家族と遺族のケア(<特集>サイコオンコロジー)  [in Japanese] Family and Bereavement Care in Cancer(<Special Issue>Psycho-oncology)  [in Japanese]

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Abstract

悪性腫瘍の罹患は家族にとって衝撃的な出来事である.日常生活は大幅な変更を迫られ,心理・身体的な負担も大きい.これらのストレスは非常に大きいため,身体・精神面での問題が生じ,日常生活の障害をきたすこともまれではない.家族は「第2の患者」,医療とケアの対象である.死別は人生における最大のストレスであり,遺族の心身にさまざまな影響が及ぶ.身体疾患の悪化,死亡率上昇,自殺率・うつ病罹患率上昇などが生じ,日常生活に支障をきたすこともある.遺族に対する援助は「後治療(postvention)」という概念で示される.家族や遺族に対する援助はいまだ十分なレベルではない.今後もさらなる臨床と研究が欠かせない.

The occurrence of malignant tumors is also a shocking event for patients' families. It forces them to markedly change their daily activities, while psychologically and physically affecting them. Consequent severe distress frequently causes physical and mental problems resulting in difficulty in maintaining daily activities. In this respect, families of cancer patients may be regarded as "second patients" requiring medical services and care. Bereavement, one of the most stressful life events, affects the diverse aspects of bereaved families' mental and physical health ; it increases suicide rate, incidence of depression, and mortality while deteriorating physical disorders. Consequently, for some bereaved family members, it becomes difficult to maintain their daily lives. Support for them has been conceptualized as "postvention". The provision of family and bereavement care is still insufficient. Further clinical practice and studies are needed.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 54(1), 45-52, 2014

    Japanese Society of Psychosomatic Medicine

Codes

  • NII Article ID (NAID)
    110009688078
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • ISSN
    0385-0307
  • NDL Article ID
    025121397
  • NDL Call No.
    Z19-26
  • Data Source
    NDL  NII-ELS  J-STAGE 
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