長期化学療法中の進行再発大腸がん患者の心理社会的問題に関わる経験と乗り越える力について明らかにし, 支援のあり方を考えることを目的とした。
国内外の文献検討, 支援の現状から, 当事者は支援の声をあげない状況にあり, 支援自体を期待していない状況が明らかとなった。さらに当事者の語りから, 病状の悪化に怯えつつ, 結局は一人孤独に闘う厳しさと向き合っていたが, 同時に乗り越える力を有していた。その個別の乗り越える力を個別面談で支えることが重要である。また利用可能なリソースを継続的に提供していくことが求められる。
We studied the psychosocial problems and countermeasures in advanced/recurrent colorectal cancer patients receiving long-term chemotherapy.
The patients were surprised and regretful that they had advanced/recurrent cancer and had not achieved early detection and treatment. Since they could only stay alive by receiving treatment, they suffered from anxiety about disease progression and mentioned that it was easy to become depressed. The patients tried not to verbalize their feelings to their families and others. Treatment forced some patients to quit work. Nevertheless, they tried to overcome their problems. They coped with anxiety. They selected therapy and received it positively. They considered some symptoms of anticancer therapy inevitable and acted as if these symptoms were minor. They felt grateful for surviving and for family support. Patients with progressive disease who continue treatment are fighting a war by themselves and must try to overcome various problems.

研究種目 : 基盤研究(C)
研究期間 : 2011～2014
課題番号 : 23593259
研究分野 : 臨床看護学