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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
http://hdl.handle.net/10232/00030894
http://hdl.handle.net/10232/00030894236415dd-8363-450e-a820-b06be13c9cc6
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Diss_久松_美佐子_HOK017_2019 (450.0 kB)
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Abstract_久松_美佐子_4711700012_2019 (156.2 kB)
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Result_Hisamatsu_Misako_hok_17 (819.9 kB)
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Comments_Hisamatsu_Misako_hok_17 (396.9 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2020-03-17 | |||||
| タイトル | ||||||
| タイトル | Experiences of Spouses of Patients with Cancer from the Notification of Palliative Chemotherapy Discontinuation to Bereavement : a Qualitative Study | |||||
| 言語 | en | |||||
| タイトル | ||||||
| タイトル | 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 | |||||
| 言語 | ja | |||||
| 著者 |
久松, 美佐子
× 久松, 美佐子 |
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| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Anticipatory grief | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | bereavement | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | cancer | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | experiences | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | family caregiver | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | palliative chemotherapy | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | qualitative | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
| 資源タイプ | doctoral thesis | |||||
| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 要約(Abstract) | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 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 |
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| 言語 | en | |||||
| 作成日 | ||||||
| 日付 | 2020-03 | |||||
| 日付タイプ | Collected | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| NDC | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 490 | |||||
| ファイル（説明） | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 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 | |||||
| 言語 | ja | |||||
| 公開者・出版者 | ||||||
| 出版者 | Elsevier | |||||
| 言語 | en | |||||
| 公開者・出版者 | ||||||
| 出版者 | 鹿児島大学 | |||||
| 言語 | ja | |||||
| 公開者・出版者 | ||||||
| 出版者 | カゴシマ ダイガク | |||||
| 言語 | ja-Kana | |||||
| 備考 | ||||||
| 値 | 【指導教員：新地洋之】 | |||||
| date.appl | ||||||
| 値 | 【学位申請日】2020-01-22 | |||||
| 学位名 | ||||||
| 言語 | ja | |||||
| 学位名 | 博士（保健学） | |||||
| 学位名 | ||||||
| 言語 | en | |||||
| 学位名 | Doctor of Philosophy in Health Science | |||||
| 学位授与機関 | ||||||
| 学位授与機関識別子Scheme | kakenhi | |||||
| 学位授与機関識別子 | 17701 | |||||
| 言語 | ja | |||||
| 学位授与機関名 | 鹿児島大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2020-03-25 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲保研第17号 | |||||
