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Japanese

The Spouse's Reaction to Mental Stress When “Bad News” was Given in the Course of a Lung Cancer Patient's Treatment: Timings of Disclosure and Other Affecting Factors Toyoko Kugimoto 1 , Akemi Koga 2 1Saga University Graduate School of Medical Science Doctoral Course 2Institute of Nursing, Faculty of Medicine, Saga University Keyword: 肺がん , 配偶者 , 心理的ストレス , bad news , lung cancer , spouse , mental stress pp.54-61
Published Date 2015/5/25
  • Abstract
  • Reference

 Purpose : In the course of lung cancer treatment, the doctor at some point must disclose “bad news” to the spouse of a married patient. In this research the stress reaction of the spouse was analyzed at three points in time: When cancer was diagnosed and announced; When recurrence of the cancer was found; and when positive medical treatment was to end. To offer the best possible nursing assistance, how badly the spouse was affected by the news was determined. Factors that may have affected the mental reaction that he/she displayed were also examined.

 Methods : Data was collected after disclosures of “bad news” and from the self-account questionnaires which the spouse had filled in. The items therein contained his/her mental stress reaction and the degree of satisfaction in their marital relationship.

 Results : Of a total of 44 spouses who took part in the study, about two-thirds of them had their own health problems. Although their mental stress reaction showed a more negative tendency at the initial diagnosis of cancer than the subsequent disclosures, there was no significant difference between the timing of bad news. “Degree of marital satisfaction”, “state of spouse's own health”, “financial uncertainty” and “family make-up” were the main factors that influenced a spouse's mental stress reaction. As to how these factors affected his/her mental status changed somewhat depending on the phase of the cancer.

 Conclusion : Nurse is lung cancer patient's spouse will help alleviate for the mental stress. It is to nursing in consideration of the factors varies depending on the stage is important.


Copyright © 2015, Japanese Society of Cancer Nursing All rights reserved.

基本情報

電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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