Content analysis of nurses' interventions for post thoracic esophagectomy cancer patients at the outpatient clinic
10.2512/jspm.9.110
- VernacularTitle:胸部食道がん術後外来患者に対する看護ケアの分析
- Author:
Keiko Iino
;
Shigeaki Watanuki
;
Yurie Koyama
;
Miho Kurihara
;
Chisato Ichikawa
;
Kyoko Okada
;
Hideo Uesugi
;
Chie Asanuma
;
Hiroyuki Daiko
;
Takeo Fujita
;
Kyoko Suzuki
;
Chihoko Wada
;
Michiko Mori
;
Yoko Hisabe
;
Kaori Yagasaki
;
Hiroko Komatsu
- Publication Type:Journal Article
- Keywords:
thoracic esophageal cancer;
postoperative outpatient;
nursing;
content analysis
- From:Palliative Care Research
2014;9(3):110-117
- CountryJapan
- Language:Japanese
-
Abstract:
Background: Patients having thoracic esophagectomy, a standardized treatment for esophageal cancer patients in Japan, are known to have various postsurgical signs and symptoms for a period of time. The current status of nursing interventions at outpatients need to be clarified. Purpose: This study aimed at identifying the nurses' interventions for cancer patients at the outpatient setting who previously had thoracic radical esophagectomy. Methods: Patients who had esophagectomy at a cancer center hospital in Japan were prospectively observed and interviewed by outpatient nurses between January 2009 and December 2010. Their documented responses in medical record were prospectively investigated and were qualitatively analyzed via content analysis method. This study was approved by the study hospital's research ethics committee. Results and discussion: The data analysis of nursing interventions for 66 patients yielded 372 extracts, 12 categories, and 74 codes. Nurses were assessing patients' signs and symptoms affected by postsurgical changes, and were utilizing patients' active self-monitoring skills. The results also showed the significance of facilitating postsurgical recovery in relation to nutritional intake and physical activity in patients' daily life. Implications: Based upon the study results, the development of a systematic program is underway, which facilitates esophageal cancer patients' postsurgical recovery.
