THE ANALYSIS OF DECISION MAKING, COPING ATTTTUDES AND QOL EVALUATEON BY JAPANESE PATIENTS WITH HEMATOPOIETIC MALIGNANCY GOING THROUGH PBSCT

日本造血系统恶性肿瘤患者接受 PBSCT 的决策、应对态度和生活质量评估分析

• 批准号: 12672325
• 负责人: IMAI-KISHI Keiko
• 金额: $ 2.05万
• 依托单位: Kagawa Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672325/
• 关键词: patient decision making; coping; cultural values; QOL; medical technology; human values; 文化の価値; 態度; 造血幹細胞移植; 治療の決断; QOL評価

This is a descriptive study. Six patients with hematopoietic malignancy going through PBSCT were selected for interview on decision making, coping attitudes during hospitalization and out patient department. There were six semstructeured questions. Two nurse investigators interviewed patients. The research period is from April 2000 to January 2001 at K. Hospital in Kagawa Prefecture. The findings were the followings: 1) All the patients experienced shock and disbelief of their diagnosis.: 2) Doctors explanations made patients decide to take PBSCT, because that was suggested as only way to survive.: 3) Patients did not expect own death. : 4) Patient families reacted almost similar ways as patients. : 5) Patients coped with fear with hope. : 6) All patients believed that medical sciences would save life.The year 2001 to 2002, cultural influences on health behaviors and attitudes on general population were surveyed by questionnaires. Out of 1000 people, 453 responded at T city in Kagawa. … More The results of answers were analyzed according to Hofstede (1980) cultural concepts (power distance, individualism / collectivism, uncertainty avoidance, masculinity / femininity).The findings: Many patients were influenced by family decisions on treatment choices. There were power distances between patients and medical doctors. Doctors and patients have high degree of uncertainty avoidance.One hundred nineteen nurses out of 300 nurses who specialised in patient care in hematopoietic malignancy and PBSCT were asked to answer questionnaire on cultural influences on patients care in 2001, November to December in Kagawa. Hofstede (1980) cultural concepts were used for analysis. The findings for QOL of these patients: 1) to reduce the power distance between nurses and doctors between nurses and patients, between doctors and patients. 2) to reduce medical science technological uncertainties by explaining visible actual certainty. 3) to reduce nurses ethical dilemma by improving communication among doctors, nurses, patients and nurses. Less

这是一项描述性研究。对6例接受外周血干细胞移植的造血系统恶性肿瘤患者进行住院期间和门诊期间的决策、应对态度的访谈。有六个结构化的问题。两名护士调查员采访了病人。研究时间为2000年4月至2001年1月，地点：K。香川县的医院。结果发现：1）所有患者均出现休克和不相信诊断。2)医生的解释使患者决定接受PBSCT，因为这被认为是生存的唯一途径。3)病人没有想到自己会死。：4）患者家属的反应几乎与患者相似。（5）患者用希望来应对恐惧。2001 ~ 2002年，采用问卷调查法，调查了文化对一般人群健康行为和态度的影响。在香川的T市，1000人中有453人做出了回应。 ...更多信息 根据霍夫施泰德（1980）的文化概念（权力距离、个人主义/集体主义、不确定性回避、男性气质/女性气质）对回答结果进行分析。病人和医生之间存在权力距离。2001年11 ~ 12月，在香川对300名从事造血系统恶性肿瘤和外周血干细胞移植护理的护士中的119名进行了问卷调查。霍夫施泰德（1980）的文化概念被用于分析。结果发现：1）减少了护医之间、护患之间、医患之间的权力距离。2)通过解释可见的实际确定性来减少医学科学技术的不确定性。3)通过加强医、护、患、护之间的沟通，减少护士的伦理困境。少

项目成果

Kishi Keiko Imai,Kazue Mori,Tomoko Sugimoto: "The analysis of coping attitudes by Japanese patients with Hematopoietic malignancy going through PBSCT."The second Advances in Qualitative Methods. P.114 (2001)

Kishi Keiko Imai，Kazue Mori，Tomoko Sugimoto：“日本造血系统恶性肿瘤患者接受 PBSCT 的应对态度分析”。定性方法的第二次进展。