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外来における頭頸部がん患者,家族の看護に関する研究


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Title: 外来における頭頸部がん患者,家族の看護に関する研究
Other Titles: Nursing care for head and neck cancer outpatients and their families in a university hospital
Authors: 中嶋, 由紀子 / 森本, 真智子 / 原川, 明美 / 下田, 澄江 / 石原, 和子
Authors (alternative): Nakashima, Yukiko, RN / Morimoto, Machiko, RN / Harakawa, Akemi, RN / Shimoda, Sumie, RN / Ishihara, Kazuko, RN, DMSc
Issue Date: Jun-2003
Citation: 長崎大学医学部保健学科紀要 = Bulletin of Nagasaki University School of Health Sciences. 2003, 16(1), p.63-70
Abstract: 頭頸部がん患者に於いては,がんそのものによる疼痛・不安などの苦痛の他に手術療法・放射線療法などのがん治療による機能障害や苦痛も長期間にわたり存在する.そしてその苦痛は退院後も引き続き存在し,外来通院となった患者・家族のQOLを著しく低下させている.本研究は外来通院中の頭頸部がん患者及びその家族の身体的,心理・社会的問題について帰納的に分析し,外来における看護介入について検証する事を目的とした.面接による方法で外来通院中の頭頸部がん患者及びその家族のかかえている身体的,心理・社会的問題をV・ヘンダーソンの「14の基本的看護の構成因子」に基づいて分析した.患者の病期的分類では特にターミナル期に於いて,患者・家族ともに心理面を中心に問題が内在しており,症状コントロールが重要課題である.また,がん疾病の特性からくる問題として,がんの治療による喉頭全摘出術後や放射線照射後に生じる飲食・活動・呼吸・心理面に関するものが多かった.また,家族も患者の問題に影響を受けていた.よって,患者と家族を一単位とした入院中から外来通院そして在宅療養支援へと有機的な継続看護支援システムの構築が示唆された. / The purpose of this study is inductively analyze the physical and psychological/social problems of outpatients with head and neck cancer and their families. The subjects consisted of 35 patients with head and neck cancer who visited the otolaryngological department of a university hospital and their 19 family members (total, 54 subjects). After medical consultations with physicians, we asked to the patients and their family members, "Are you all right?" While observing their facial expression and actions. Thereafter, the patients and their family members from whom consent was obtained were interviewed. An inductive analysis was performed, after recording the contents of the interviews and verbal expressions. During each period, physical and psychological/social problems, observed in the behavior of the patientsand their family members and the contents of their consultation, were analyze using the "14 constituent Factors of basic nursing" proposed by V. Henderson. Interviews revealed various physical and psychological/social problems of outpatients with head and neck cancer and their family members. In particular, in the terminal stage, many psychological problems were observed in both the patients and family members, and the control of symptoms was also an important problem. Through this interview study, it was confirmed that it is indispensable to establish an organic continuous nursing support system for the patient and his family as a unit from the hospitalization period to treatment on an outpatient basis, and finally for in-home care support.
Keywords: 頭頸部がん患者 / QOL / 機能障害 / 症状コントロール / V・ヘンダーソンの「14の基本的看護の構成因子」 / Head and Neck Cancer outpatients / Quality of Life (QOL) / Functional impairment / Symptoms'control / "14 constituent Factors of basic nursing" proposed by V. Henderson
URI: http://hdl.handle.net/10069/18005
ISSN: 09160841
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 16, No. 1

Citable URI : http://hdl.handle.net/10069/18005

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