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Japanese

Rehabilitation Problems of Patients after Laparoscopic Gastrectomy and Countermeasures Yuko ITOI 1 , Junko KANEKO 1 , Etsuko GOMA 2 , Yoshiko OCHIAI 1 , Michiko FUKUSHIMA 3 Keyword: 腹腔鏡下胃切除術患者 , 社会復帰 , セルフケア , laparoscopic gastrectomy , rehabilitation , self care pp.1-10
Published Date 2016/12/31
DOI https://doi.org/10.11477/mf.7009200272
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Aim: To clarify rehabilitation problems faced by patients following early hospital discharge after laparoscopic gastrectomy, and identify measures to deal with these problems. Methods: Data were collected through semi-structured interviews with 10 patients who had undergone laparoscopic gastrectomy, and had been rehabilitated into society. Coding was performed regarding foreshadowed issues of “problems of people returning to work” and “measures to deal with problems”; and subcategories and categories were created through categorizing similarities in semantic content. Ethical considerations: The study was reviewed by the International University of Health and Welfare Ethics Review Committee. Results: For people returning to work, the following 5 categories were elicited as problems: “suffering from physical symptoms”, ”difficulty in eating”, “worrying about what other people think”, “fear at work”, and “be unsettled about recurrence”. The following 5 categories emerged as measures for dealing with problems: “eating at my own pace”, “preparing for an urgency to defecate”, “restoring physical strength”, “work hours to get used to working again”, and “getting emotional support from people in my close circle. Discussion: Psychological support is necessary, bearing in mind that transformation of the self-concept caused by inability to fulfil pre-surgery social roles can lead to negative emotions. It is necessary to support the patients to raise adherence and to continue to self-care behavior.


Copyright © 2016, 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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