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在宅で緩和ケアが必要ながん患者を支援する訪問看護師の困難感
https://tokushima-u.repo.nii.ac.jp/records/2007617
https://tokushima-u.repo.nii.ac.jp/records/200761781832dea-c31b-4414-99bb-07b8bc68a69a
名前 / ファイル | ライセンス | アクション |
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sam_75_5-6_191.pdf (1.56 MB)
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Item type | 文献 / Documents(1) | |||||||||||||||||
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公開日 | 2020-04-30 | |||||||||||||||||
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アクセス権 | open access | |||||||||||||||||
資源タイプ | ||||||||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
資源タイプ | journal article | |||||||||||||||||
出版タイプ | ||||||||||||||||||
出版タイプ | VoR | |||||||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
タイトル | ||||||||||||||||||
タイトル | 在宅で緩和ケアが必要ながん患者を支援する訪問看護師の困難感 | |||||||||||||||||
言語 | ja | |||||||||||||||||
タイトル別表記 | ||||||||||||||||||
その他のタイトル | Visiting nurses’ distress providing palliative care for patients with cancer at home supporting cancer who need at home | |||||||||||||||||
言語 | en | |||||||||||||||||
タイトル別表記 | ||||||||||||||||||
その他のタイトル | がん患者を支援する訪問看護師の困難感 | |||||||||||||||||
言語 | ja | |||||||||||||||||
著者 |
森, 美樹
× 森, 美樹
× 今井, 芳枝× 板東, 孝枝× 高橋, 亜希× 出口, 憲市
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抄録 | ||||||||||||||||||
内容記述タイプ | Abstract | |||||||||||||||||
内容記述 | This study aimed to identify difficulties of visiting nurses who provide assistance to home-based cancer patients requiring palliative care. In survey1, a questionnaire survey was conducted involving30visiting nurses working for visiting nursing stations(valid response rate :90%), and the data were analyzed using descriptive statistics. In survey 2, a semi-structured interview based on an interview guide was conducted involving4visiting nurses working for visiting nursing stations, and the data were analyzed using a qualitative and inductive approach. The results of survey1showed that the visiting nurses were more likely to experience difficulties with the worsening of a patient’s health status and at the initiation of home-based care. They also experienced difficulties with understanding medical conditions of patients and their families, supporting decision-making, and cooperating with visiting physicians. Their level of understanding about the explanation given by physicians and the sense of value of patients and families were factors that affected such difficulties, and so, in order to resolve them, the importance of cooperating to secure medical and nursing personnel and creating a setting where they can share their knowledge of patients’ conditions and treatments was indicated. In survey 2, the following 6 categories were extracted as difficulties encountered by visiting nurses providing assistance to home-based cancer patients requiring palliative care :[dealing with the worsening of the disease], [predicting the end of life], [being unable to care for patients without cooperation],[being involved with patients by understanding their life before illness],[preparing a home care environment for a patient’s end-of-life], and[limits of current work situations]. The findings suggest the need not only to provide palliative care knowledge for the prediction and understanding of illness, but also to establish a system that allows multiple medical providers to assess patients’ conditions, in order to deal with their difficulties. | |||||||||||||||||
言語 | en | |||||||||||||||||
キーワード | ||||||||||||||||||
言語 | en | |||||||||||||||||
主題Scheme | Other | |||||||||||||||||
主題 | Patients who need palliative care | |||||||||||||||||
キーワード | ||||||||||||||||||
言語 | en | |||||||||||||||||
主題Scheme | Other | |||||||||||||||||
主題 | difficulty of visiting nurses | |||||||||||||||||
書誌情報 |
ja : 四国医学雑誌 en : Shikoku Acta Medica 巻 75, 号 5-6, p. 191-200, 発行日 2019-12-25 |
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収録物識別子タイプ | ISSN | |||||||||||||||||
収録物識別子 | 00373699 | |||||||||||||||||
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収録物識別子タイプ | NCID | |||||||||||||||||
収録物識別子 | AN00102041 | |||||||||||||||||
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出版者 | 徳島医学会 | |||||||||||||||||
言語 | ja | |||||||||||||||||
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識別子 | 363067 | |||||||||||||||||
識別子タイプ | URI | |||||||||||||||||
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言語 | jpn |