Reduction of Opioid Side Effects by Prophylactic Measures of Palliative Care Team May Result in Improved Quality of Life

被引:11
|
作者
Myotoku, Michiaki [1 ]
Nakanishi, Akiko [2 ]
Kanematsu, Miwa [2 ]
Sakaguchi, Noriko [2 ]
Hashimoto, Norio [2 ]
Koyama, Fumiko [2 ]
Yamaguchi, Seiji [2 ]
Ikeda, Kenji [1 ]
Konishi, Hiroki [3 ]
Hirotani, Yoshihiko [1 ]
机构
[1] Osaka Ohtani Univ, Fac Pharm, Lab Clin Pharmaceut, Osaka 5848540, Japan
[2] Municipal Ikeda Hosp, Palliat Care Team, Osaka, Japan
[3] Osaka Ohtani Univ, Fac Pharm, Lab Clin Pharm & Therapeut, Osaka 5848540, Japan
关键词
CONTROLLED-RELEASE OXYCODONE; CANCER PAIN; MORPHINE;
D O I
10.1089/jpm.2009.0355
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose: In February 2002, the palliative care team was established in Ikeda Municipal Hospital to improve palliative care. We investigated changes in the incidences of side effects related to opioids, and evaluated palliative care team activities. Methods: Regarding inpatients for whom narcotics were prescribed in our hospital in the years of 2002 (from October 1, 2002 until September 30, 2003), 2004 (from October 1, 2004 until September 30, 2005), and 2006 (from October 1, 2006 until September 30, 2007), we surveyed the rates at which laxatives or antiemetics were prescribed, frequency of defecation/its state before and after the start of narcotic therapy, frequency of nausea/vomiting, and dietary intake. Results: The proportions of patients in whom laxatives were simultaneously prescribed during opioid therapy in 2002, 2004, and 2006 were 43.5%, 78.7%, and 75.6%, respectively. The proportions of those in whom antiemetics were combined with opioids were 45.7%, 78.7%, and 78.0%, respectively. The incidences of constipation were 50.0%, 39.3%, and 37.8%, respectively. Those of nausea/vomiting were 30.4%, 21.3%, and 9.8%, respectively. Those of anorexia were 65.3%, 39.4%, and 15.4%, respectively. Conclusions: These results suggest that palliative care team activities facilitated appropriate drug prescription during opioid therapy, reducing the appearance of side effects, with likelihood of improved quality of life.
引用
收藏
页码:401 / 406
页数:6
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