Nursing intervention for esophageal cancer patients who experienced esophagectomy to speed up the process of acquiring new swallowing way

食管癌食管切除患者的护理干预加快新吞咽方式的掌握

• 批准号: 15592268
• 负责人: MORI Keiko
• 金额: $ 2.18万
• 依托单位: Hamamatsu University School of Medicine (2006)Okayama University (2003-2005)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592268/
• 关键词: esophageal cancer; content analysis; difficult experience; coping; restructuring of postoperative life; 胸壁前皮下経路再建術; 面接法; 食道癌

The purpose of this study is to clarify the difficulties faced in daily life of patients who have undergone esophagectomy due to esophageal cancer and now reside at home, as well as the actual conditions how to cope with such difficulties. 30 patients gave their consent to participate in the study, and semi-structured interview was conducted using open-ended questions. 17 of them had undergone reconstruction of the esophagus via the subcutaneous route anterior to the thoracic wall, and 12 via the posterior mediastinal route, and one via the retrosternal route. The contents of the recorded 29 interviews were transcribed into verbatim record, and as one patient was not consent to record the interview, I took a note of the content of interview. And a qualitative, inductive analysis was conducted using the content analysis method.As a result, it was found that the patients were suffering from six difficulties: "that eating activities had become a far greater hardship than had been expected" "the narrowing of social life" "change of body-image" "painful feeling according to backflow of gastric juice and food" "uneasiness of recurrence and metastasis" and "anxiety to continuing social life". Patients experiencing the former difficulty dealt with it by "learning eating methods suited to them personally in order to survive" and patients experiencing the latter difficulty dealt with it by "accepting the change to save their life" "becoming accustomed to the change slowly" "search for the method for backflow of gastric juice and food" "consult a physician regularly and live cautiously", and then restructure their postoperative lives.

本研究的目的是阐明因食管癌而接受食管切除术并现居家的患者在日常生活中所面临的困难，以及如何科普这些困难的实际情况。30例患者同意参加研究，并使用开放式问题进行半结构化访谈。经胸壁前皮下途径重建食管17例，经后纵隔途径重建食管12例，经胸骨后途径重建食管1例。将29次访谈的内容逐字记录下来，由于一名患者不同意录制访谈，我记录了访谈的内容。并采用内容分析法进行定性归纳分析，结果发现患者存在六个方面的困难：“进食活动已成为比预期更大的困难”“社交生活的狭窄”“身体形象的改变”“胃液和食物回流引起的疼痛感”“复发和转移的不安”继续社交生活的焦虑”。前一种困难的患者通过“学习适合自己的饮食方法以生存”来应对，后一种困难的患者通过“接受改变以挽救生命”“慢慢适应改变”“寻找胃液和食物回流的方法”“定期咨询医生并谨慎生活”来应对，然后重建他们术后的生活

项目成果

食道がん患者に対する術前インフォームド・コンセントの検討

食管癌患者术前知情同意的思考

• 发表时间: 2003
• 期刊: 岡山大学医学部保健学科紀要 13
• 作者: 森恵子;金尾直美;難波佳代;石川貴子;斎藤信也;猶本良夫
• 通讯作者: 猶本良夫

食道がんのために食道切除術を受けた患者が抱える生活上の困難と対処に関する研究

食管癌患者行食管切除术面临的困难及应对方法研究

• 发表时间: 2005
• 期刊: 岡山大学医学部保健学科紀要 16
• 作者: 森恵子;秋元典子
• 通讯作者: 秋元典子

食道癌のために喉頭切除術を受けた患者が体験している困難とそれへの対処

食管癌喉切除术患者遇到的困难及处理方法

• 发表时间: 2003
• 期刊: 岡山大学医学部保健学科紀要 14
• 作者: Chiaki Daito;Hitomi Nishiumi;Atsuko Kita et al.;森恵子
• 通讯作者: 森恵子

Examination of informed consent to preoperative esophageal cancer patient.

食管癌患者术前知情同意书审查。

• 发表时间: 2003
• 期刊: Bulletin of Faculty of Health Sciences Okayama University Medical School 13
• 作者: Keiko Mori;Naomi Kanan;Kayo Nanba;Takako Ishikawa;Shinya Saito;Yoshio Naomoto
• 通讯作者: Yoshio Naomoto

嚥下機能評価のためのインピーダンス咽頭図(IPG)のパラメータ解析

咽阻抗图（IPG）参数分析评价吞咽功能

• 发表时间: 2005
• 期刊: 電子情報通信学会論文誌 J88-D-II
• 作者: 楠原俊昌;中村隆夫;白川靖博;森恵子;猶本良夫;山本尚武
• 通讯作者: 山本尚武