Good death and bereavement in a lung cancer patient following meaning-centered couples psychotherapy by a cancer nursing specialist
Good death and bereavement in a lung cancer patient following meaning-centered couples psychotherapy by a cancer nursing specialist
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一名肺癌患者接受癌症护理专家以意义为中心的夫妻心理治疗后获得良好的死亡和丧亲之痛
DOI：
10.1017/s1478951521001826
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发表时间：
2021
影响因子：
2.2
通讯作者：
Onishi Hideki
中科院分区：
文献类型：
--
作者：
Hayashi Eriko;Onishi Hideki
目的 许多晚期癌症患者正在与生命的意义作斗争，但不能说他们的担忧得到了充分解决。方法从一系列接受临终关怀的癌症患者中，提出一个患者的案例，该患者患有无法治愈的肺癌，与妻子一起失去了生命的意义，每两周接受一次以意义为中心的夫妻心理治疗，让他们一起思考生命的意义。结果患者为70岁男性，14个月前被诊断出肺癌并出现胸膜播散。以意义为中心的心理治疗 (MCP) 课程是由一位癌症护理专家对患者及其 70 岁的妻子进行的，这位癌症护理专家接受过广泛的 MCP 培训，并接受了一位日本 MCP 启蒙心理学家长达 7 年的持续监督。同时，对身体不适进行姑息治疗。癌症护理专家为患者和他的配偶进行MCP后，患者发现了生命的意义，而在初次诊断时被告知他患有晚期癌症后，他和他的配偶已经失去了生命意义的任何概念。结果意义癌症护士为晚期癌症患者提供以意义为中心的心理治疗，可以帮助患者及其家属表达感激之情，从而实现家属的善终。未来护士可能会越来越多地进行 MCP。
Objective There are many terminally ill cancer patients who are struggling with the meaning of life, but it cannot be said that their concerns are being adequately addressed. Method From a series of cancer patients undergoing end-of-life care, the case of a patient, who developed incurable lung cancer and, together with his wife, lost the meaning of life and underwent meaning-centered couples psychotherapy once every two weeks to have them consider the meaning of life together, is presented. Results The patient was a 70-year-old man who had been diagnosed with lung cancer and pleural dissemination 14 months earlier. The meaning-centered psychotherapy (MCP) sessions were conducted with the patient and his 70-year-old wife by a cancer nursing specialist who had received extensive training in MCP and had also received 7-year on-going supervision from a Japanese MCP-enlightened psychologist. At the same time, palliative treatment of physical distress was performed. The patient was able to discover the meaning of life as a result of MCP performed by a cancer nursing specialist for him and his spouse who had lost any notion of the meaning of life after being informed that he had terminal cancer at the time of the initial diagnosis. Significance of results Meaning-centered psychotherapy provided to terminal cancer patients by cancer nurses can help patients and their families express their gratitude, thereby achieving a good death for the bereaved family. Nurses are likely to increasingly perform MCP in the future.
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影响因子：
4.7
作者：
van Dooren, Silvia;van Veluw, Hetty T. M.;van der Rijt, Carin C. D.
通讯作者：
van der Rijt, Carin C. D.
日本肿瘤学认证护士专家。
影响因子：
2.4
作者：
H. Komatsu
通讯作者：
H. Komatsu
与复发性癌症患者的生活意义相关的因素。
影响因子：
1.9
作者：
Taylor,EJ
通讯作者：
Taylor,EJ
KYT培训与实践医疗安全教育尝试（一）
DOI：
--
发表时间：
2012
期刊：
影响因子：
--
作者：
Mizuno;M;千葉京子;兵藤好美・田中共子
通讯作者：
兵藤好美・田中共子
影响因子：
45.3
作者：
Breitbart, William;Rosenfeld, Barry;Lichtenthal, Wendy G.
通讯作者：
Lichtenthal, Wendy G.