@article{oai:ncn.repo.nii.ac.jp:00000112, author = {武田, 貴美子 and 田村, 正枝 and 小林, 理恵子 and 志村, ゆず}, journal = {長野県看護大学紀要, Bulletin,Nagano College of Nursing}, month = {}, note = {110004687771, 本研究は,外来化学療法を受けているがん患者の生活に対する受け止めと生活上のニーズを明らかにすることを目的とし,16名のがん患者を対象に,半構成的面接を行った.  その結果,患者は手術や化学療法に伴う様々な身体的苦痛を抱えており,身体的安寧を求めるニードとして《身 体的苦痛の緩和》《治療に関する情報が欲しい》など6項目,また,家庭や社会的経済的な面での役割があり,社会的安寧を求めるニードとして《家族に心配をかけたくない》《治療と仕事の調整》《相談・話を聞いてくれる人が欲しい》など7項目,今後の自分のあり方に関する心理的安寧を求めるニードとして《このままでいたい》《前向きでいたい》など4項目が抽出された.  医療者と患者及び家族が身体症状や治療に関する情報を共有し,検討すること,また,患者が不安や悩みを相談できる場や,可能な範囲で役割を果たすことができる支援が必要であると示唆された., The purpose of this study is to examine 1) how outpatients with cancer chemotherapy treatment take their living and 2) what needs they have for well-being in life.  We conducted semi-structured interviews to 16 cancer patients. As a result of analyzing the data of the interviews, we found out three kinds of needs of the patients. First, the outpatients with cancer held various physical pains on account of the operation or the chemotherapy, and, therefore, they had various needs for physical well-being. We classified these needs into six categories: needs to alleviate physical pain, needs to get information about treatment, needs to receive advice for everyday life under medical treatment, needs to improve or change medical treatment, to receive consideration regarding explanation of condition of the disease and treatment, and needs to know prospect of prognosis. Second, since the patients had their own roles at home and/or in social and economic settings, they had needs for social well-being. They were classified into seven categories: to adjust treatment to work, needs to have those who will listen to the patients, needs to interact and communicate with other cancer patients, needs not to cause anxiety to the family members, needs not to give any burden to the family members, needs not to be regarded as special, and needs not to be unnecessarily recognized as cancer patients. Third, the patients had needs for psychological well-being concerning their own lifestyle in the future. They were classified into four categories: needs to be as I am, needs to do what I can do, needs to be positive, and needs to get connected with people and society through work and hobby.  By scrutinizing these needs we have come to the conclusion that the following three nursing supports are indispensable for well-being of outpatients receiving cancer chemotherapy: 1) Sharing and examining information of patientsユ body condition and medical treatment by medical staff, patients, and their family members, 2) encouraging patients by medical staff to develop favorable environment to talk about anxiety and trouble, and 3) enabling them to play as necessary roles as possible in private and in public.}, pages = {73--85}, title = {外来化学療法を受けながら生活しているがん患者のニーズ}, volume = {6}, year = {2004} }