乳がん患者が認知した看護師の共感的な関わりと共感的関わりから生じた患者の変化

Nurse Empathic Engagement as Perceived by Breast Cancer Patients and Changes in Patients through Empathic Engagement

要旨

　目的：乳がん患者が認知した看護師の共感的関わりと認知した共感的関わりから生じた患者の変化について明らかにすることを目的とした．

　方法：研究対象は，乳がんの告知を受け，手術を受けた10名の乳がん患者であり，半構造化面接を行い，得たデータを質的帰納的に分析した．

　結果：患者が認知した看護師の共感的関わりとしては，「人間らしさ」「相互関係」「患者への関心」および「気遣い」の4つのカテゴリーが抽出された．また，認知した共感的関わりから生じた患者の変化としては，「信頼の深まり」「前向きな気持ちの変化」「ありのままの自己表現」および「治療に対する意思決定」の4つのカテゴリーが抽出された．

　結論：患者は，看護師の人間的側面と看護師が寄せる患者への関心とを認知し，相互関係を築きながら，看護師との関係性の変化を経て，今後の生にポジティブな影響を受けていた．

Abstract

　Purpose：The objectives of this study are to clarify nurse empathic engagement as perceived by patients with breast cancer and to reveal changes in patients through such an empathic engagement.

　Method：The study subjects were 10 breast cancer patients who had undergone surgery. A qualitative inductive analysis was performed with data obtained during semi-structured interviews.

　Results：Nurse empathic engagement as perceived by patients was grouped into four categories： “humanness,” “reciprocality,” “interest in the patient,” and “concern for the patient.” In addition, changes in patients through empathic engagement as perceived by themselves were grouped into four categories： “deepening of trust,” “positive change in outlook,” “frankness of self-expression,” and “decision-making with respect to treatment.”

　Conclusion：Results show that the patients perceived the nurse empathic engagement from the humanness and interest of the nurse, and that such a perception caused encouraging changes in the nurse.patient relationship and positive influences on the future lives of patients.