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The Experiences During Treatment at Home of Elderly Cancer Patients in the End-of-life and of Family Caregivers Hiroko SHIGEZAWA 1 , Shoko ANDO 2 , Atsuko MAEKAWA 2 1Nagoya University Graduate School of Medicine 2Nagoya University School of Health Sciences Keyword: 高齢者 , 終末期 , がん患者 , 家族 , 在宅ケア , Elderly people , End-of-life , Cancer patients , Family caregivers , Home care pp.31-39
Published Date 2006/6/30
DOI https://doi.org/10.11477/mf.7009200257
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Abstract

 The purpose of this study was to clarify the experiences during treatment at home of elderly cancer patients in the end-of-life and the family caregivers, and to get the suggestions for supporting home care adequately. The participants were nine-set elderly cancer patients in the end-of-life and family caregivers. Data were collected through semi-structured interviews and participant observations, and analyzed by inductive coding.

 The following results were obtained. The patients had "hopes for improvement of symptoms and enlargement of actions of daily life", and family caregivers had "hopes for improvement of patient's conditions and the accomplishment of patient's wishes". The patients and the family caregivers continued having a feeling to bet on possibility consistently. The patients confirmed "the proof in which they lived", making "a compromise with reality". The family caregivers "suffered with their patients", and "took care of their patients based on experiences and family cooperativeness". "A life substantiality feeling" by "expansion of oneself-and-others cognition" was seen by the patient who saw the quiet last moment. Moreover, the family caregiver who tended the last moment gained "a substantiality feeling of end-of-life care" by "expansion of oneself-and-others cognition".

 It is required to support the hope of a patient and a family, and the importance of being cared discerning the history and cooperativeness to a family was suggested.


Copyright © 2006, Japan Society of Nursing and Health Care All rights reserved.

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電子版ISSN 印刷版ISSN 1345-2606 日本看護医療学会

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