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Nursing Strategies to Help Malignant Glioma Patients and Their Families Make End-of-life Decisions Akemi Tsumura 1 , Akemi Yamazaki 1 , Kiyoko Kamibeppu 1 1Department of Family Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo Keyword: 悪性グリオーマ , 終末期 , 意思決定 , 看護方略 , malignant glioma , end-of-life , decision making , nursing strategy pp.27-35
Published Date 2010/12/21
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Abstract

 Objective:The purpose of the present study was to identify nursing strategies that help malignant glioma patients and their families make decisions regarding how to spend their time at the end of life.

 Method:Semi-structured interviews were conducted with 30 medical staff(27 nurses and 3 doctors) who cared for malignant glioma patients. Data were analyzed using the Constant Comparative Method of the Grounded Theory Approach.

 Results:Five nursing strategies implemented by nurses in order to help patients and their families make effective decisions regarding how to spend their time at the end of life were identified. These strategies were applied when the treatment policy was revised during the period from recurrence to coma. The five nursing strategies were: offer the opinion of the medical staff involved; support emotional bonds; promote a positive image of life after shifting the location of medical treatment; reduce predicted difficulties in daily life after shifting the location of medical treatment; and support the family's decisions. Each nursing strategy reflected nurses' assessments of the recognition of the status quo by patients and their families.

 Conclusion:Nurses should always respect the autonomy of patients and their families in making decisions, and it is important that nurses support this decision-making process with the five identified nursing strategies.


Copyright © 2010, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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