Journal of Japanese Society of Cancer Nursing Volume 25, Issue 2 (September 2011)
Japanese

Evaluations of Prognostic Items for Patients with Terminal Cancer by Visiting and Hospital Nurses Yuki Kumagaya 1 , Atsuko Maekawa 2 , Mayumi Abe 2 , Hiroko Kokubu 3 , Yasuko Tabuchi 1 1Institute of Nursing, Faculty of Medicine, Saga University 2Department of Nursing, Nagoya University Graduate School 3Graduate School of Life Science, Kumamoto University Keyword: がん患者 , 終末期 , 訪問看護師 , 病院看護師 , 予後予測項目 , cancer patient , terminal stage , visiting nurse , hospital nurse , prognostic indicator pp.35-42
Published Date 2011/9/25
  • Abstract
  • Reference

Abstract

 The purpose of this study was to clarify visiting and hospital nurses' evaluations of prognostic items for patients with terminal lung, stomach, and colorectal cancer.

 Nurses with more than 5 years of clinical experience responded to an original questionnaire survey about prognostic items. Data were collected from twenty-seven visiting nurses and seventeen hospital nurses.

 Prognostic items that were recognized as appropriate by both visiting and hospital nurses included: "dyspnea during rest"in patients with lung cancer; "ascites"in patients with stomach cancer and"oliguria/anuria"in patients with colorectal cancer as the ten-day prognosis. "Drowsiness"and"oliguria/anuria"in patients with terminal lung, stomach, and colorectal cancer were related to the three-day prognosis. Among the items that were not recognized as appropriate by both visiting and hospital nurses was"pressure ulcer", which was related to both the ten-day and three-day prognosis in patients with lung, stomach, and colorectal cancer.

 The items that were recognized as appropriate only by visiting nurses included: "decreased talking" in patients with lung cancer; "bed bound"in patients with stomach cancer, and"dysphagia" in patients with colorectal cancer, which was related to the ten-day prognosis, and"coma"in patients with lung cancer,"strong pulse"in patients with stomach cancer, and"arrhythmia"in patients with colorectal cancer, which was related to the three-day prognosis.

 Only the items that both visiting and hospital nurses recognized as appropriate were considered to have validity because these items were related to invasive cancer and reduced physical function. The differences in evaluations between visiting and hospital nurses might be related to variations in the availability of medical devices and medicine in homes and hospitals. To offer seamless care, it is needed for visiting and hospital nurses to consider their differences in determining the items and to share information about the patients.


Copyright © 2011, Japanese Society of Cancer Nursing All rights reserved.

基本情報

09146423.25.2.jpg
日本がん看護学会誌
25巻2号 (2011年9月)
電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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