小児がん患者における病気のとらえ方の検討  [in Japanese] The Perceived Cancer Experience in Japanese Childhood Cancer Patients : A Qualitative Study  [in Japanese]

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Abstract

本研究の目的は,小児がん患者の病気のとらえ方の特徴を明らかにすること,また,個人の属性によって病気のとらえ方に違いがみられるのかを検討することであった.小児科外来通院中の25名の小児がん患者を対象に半構造化面接を実施した結果,病気のとらえ方に関する11の構成要素が抽出された.また,患者の属性による違いを検討したところ,「視野,考え方が広がった」「人の痛みが分かるようになった」「貴重な体験だと思う」「病気になったのは仕方がない,諦めている」の4つの構成要素において,19歳以上の患者の方がそれ以外の年代の患者よりも回答頻度が高かった.これらの結果から,小児がん患者は,成長に伴い多角的なとらえ方をするようになることが示された.

Objectives : Experience of cancer has been linked to post-traumatic stress disorder for childhood cancer survivors. However, it is also an opportunity for personal growth (Jim & Jacobsen., 2008). Evaluating the long-term effects of cancer and its treatment, we have to investigate the impact of cancer in life domains. The purpose of this study was to explore the perception of the cancer experience in Japanese childhood cancer patients. Methods : Subjects were 25 childhood cancer patients attending the pediatric outpatient clinics (8 male and 17 female), median age at survey was 16.8 yrs (13.8-28.8 yrs), median age at diagnosis was 8.0 yrs (2.3-15.0 yrs). Approximately 18 patients had leukemia, 4 suffered from malignant lymphoma and 3 suffered from osteosarcoma, respectively. They were asked to participate in a semi-structured interview regarding the perception of the cancer experience. The data was analyzed with the content analysis, chi-square test and Fisher's exact test. Results: A total of 11 attributes were extracted. The attributes indicated by many of the participants were "having cancer brought my family closer together (n=14)", "I have met various people (n=12)", "cancer has been a precious experience of my life (n=11)", "I wonder why I got cancer (n=9)". Some attributes showed statistically significant differences among age at survey. Conclusion : This study identified the important components of the perceived cancer experience in Japanese childhood cancer patients. Most patients thought that good things have come out of having had cancer. In addition, older patients have more diversified views of cancer than younger patients because they have had many problems and benefits.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 52(7), 638-645, 2012

    Japanese Society of Psychosomatic Medicine

Cited by:  1

Codes

  • NII Article ID (NAID)
    110009470830
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0385-0307
  • NDL Article ID
    023759362
  • NDL Call No.
    Z19-26
  • Data Source
    CJPref  NDL  NII-ELS  J-STAGE 
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