著者

來村 徳信 中條 亘 笹嶋 宗彦 師岡 友紀 辰巳 有紀子 荒尾 晴惠 溝口 理一郎

出版者

一般社団法人 人工知能学会

雑誌

人工知能学会論文誌 (ISSN:13460714)

巻号頁・発行日

vol.36, no.4, pp.D-K94_1-16, 2021-07-01 (Released:2021-07-01)

参考文献数

32

---

For appropriate execution of human actions as a service, it is important to understand goals of the actions, which are usually implicit in the sequence-oriented process representations. CHARM (an abbreviation for Convincing Human Action Rationalized Model) has been proposed for representing such goals of the actions in a goal-oriented structure. It has been successfully applied for training novice nurses in a real hospital. Such a real-scale and general knowledge model, however, makes the learners difficult to understand which actions are important in a specific context such as a patient’s risk for complications. The goal of this research is to realize a context-adaptive knowledge structuring mechanism for emphasizing such actions that need special attention in a given context. As an extension of the CHARM framework, the authors have developed a general mechanism based on multi-goal action models and pathological mechanism models of abnormal phenomena. It has been implemented as a software system on tablet devices called CHARM Pad. We have also described knowledge models for the nursing domain, which include pathological mechanism models of complications with their risk factors. CHARM Pad with these models had been used by nursing students and evaluated by them through questionnaires. The result shows that CHARM Pad helped them understand the goals of nursing actions as well as finding of symptoms of complications context-adaptively.

著者

竹井 友理 山本 瀬奈 師岡 友紀 南口 陽子 畠山 明子 辰巳 有紀子 荒尾 晴惠

出版者

日本緩和医療学会

雑誌

Palliative Care Research (ISSN:18805302)

巻号頁・発行日

vol.16, no.1, pp.35-43, 2021 (Released:2021-02-09)

参考文献数

23

---

【目的】本研究の目的は,がん患者の緩和ケア開始時期の認識と関連要因を明らかにすることである.【方法】がん診療連携拠点病院に入院・通院中のがん患者を対象に無記名自記式質問紙調査を行った.個人属性,がん・治療状況,緩和ケア開始時期の認識,緩和ケアの認知や提供状況を調査し,ロジスティック回帰分析を行った.【結果】3,622名のうち1,981名(54.7%)の回答を得た.1,187名(59.9%)が早期から,414名(20.9%)が終末期からの緩和ケアの認識であった.症状への対応あり(vs.該当なし,OR=0.56),再発・転移あり(vs.なし,OR=1.44),40代以下(vs.70代以上,OR=1.67)は終末期からの緩和ケアの認識と有意に関係した.【考察】症状への対応が必要となる前から緩和ケアの普及啓発を行うことが早期からの緩和ケアの認識を促進する可能性がある.