The Desires of Families of End-Stage Lung Cancer Patients

DOI
  • Hyogo Teppei
    Nursing Science Institute of Health Sciences Tokushima University Graduate School
  • Imai Yoshie
    Major in Nursing, School of Health Sciences, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Bando Takae
    Major in Nursing, School of Health Sciences, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Takahashi Aki
    Major in Nursing, School of Health Sciences, Institute of Biomedical Sciences, Tokushima University Graduate School

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Other Title
  • 急性期病棟でBSCとなった肺がん患者の家族の願い

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Abstract

<p>The purpose of this study was to clarify the desires of the families of patients with end-stage lung cancer, who receive best supportive care (BSC). Semi-structured interviews using an interview guide were conducted with 10 families of lung cancer patients receiving BSC on acute care wards, and the obtained data were examined using content analysis. The families’ desires were summarized into 4 categories: [desiring to let the patient continue treatment although it is inevitable to discontinue it], [desiring to let the patient spend the last days of his/her life peacefully without pain], [desiring to watch the patient live his/her life in his/her own way until the end], and [desiring to say thank you to the patient for his/her coping]. While regretting the infeasibility of treatment for the patients to continue to live, the families wanted them to spend time peacefully. This represented the families’ desire of “giving priority to patient comfort” such as relief from pain. Explaining that surgery is the only cure, and watching over the patients, who became weak through repeat treatments, was an anticipatory grief process, where the families accepted their deaths little by little. Recognizing such deaths as unavoidable reality, the families desired to support the patients to live their lives in their own ways until the end as “the final duty of family members”, which may have helped the families.</p>

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