Recurrence and metastatic cancer concerns of patients and their families after receiving chemotherapy

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  • がんの再発・転移で化学療法を受けるがん患者と家族の気がかり

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<p>The objective of this study was to clarify the concerns of family members who were living at home with the patients who have been diagnosed with recurring or metastatic cancer, and are receiving outpatient chemotherapy. The study also examined ways of supporting patients who were diagnosed with cancer, and their families. Semi‐structured interviews were performed with ten patients with cancer, and twelve family members who were receiving chemotherapy at the outpatient. These interviews were transcribed and analyzed using a qualitative descriptive study design. Findings of the study revealed that the concerns of patients with cancer can be categorized into five factors, namely:［Various side effects of treatments］, ［The burden of cancer treatment］［The magnitude of the burden on the family］［The mind and body are not transmitted to family］［Fear of having cancer recurrence or metastasis］. The family's concerns can be classified into five categories, namely:［Patient suffering from side effects］［Invisible prognosis of cancer treatment］［Burden of responsibility to support the patient's fight against the disease］［Suffering from cancer recurrence and metastasis］［Inability to relate to the patient］. However, nurses understand that cancer patients and their families who may have relapsed/metastasized cancer will have greater demands for care, and many family members will have more worries while living life.</p><p>Underlying the patient's and family's concerns are the uncertainty of illness caused by cancer and is likely to cause a divide. Between diagnosis and treatment concerns, early diagnosis was found to be consistent with existing treatment protocols promoting early diagnosis to have timely support, including respecting the patient and their family's values. It is important to understand the situation of patients and their families.</p>

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