THE IMPROVEMENT OF SUPPORT METHOD TO THE BREAST CANCER PATIENTS -THE INTRODUCTION OF THE "NARRATIVE" VIEWPOINT AND HEALTH PSYCHOLOGICAL EDUCATION TO THE NURSES-

本研究旨在探讨护理人员对乳腺癌患者进行心理支持的方法。为实现这一目标，主要规划了四个项目。护理人员参与患者焦虑状况的随访研究。通过这次的经验和结果，护士们发现病人的焦虑感很强，而且持续时间很长。第二部分是对乳腺癌患者进行问卷调查。疾病叙述、生活质量与相关因素之相关性研究结果，可作为护理人员思考乳癌病患疾病经验之参考。第三，从疾病叙事的角度，研究者对乳腺癌患者进行了访谈。在此基础上，对护士进行了第四次健康心理教育，特别强调了“叙事”的观点，有助于护士加深对乳腺癌患者心理方面的认识。

The purpose of this study was to devise a better way of the psychological support to breast cancer patients by the nurses. To achieve this purpose, four projects were planned mainly. The nurses participated in the follow-up research about the anxiety of patients. Through this experience and results, the nurses found that the anxiety of the patient is strong and follows for a long time. For the second, the questionnaire survey was carried out for breast cancer patients by this researcher. The results about the relationships among illness narratives, QOL and related factors were good clue for the nurses to think about the illness experience of breast cancer patients. Thirdly, from a viewpoint of illness narrative, the researcher had the interview for breast cancer patients. While being based on these results, health psychological education for the nurses was planned for the fourth, and especially the "narrative" viewpoint was emphasized in it. These experiences were very useful for the nurses to deepen the understanding about the psychological aspects of breast cancer patients.