The Process that Hematological Cancer Patients Hold on to Hope While Undergoing Long-Term Care

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  • 長期療養を続ける造血器がん患者が希望を維持するプロセス
  • チョウキ リョウヨウ オ ツヅケル ゾウケツキ ガン カンジャ ガ キボウ オ イジ スル プロセス

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<p>Abstract</p><p>The manner and process, through which patients with hematological cancer under long-term care were able to hold on to hope, were inductively examined. Seven patients who were in a university hospital were interviewed 41 times over a period of 3 months, and the data obtained were analyzed, using an ethnographic approach. </p><p>In this process, there were 4 stages : (1) feeling that there is no future ; (2) hoping to resume their lives after discharge ; (3) getting accustomed to current conditions ; and (4) simply wishing to get better. Each stage was characterized by a difference set of attributes, rather than the progress of time. Specifically, the patients expressed the following thought processes at each stage : ① details of a substantial goal, ② interpretation of death and dying, ③ interpretation of effectiveness of cure, and ④ the manner by which they come to terms with their disease. The difference in the attributes at each stage influenced hope held by the patient. The shift to each stage was affected by an acknowledgment of the fact that without treatment there would be no prospects for continued life. They have learned to come to terms with their own diseases during the protracted treatment period. This was exemplified by a process in which they relied solely on the treatment, even though they chose not to set a specific goal upon recovery and even when they instinctively felt an impending doom. This study suggested that it is necessary for a nurse to support a patient's own strategy so as not to weaken his or her coping ability.</p>

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