Living Through Refractory Cancer─Pancreatic Cancer Patients Narratives─

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  • 難治性のがんを生き抜く ─膵がん患者の語り─
  • 難治性のがんを生き抜く : 膵がん患者の語り
  • ナンチセイ ノ ガン オ イキヌク : スイガン カンジャ ノ カタリ

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<p>Abstract</p><p>The objective of this study was to describe the experiences of pancreatic cancer patients who cannot look forward to recovery or long-term survival. A verbatim record was made of interviews carried out with two patients. The characteristics of the patients’ experiences were analyzed and interpreted based on the phenomenological approaches in philosophical anthropology advocated by P. Benner. </p><p>The narratives of the two pancreatic cancer patients were described as：“being ready to face reoccurrence and to remain alive while seeking successful treatment”, and “to look for a way to face reality when death looms closer”, indicating that the patients were aware that they had a bad prognosis with a high likelihood of recurrence and death. They understood the significance of their bad prognosis and the likelihood of death through their interactions with medical practitioners. They were expected to understand and accept the risk of recurrence of cancer and the limits to medical treatment. It appeared that on their part they were struggling to prepare psychologically for the future. It was concluded that awareness of passing time affected both their present state of living with their end in sight and their efforts to reject the common perception that pancreatic cancer is a death sentence. These results suggest that support theory should be designed to soften the subconscious impact of the ‘refractory’ in relation to pancreatic cancer, which undermines patient motivation to look to the future, and to tackle the differences in physicians’ and patients’ perceptions of temporality.</p>

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