DEVELOPMENT OF NURSING SUPPORT SYSTEM FOR PATIENTS WITH CANCER TAKING CHEMO-THERAPY AS OUTPTIENTS TO MANAGE THEIR SYMPTOM AND PHYSICAL CONDITION.

目的：本研究的目的是为医院门诊部化疗的癌症患者开发支持系统。从2002年到2004年，每年都设置以下方法，以确定应该提供什么样的护理服务，以及医院应该如何协调为患者提供的护理服务系统。方法：(1)2002年：采用开放式问题来确定患者和肿瘤内科医生认可的护理需求。通过对5名研究人员的描述性数据进行定性分析，得出分类和亚类。(2)2003年：根据2002年的研究结果，开发了5种不同类型的材料。这些是“关于化疗的所有信息”，“管理你的化疗副作用”，“化疗期间的饮食策略”，“如何使用替代和补充疗法”，“姑息治疗”。采用问卷调查的方式对…进行评价2004年：以Orems的自理理论作为本研究的理论框架，为了实现门诊病人的护理，需要一种测量病人自理能力的工具。通过焦点小组访谈专家护士，了解自理代理的构成要素。所有需要人体对象的访谈和问卷都经过伦理考虑，并得到机构评审委员会的批准。(1)17名患者和5名肿瘤医生接受了采访。获得了1728个单位的数据。共引出11大类42个亚类。分别是“生存需要”、“症状管理”、“心理护理”、“自我决定”、“维持生活质量”、“对家人的关怀”、“社会支持”、“医务人员的良好态度”、“医疗信息”、“舒适的设施”、“经济支持”。然而，许多人在候车室带走了材料。在回答中，人们描述心理教育取向对他们有帮助。(3)通过对3次焦点小组访谈数据的分析，确定了10个类别。自护剂的结构与Orems的自护剂相似。亚类表达了完成化疗过程的实际管理能力。护士对患者的自我护理能力进行评估，并做出临床判断。较少

<PURPOSE>The purpose of this research is to develop the support system for the patients with cancer who are taking chemo-therapy at out patient department in the hospital. The following method was set in each year from 2002 to 2004 to identify what kind of nursing care should be provided and how the hospital should coordinate the care delivering system for patients.<METHOD>(1)2002 : Open-ended Question were conducted to identify nursing care needs which patients and medical oncologist recognized. The categories and sub-categories are elicited from descriptive data through qualitative analysis among 5 researchers.(2)2003 : According to the result of 2002 research, five different kinds of materials were developed. Those are "Over all information about chemotherapy", "Manage your side effect of chemotherapy", "Strategies for eating during chemotherapy", "How to use the alternative and complementary therapy", "Palliative care". The inquiry using questionnaire was conducted to evaluate thos … More e 5 materials.(3)2004 : In order to realize nursing care for out patients, the tool to measure the patients self care ability was needed because Orems' Self care Theory had been used as the theoretical framework of this research. The components of self-care agent are inquired through the Focus Group Interview with expert nurses. All of the interviews and questionnaire that need human object was planed with ethical considering and was given approval by institutional review board.<FINDING, RESULT>(1)17 patients and 5 oncologist were responded to interview. 1728 unit data were obtained. 11 categories contained 42 sub-categories were elicited. Those are "Survival needs", "Symptom Management", "Mental Care", "Self deciding", "Maintain QOL", "Care for Family", "Social Support", "Good attitude of Medical staff", "Medical Information", "Comfortable Facilities", "Economical support".(2)The number of responses of questionnaire was not enough to analyze. However, many people have taken materials at waiting room. In responses, people describe psycho-educational orientation was helpful for them.(3)10 categories were identified through analyzing the data from 3 Focus Group Interviews. The structure of self care agent was similar to Orems' self care agent. Sub-categories were expressed actual management ability to complete chemo-therapy process. Nurses had evaluated patients' self care ability and made clinical judgment. Less