緩和的化学療法中止後から死別までのがん患者の配偶者の体験：質的研究

Material type: 博士論文

Author: 久松, 美佐子

Publisher: Elsevier

Publication date: -

Material Format: Digital

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Name of awarding university/degree: 鹿児島大学,博士（保健学）,Doctor of Philosophy in Health Science

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Note (General)：: 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨Purpose: Many patients with advanced cancer choose palliative chemotherapy. Considering its purpose of palliation an...

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Material Type: 博士論文
Title: 緩和的化学療法中止後から死別までのがん患者の配偶者の体験：質的研究
Author/Editor: 久松, 美佐子
Author Heading: 久松, 美佐子ヒサマツ, ミサコ
Publication, Distribution, etc.: Elsevier
Alternative Title: Experiences of Spouses of Patients with Cancer from the Notification of Palliative Chemotherapy Discontinuation to Bereavement : a Qualitative Study
Degree grantor/type: 鹿児島大学
Date Granted: 2020-03-25
Dissertation Number: 甲保研第17号
Degree Type: 博士（保健学）
Doctor of Philosophy in Health Science
Text Language Code: eng
Subject Heading: Anticipatory grief
bereavement
cancer
experiences
family caregiver
palliative chemotherapy
qualitative
Target Audience: 一般
Note (General): 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨
Purpose: Many patients with advanced cancer choose palliative chemotherapy. Considering its purpose of palliation and not treatment, it is important to consider the life of family caregivers. Family caregivers who experience bereavement undergo extreme stress, which is particularly high among patients’ spouses. The present study aims to clarify the experiences of the spouses of patients at the hospitals in Japan after the notification of palliative chemotherapy discontinuation until bereavement. Method: We interviewed the spouses of 13 patients who received palliative chemotherapy using a semistructured interview guide. Each spouse was interviewed twice. The interviews were transcribed verbatim, and key concepts were identified using a grounded theory analytic approach. Results: After the hospital’s recommendation for palliative chemotherapy discontinuation, the spouses had “bewilderment over having to discontinue palliative chemotherapy” and experienced “difficulty in facing bereavement.” The spouses having “difficulty to give up hope for the patient's survival,” felt “bafflement over caregiving at the terminal stage,” which would be their responsibility in the future. Further, they had “hesitation in being honest to the patient” and were engaged in “knowing how to live with the patient until bereavement.” Conclusion: Nurses need to encourage the patients and spouses to honestly express how they feel from the early stages of palliative chemotherapy. Furthermore, nurses should help spouses with how they face bereavement. This result may help prevent anticipatory grief, which may lead to excessive stress and emotional distress on the family caregivers. Misako Hisamatsu, Hiroyuki Shinchi, Yumiko Tsutsumi Experiences of Spouses of Patients with Cancer from the Notification of Palliative Chemotherapy Discontinuation to Bereavement: a Qualitative Study European Journal of Oncology Nursing 45, April 2020, 101721 https://doi.org/10.1016/j.ejon.2020.101721
Format (IMT): application/pdf
Source: Diss_久松_美佐子_HOK017_2019 （fulltext）
https://ir.kagoshima-u.ac.jp/record/14999/files/Diss_%E4%B9%85%E6%9D%BE_%E7%BE%8E%E4%BD%90%E5%AD%90_HOK017_2019.pdf
Access Restrictions: インターネット公開
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 鹿児島大学 : 鹿児島大学リポジトリ