Characteristics by Age Groups of Difficult Cases Recognized by Nurses in Cancer Nursing for Adolescents and Young Adults

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  • Okada Hiromi
    Faculty of Healthcare, Tokyo Healthcare University
  • Tomioka Akiko
    Faculty of Healthcare, Tokyo Healthcare University
  • Obama Kyoko
    Division of Supportive Care, Survivorship and Translational Research, Institute for Cancer Control, National Cancer Center
  • Yamauchi Eiko
    Faculty of Medicine, Ehime University
  • Iwase Kimiko
    Faculty of Nursing & Rehabilitation, Konan Women’s University
  • Maru Mitsue
    College of Nursing Art and Sciences, University of Hyogo

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  • 看護師が認識する思春期・若年成人がん患者の困難事例の年齢層別特徴

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Abstract

<p>Aim: The aim of this study was to clarify the characteristics by age group of difficult cases as perceived by nurses in the care of adolescents and young adults (AYA) with cancer.</p><p>Methods: A cross-sectional study was conducted among nurses at Japanese designated cancer hospitals in 2016. We conducted a questionnaire survey about the most difficult cases as perceived by nurses in caring for AYA cancer patients. The study sample included nurses who had been working for more than 1 year in a department that treats or continuously observes 15- to 39-year-old cancer patients.</p><p>Results: Participants comprised 1,627 nurses. Difficulties were characterized as “notification of poor prognosis”, “support for patient decision-making” and “assurance of patient’s opportunities for education” for 15- to 19-year-olds, “refusal/drop-out of treatment” and “support for employment” for 20- to 24-year-olds, and “family relationships/family issues” for 25- to 39-year-olds.</p><p>Conclusion: The results of this study revealed that the types of difficulties recognized by nurses vary between age groups. Particularly in the terminal period, parental intentions might be prioritized in the case of 15-19 AYA cancer patients.</p>

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