研究報告 肺がん患者の治療過程において bad news を伝えられた配偶者の心理的ストレス反応 病期における差異とその影響要因 * 要旨 目的 bad news 3 3 方法 bad news 3 結果 44 2/3 3 結論 Key words bad news はじめに 1 2

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1 研究報告 肺がん患者の治療過程において bad news を伝えられた配偶者の心理的ストレス反応 病期における差異とその影響要因 * 要旨 目的 bad news 3 3 方法 bad news 3 結果 44 2/3 3 結論 Key words bad news はじめに co-sufferers 4 bad news 5 bad news 連絡先 Phone Fax E mail

2 仮説 1 bad news 2 3 用語の定義 1 bad news bad news 研究方法 対象者 bad news 4 44 調査方法 2 3 調査項目 14 ) 心理的ストレス反応測定尺度 Stress Response Scale-18 SRS bad news 2 3 bad news

3 Total p n=44 n=17 n=15 n= c SD b a c c c c c c c a Mann-Whitey U b Kruskal-Wallis c Pearson QOL bad news QMI Quality Marriage Index SPSS16.0J for Windows

4 n 44 n 17 n 15 n 12 p SRS-18 Kruskal-Wallis n 44 n 17 n 15 n ** 0.326* 0.600* 0.594* 0.651** * 0.561** 0.336* 0.634** 0.710** 0.559* ** * 0.563* * 0.352* 0.497** 0.356* 0.592* 0.491* 0.763** 0.650** Spearman *p 0.05 **p 0.01 Mann-Whitney U Kruskal- Wallis Spearman p

5 病期別の心理的ストレス反応と各変数間の相関 ( 表 ) 44 考察 心理的ストレス反応 bad news bad news

6 心理的ストレス反応と夫婦関係満足度 Cindy bad news 病期別の心理的ストレス反応に影響を及ぼす要因 Ezekiel

7 研究の限界と今後の課題 44 3 結語 文献 , Cancer Help Net CHN , E , Breaking Bad News , SRS 18, SRS 18 Stress Response Scale , QOL / / / / 2013, 9 20 Miller K. The Concept of Crisis: Current Status and Mental Health Implications. Hum Organ., , Norton R. Measuring marital quality : A critical look at the dependentvariable. J Marriage Family., SMI Health Locus of Control Cindy L, Carmack Taylor Ph D, Hoda Badr Ph D, et al. Lung Cancer Patients and Their Spouses: Psychological and relationship Functioning Within 1 Month of Treatment Initiation. Ann Behav Med., QOL Ezekiel J, Emanuel MD PhD, Diane L, et al. Understanding economic and other burdens of terminal illness: The experience of patients and their caregivers. Ann Intern Med.,

8 Abstract 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 by Toyoko Kugimoto 1, Akemi Koga 2 from 1 Saga University Graduate School of Medical Science Doctoral Course 2 Institute of Nursing, Faculty of Medicine, Saga University : 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. : 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. : 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. : 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. Key words lung cancer, spouse, mental stress, bad news Address reprint requests to : Toyoko Kugimoto. Saga University Graduate School of Medical Science Doctoral Course Nabeshima, Saga shi, , Japan Phone Fax E mail

Ⅱ. 用語の操作的定義 Ⅲ. 対象と方法 1. 対象 WAM NET 2. 調査期間 : 3. 調査方法 4. 調査内容 5. 分析方法 FisherMann-Whitney U Kruskal-Wallis SPSS. for Windows 6. 倫理的配慮 Vol. No.

Ⅱ. 用語の操作的定義 Ⅲ. 対象と方法 1. 対象 WAM NET 2. 調査期間 : 3. 調査方法 4. 調査内容 5. 分析方法 FisherMann-Whitney U Kruskal-Wallis SPSS. for Windows 6. 倫理的配慮 Vol. No. 研究報告 The Relation Between the Manager s Administrative Abilities Including Business Activities in Visiting Nursing Stations and the Station s Financial Profits Chisato Fujii Akiko Akama Mariko Ohtake Ikuko

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