@article{oai:mie-u.repo.nii.ac.jp:00012655, author = {犬丸, 杏里 and INUMARU, Anri and 坂口, 美和 and SAKAGUCHI, Miwa}, journal = {三重看護学誌, Mie Nursing Journal}, month = {Mar}, note = {application/pdf, Aim: The current study aims at visualizing the nursing care for patients diagnosed with pancreatic cancer (PC) at a PC specialty hospital in Japan. Methods: A qualitative approach was taken to carry out the study. 10 nurses caring for patients diagnosed with PC at the specialty hospital were interviewed after obtaining signed consents. Notes of interview were analyzed using qualitative descriptive research. Results: 3 categories and 12 sub-categories about nursing cares were found. 【Care of symptom】 was consist of〈 Observation of complications/side effects accompanying treatment/detailed examination〉,〈 Attention of advancer symptom〉,〈Cooperation with professional and family〉 and 〈Treatment of refractory diarrhea〉.【 Support of willow-like heart】 was consist of〈 Careful thought for heart〉, 〈Guess of timing〉, 〈manipulation of information volume for anxiety alleviation〉 and 〈Setting a short term goal〉.【 Consideration for refractory cancer】 was consist of〈 Listening closely as best care〉,〈 Direction of decision〉 and〈Support for surgical decisions not directly touched〉. Conclusion: It was suggested that nursing care at a PC specialty hospital may lead to better nursing care by involved in patient decision making and snuggled with patients can achieve their life goals., 《目的》本研究の目的は,精査から手術治療終了までの入院中の膵臓がん患者に対して膵臓がん専門病院の看護師がどのような看護ケアを行っているのかを語りから明らかにすることである. 《方法》年間30 例以上の手術を行う膵臓がん専門病院である肝胆膵外科病棟で働いている看護師10 名を対象に半構成的面接を行い,質的記述的方法を用いて分析した. 《結果》膵臓がん患者に対する看護は,3 つのカテゴリーと11 のサブカテゴリーから構成された.【症状への対応】は,〈治療・検査に伴う合併症・副作用の観察〉,〈進行症状への注意〉,〈専門家や家族との協力〉,〈どうしようもない下痢への試行錯誤〉から構成された.【柳ようのこころの支持】は,〈こころへの顧慮〉,〈タイミングの推察〉,〈不安を増長させない為の情報量操作〉,〈今を乗り越える目標設定〉から構成された.【難治性がんへの配慮】は〈最善策としての傾聴〉,〈病識の確認〉,〈直接触れられない手術決断への支持〉から構成された. 《考察》膵臓がん専門病院における看護ケアは,患者の意思決定に関わり,人生の目標を達成できるように寄り添うことで,より良い看護ケアにつながる可能性が示された.}, pages = {7--14}, title = {膵臓がん専門病院における精査から手術治療終了までの看護ケア}, volume = {21}, year = {2019}, yomi = {イヌマル, アンリ and サカグチ, ミワ} }