Research on outpatient nursing that supports the social rehabilitation of patients and their family members following gastrointestinal cancer surgery

本研究历时四年，调查并阐明了支持胃肠癌手术后患者及其家属社会康复的门诊护理。本报告最后一年（2004年）阐明门诊护理援助。(1)研究对象为41名患者及41名家属。患者与一名家庭成员配对；20对接受门诊护理辅助模式，21对接受常规护理。出院时间在3个月以下的有12对，2 ~ 3年的有16对，大于等于5年的有13对。(2)由于门诊护理辅助，一些配对非常有效地实现了他们的目标。其他几对几乎达到了他们的目标；然而，我发现了一些问题，包括干预的持续时间。(3)对两组患者的健康状况和生活方式进行统计分析，发现两组患者在一些与术后相关的身体参数上差异有统计学意义。(4)通过对被试对干预的反应和研究者的行为进行定性和归纳分析，确定了被试改变的四种含义、护理援助的三种含义以及护理援助促进被试改变的四种特征。(5)研究结果表明，门诊护理辅助的效果显著，包括自我接纳能力的提高和社会康复能力的提高。此外，通过查阅相关学术会议的文献和信息，我明确了门诊护理协助对胃肠癌手术后患者及其家属社会康复的支持。结果显示了四种类型的帮助，包括促进自我肯定，以保持与疾病共存的活力。在未来，考虑到机构周围的情况，我计划与研究所的其他医务人员合作，提供门诊护理协助。少

The present four-year study investigated and clarified outpatient nursing that supports the social rehabilitation of patients and their family members following gastrointestinal cancer surgery. This report on the final year (2004) elucidates outpatient nursing assistance. (1)Subjects were 41 patients and 41 family members. Patients were paired with a family member ; 20 pairs were assigned to an outpatient nursing assistance model, while 21 pairs received conventional nursing. Length of time post-discharge was under 3 months for 12 pairs, 2-3 years for 16 pairs and 【greater than or equal】5 years for 13 pairs. (2)As a result of outpatient nursing assistance, some pairs achieved their goals very efficiently. Other pairs nearly achieved their goals ; however, I observed some issues, including duration of intervention. (3)Statistical analyses of the health and lifestyles of subjects indicated significant differences between the two groups for some physical parameters related to postoperativ … More e recovery though SF-36 measurement of QOL indicated no significant differences. (4)Qualitative and inductive analysis of subjects' reactions to the intervention and the researcher's actions identified four meanings for changes in the subjects, three meanings for nursing assistance, and four characteristics of nursing assistance that facilitated change in the subjects. (5) These findings indicate that improvements in subjects included the ability to accept themselves and the strength to socially rehabilitate more smoothly, indicating that outpatient nursing assistance was effective.Furthermore, by reviewing the literature and information gathered from related academic conferences, I clarified outpatient nursing assistance that supports the social rehabilitation of patients and their family members following gastrointestinal cancer surgery. The results revealed four types of assistance, including facilitating self-affirmation to maintain the vitality to live with the disease. In the future, while considering the circumstances surrounding the institution, I plan to provide outpatient nursing assistance by collaborating with other medical staff at the institute. Less