Development of a self-care support program centering on providing information for breast cancer

这项研究的目的是在我们进行的调查和我们提供的文献的基础上，制定一项以为乳腺癌患者提供信息为中心的自我护理支持计划。该计划基于对先前研究的审查，使用三个要素：(1)将与其他医务人员的同意和合作作为基本立场；(2)面对面的解释；(3)以CD和小册子提供信息。预期结果设定如下：患者对治疗决策的满意度；应对能力和适应能力的改善；以及建立一个关于乳腺癌健康问题的自我护理机构。面对面的解释结合了提供信息的时间(在诊断时)。在选择治疗时和在辅助治疗期间)以及如何传达信息。一张提供信息的CD被制成一个物体，配备了具体的信息，不仅是文本，还有图片和动画信息以及到其他乳腺癌相关网站的链接。有关乳腺癌的基本知识、检查和治疗方法、乳腺癌的预防和早期发现(医学自检法)、压力应对策略等都是信息的具体内容。信息提供不仅提供疾病或医疗方面的知识，而且在照顾人际关系和缓解疼痛等方面也有作用。因此，向癌症患者提供信息是值得注意的，作为护理的一部分。

The purpose of this study was to develop a self-care support program centering on providing information for breast cancer patients based on a survey that we performed and literature that we provided.This program was constituted from examination of preceding research using 3 elements : (1) agreement and collaboration with other medical staff is made into fundamental stance ; (2) face-to-face explanations ; and (3)provision of information on CD and pamphlet. The expected outcome set up the following : patient satisfaction with decision-making for treatment ; improvements in coping ability and adjustment ; and development of a self-care agency for health issues about breast cancer. Face-to-face explanations integrated the time of providing information (at diagnosis. at time of selecting treatment, and during adjuvant therapy) and how to convey information. A CD providing information was made into an object equipped with concrete information, not only as text, but pictorial and animated information and links to other breast cancer-related sites. Basic knowledge on breast cancer, methods of inspection and medical treatment, prevention and early detection (medical self-checkup method) for breast cancer, stress-coping strategies etc. were included as concrete contents of information.Information provision not only offers knowledge of an illness or medical treatment, but has a function in the care of personal relationships, pain relief, etc. Establishing information provision to a cancer patient thus warrants future attention as a component of nursing care.