\u30fb\u5165\u9662\u6cbb\u764220.4%\u3067\u3042\u3063\u305f\u3002\u2028<br \/>\n\u751f\u547d\u4e88\u5f8cTable3\/Figure\u306f\u3001\u6cbb\u7642\u3057\u306a\u3044\u4eba\u3068\u6bd4\u3079\u3066\u3001\u3059\u3079\u3066\u306e\u6cbb\u7642\u3042\u308a\u7fa4\u306f\u6539\u5584\uff08\u7d4c\u53e3\u7fa4\u30ea\u30b9\u30af\u6bd40.2\u300095%\uff23\uff29\u30000.10\u20100.37\uff09\uff08\u7b4b\u6ce8\u7fa4\u30ea\u30b9\u30af\u6bd40.26\u300095%\uff23\uff29\u30000.12\u20100.57\uff09\uff08\u70b9\u6ef4\u30fb\u5165\u9662\u7fa4\u30ea\u30b9\u30af\u6bd40.2\u300095%\uff23\uff29\u30000.09\u20100.42\uff09\u3067\u3042\u3063\u305f\u3002\u2028<br \/>\n\u5feb\u9069\u3055\u306fTable4\u3001\u6cbb\u7642\u524d\u306eSM-EOLD\u3068\u6bd4\u3079\u3001\u3044\u305a\u308c\u306e\u6297\u83cc\u85ac\u6cbb\u7642\u3092\u3048\u305f\u7fa4\u3067\u3082scored according to the Symptom Management at End-of-Life in Dementia scale\u306f\u4f4e\u304b\u3063\u305f\u3002<\/p>\n<p>\u2028\u2028[\u7d50\u8ad6]<br \/>\n\u2028\u30ca\u30fc\u30b7\u30f3\u30b0\u30db\u30fc\u30e0\u5165\u5c45\u4e2d\u306e\u91cd\u5ea6\u8a8d\u77e5\u75c7\u306e\u65b9\u306b\u304a\u3044\u3066\u3001\u80ba\u708e\u306e\u6297\u83cc\u85ac\u6cbb\u7642\u306f\u3001\u751f\u547d\u4e88\u5f8c\u306f\u6539\u5584\u3059\u308b\u304c\u3001\u5feb\u9069\u3055\u306f\u6539\u5584\u3057\u306a\u3044\u3002\u2028\u2028\u2028\u2028<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\u2028\uff12\uff10\uff11\uff11\u5e74\uff11\u6708\uff11\uff12\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u540d\u3011 \u2028Givens JL, Jones RN, et al. Survival and Comfort After Treatment of Pneumonia in Advanced Dementia. Arc &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=674\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u91cd\u75c7\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u80ba\u708e\u6cbb\u7642\u306e\u610f\u7fa9\uff5e<\/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":[11],"tags":[],"class_list":["post-674","post","type-post","status-publish","format-standard","hentry","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/674","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=674"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/674\/revisions"}],"predecessor-version":[{"id":675,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/674\/revisions\/675"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}