1.Intervention of a clinical psychologist in the treatment of an autistic patient with pancreatic cancer: a report on a surgical case
Naoko Nagai ; Kazuhiko Hashimoto ; Hatsumi Izawa ; Tomoko Yamada ; Noriko Honda ; Atsushi Naito ; Yuko Itani ; Yo Sasaki
Palliative Care Research 2010;5(2):323-326
Case: A 40-year-old woman. Clinical diagnosis: Autistic disorder with mild mental retardation. Case report: The patient underwent pancreaticoduodenectomy for the treatment of her pancreatic cancer. We held several conferences with individuals from different medical fields and examined the influence of the patient's autistic disorder on the perioperative conditions. The senior author, a clinical psychologist, conducted repeated individual, acceptive, and sympathetic interviews with the patient and her family and maintained supportive relationships with them as an honorary family member. Thus, the clinical psychologist helped reduce the patient's anxiety about the medical treatment. Conclusion: The participation of a clinical psychologist in the medical conferences enabled the medical staff to understand the complications involved and provide mental support to the patient and her family. Palliat Care Res 2010; 5(2): 323-326
2.Implementation and evaluation of group therapy designed to enhance self-care ability of cancer patients undergoing treatment
Yuko Kawasaki ; Tomoko Izawa ; Yumiko Ito ; Chikako Hashiguchi ; Harue Arao ; Megumi Narimatsu ; Michiru Kuroki ; Masako Nagata ; Atsuko Uchinuno
Palliative Care Research 2009;4(1):201-206
Purpose: The aim of this study was to develop a nursing intervention program for use in enhancing the self-care abilities of cancer patients receiving treatment on an outpatient basis. Method: Four-week-long combined group therapies were conducted on 15 subjects. The effects of these therapies were then examined. Results: Subjects' mean age was 56.86±11.52 years; mean duration of disease was 28.6±18.14 months. Between before and after the intervention, two scales showed significant improvements: EORTC QLQ-C30 Global health status (p<0.023) and STAI state anxiety scale (p<0.022). As a result of field note data analysis, "change of attitude toward cancer treatment at home" and "response to the program" were identified. Conclusion: Because the subjects were highly motivated individuals, with substantial self-care ability from the beginning, their ESCA scores did not show any change between before and after intervention. Nevertheless, the inner changes that occurred to the subjects indicated that their self-care ability had improved. Palliat Care Res 2009; 4(1): 201-206