Journal of Japanese Society of Cancer Nursing
Online ISSN : 2189-7565
Print ISSN : 0914-6423
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Original Article
  • Masahiro Takano, Kyoko Tanaka, Yumi Hayashida
    Type: Original Article
    2019 Volume 33 33_takano_20190211
    Published: February 11, 2019
    Released: February 11, 2019

    The objective of this study was to learn about the assistance provided by others to support the recovery of eating habits for cancer patients discharged from hospital following esophageal reconstructive surgery.

    Seven outpatients who did not undergo postoperative adjuvant therapy in the period from 2 months to about 1 year after undergoing esophageal reconstructive surgery participated in the study. The study method consisted of reviews of patient records and interviews using a semi-structured questionnaire. Analysis consisted of extracting the parts of the transcripts pertaining to the assistance that patients received from others to help them regain their eating habits after discharge, and categorizing semantically similar content.

    The following seven top-level categories of help were extracted: ①in regaining appetite, ②in making eating a pleasant experience, ③in enabling the patient to eat freely according to his own needs, ④in promoting ways to deal with pain that accompanies eating, ⑤in promoting efficient food intake, ⑥in promoting changes in eating habits, and ⑦in obtaining new awareness.

    Assistance from others in the recovery of eating habits by cancer patients who have been discharged from the hospital following esophageal reconstructive surgery included helping the patient feel better about eating, helping to make eating a pleasant and autonomous experience for the patient, helping to reduce the amount of pain involved in eating, helping the patient obtain new eating habits, and helping to increase the patient’s self-awareness. The study suggested that to establish new eating habits for patients who have undergone esophageal reconstructive surgery, they must be provided with emotional support with consideration for their feelings about eating before they eat, that educational support with regards to how to deal with the patient must be provided to those supporting them, and that the patients need help in being encouraged to objectively be aware of their sense of self on their own.

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  • Fumi Matsuno, Shizue Suzuki
    Type: Original Article
    2019 Volume 33 33_matsuno_20190215
    Published: February 15, 2019
    Released: February 15, 2019

    The aims of this study are to clarify how end-of-life cancer patients recognize their own calmness of mind, when they achieve it, how they maintain it. A qualitative descriptive study was conducted using semi-structured interviews. The participants were ten end-of-life cancer patients undergoing either palliative home care or in-hospital palliative care at palliative care units.

    As a result of analysis, we extracted the following six categories of calmness of mind in cancer end-of-life patients: “conditions of a patient seeking calmness of mind” “an environment that forms a foundation for calmness of mind,” “experiences that a patient recognizes to be calmness of mind,” “changes in recognition due to calmness of mind,” “conditions that shake calmness of mind,” and “coping to maintain calmness of mind.”

    The process through which a cancer patient recognizes calmness for the end of life includes “conditions of a patient seeking calmness of mind.” Patients feel calm in accepting their medical treatments when“an environment that forms a foundation for calmness of mind” and when they have “experiences that a patient recognizes to be calmness of mind.” It is considered that end-of-life cancer patients were able to recognize calmness of mind because they had a modest experience in daily life and their needs were met in an environment where they are able to continue to receive palliative care. The significance of being able to recognize calmness of mind at the end of life is not only in the healing effect, but also in positively reconsidering their life through “changes in recognition due to calmness of mind,” and raising the possibility that they can live their own life until the end despite experiencing pain.

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