一般社団法人 日本緩和医療薬学会

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学会誌 VOL.18 No.2 June 2025

原著論文

Developing Competencies in Palliative Medicine Among Pharmacists
in an Acute General Hospital Without a Palliative Care Unit
Motofumi WATANABE, Hiroshi KUDO, Yasukata OHASHI, Junichi MASUDA,
Satoshi NUMASAWA, and Takahiro NISHIMURA
Abstract:Many pharmacists at the National Center for Global Health and Medicine (NCGM) have a short duration of work experience, and there are no guidelines regarding education in palliative medicine in the pharmacy department. Our hospital does not have a palliative care ward and there are few opportunities to be exposed to palliative medicine. It has been observed that some pharmacists at our hospital are not skilled in palliative medicine owing to a lack of knowledge. To improve the quality of care provided by pharmacists involved in palliative medicine, we developed a set of competencies for pharmacists and administered a questionnaire survey among pharmacy staff regarding difficulties and weak points in relation to palliative medicine. A total of 51 competencies were developed, including ethics and attitude as performance items. Forty-one out of 53 pharmacy staff (77.4%) responded to the questionnaire. Items that were rated low by more than 50% of survey respondents included the list of drug and non-drug treatments for pain, fatigue, dyspnea, and other distressing patient symptoms. Fifty-six percent of respondents stated that they were not very familiar with these items. In this study, we developed competencies in palliative medicine for pharmacists at our hospital. Our survey revealed areas needing improvement. Additionally, pharmacy staff were aware of their difficulties with regard to palliative medicine.
Key words :generalist pharmacists, competency, palliative medicine, survey, pharmacy education

 

短報

終末期がん患者の倦怠感に対するヒドロキシジン塩酸塩注射液による
間欠的鎮静の効果およびせん妄発現リスクの検討
大田 歩・高野陽平・横田良一・西崎颯斗・上野英文
[要旨]終末期がん患者の倦怠感に対するヒドロキシジン塩酸塩注射液による効果,およびせん妄の発現リスクについて検討した.対象は 47 名で,間欠的鎮静の効果により 83.0% の患者において,倦怠感の改善を認めた.せん妄症状の発現率は 6.3% と低値であった.鎮静薬として頻用されるベンゾジアゼピン系薬はせん妄のリスク因子であることが指摘されており,ヒドロキシジン塩酸塩注射液は間欠的鎮静を行う際の有効な選択肢となる可能性が示唆された.
キーワード:ヒドロキシジン,鎮静,せん妄

 

がん性髄膜炎に対して低用量ケタミンとアセタゾラミドの併用で良好な
鎮静を得られた1 例
船越康太・松下章二郎・瀧井 康・船越 翼・髙浪英樹・石川幹真・後藤 渉
[要旨]がん性髄膜炎による治療抵抗性の苦痛に対して,ミダゾラムに加えて,低用量ケタミンとアセタゾラミドを併用することで良好な鎮静が得られ,苦痛ない看取りができた症例を報告する.
キーワード: がん性髄膜炎,低用量ケタミン,アセタゾラミド