進行 し た 臓 がん と 生きる ― 患者 の 日常 の 経験
Jenny Bergqvist1,2, Johanna Hök Nordberg3,4, Kathrin Wode3,4,5
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Psycho-oncology
|September 3, 2025
まとめ
進行した臓がん患者は 予測不能なエネルギーレベルと重大な苦痛を経験し 日常生活に影響します これらの課題に対処する上で 希望と正常化の戦略は 極めて重要です
科学分野:
- 腫瘍学
- 緩和ケア
- 定性的な研究
背景:
- 臓がんの診断はしばしば遅い段階で起こり,10%の低い5年生存率につながります.
- この病気は複雑な症状を持ち 患者に重大な心理的苦痛を与えます
研究 の 目的:
- 進行した臓がん患者の体験を調査する
- 患者の日常生活に影響を与える症状や苦痛を特定するために
主な方法:
- 31人の進行した臓がん患者の半構造面接を含む質的研究.
- 患者の主観的な体験を捉えるために,解釈上の記述を用いて分析したデータです.
主要な成果:
- "予測不可能な状況" "心理的・社会的苦痛" "希望と正常化の戦略"
- 患者は予測不能なエネルギー変動と重大な心理的/社会的苦痛を主な懸念として報告した.
- 参加者は希望を維持し,自分の状態に対処するために 正常化戦略を使用しました.
結論:
- 予期せぬエネルギーと心理的苦痛は 患者の症状と治療の能力を著しく低下させます
- 患者中心のケアと苦痛を軽減する介入は 進行した臓がん患者の生活の質を改善するために不可欠です
関連する概念動画
Chronic Pancreatitis II: Collaborative Care
128
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
128
Chronic Pancreatitis I: Introduction
148
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
148
Peritoneal Dialysis III: Nursing Management
140
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
140
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
Peripheral Artery Disease IV: Nursing Management
43
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
43
Kidney Transplant III: Nursing Management
80
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
80


