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がん患者のうつに関する文献検討
青柳, 道子;溝部, 佳代
Permalink : http://hdl.handle.net/2115/35507
JaLCDOI : 10.14943/33937
KEYWORDS : cancer patients;depression;mental support;oncology nursing;literature review;がん患者;うつ;精神的援助;がん看護;文献検討
Abstract
がんと共に生きる人々がその人らしく生きて行けるために，精神的援助の重要性が強調されている。そこで，がん患者のうつについての研究動向を明らかにし，看護実践の質を向上させる看護研究の課題を検討するために，過去10年間分の文献検討を行ったところ，以下のことが明らかになった。1. 「うつ」と「がん」をキーワードとして，看護分野におけるがん患者のうつに関する文献検討を行った。原著18件を検討したところ，研究の内容は，うつの実態把握と関連要因の研究，介入プログラムに関する研究，他の概念との関連性についての研究に分類された。2. がん患者のうつに対する看護の現状を明らかにすることと，うつに関連する身体的，社会的，心理的な要因それぞれについて具体的な介入方法とその効果に関する研究の蓄積が必要である。3. 積極的な治療の時期だけではなく，終末期におけるうつとその看護に関する研究の必要性がある。4. 患者の家族に対する看護内容の検討が必要である。5. うつの測定尺度は，がん患者の身体状況を考慮して選択されるべきである。
The importance of mental support has been underlined with regard to maintaining the quality of life of people living with cancer. We reviewed the literature published in the past 10 years to examine research leading to improved nursing practices and education related to depression in cancer patients. Consequently, we confirmed the following: 1. We reviewed literature related to depression in cancer patients in the field of nursing, using the terms "depression" and "cancer" as keywords. The research contents of the 18 original papers we reviewed are classified into 1) comprehension of the actual conditions of depression and the study of relevant factors; 2) studies of intervention programs; and 3) the relevance of such depression to other concepts. 2. The scale for depression should be selected while considering the physical condition of cancer patients. 3. Depression must be studied in association with spiritual pain both during terminal care as well as during active treatment. 4. The approach for nursing patients' families should be studied. 5. Nursing practices for depression in cancer patients should be clear, and studies of practical means of intervention with regard to physical, social, and psychological factors related to depression and on their effects must be accumulated.
The importance of mental support has been underlined with regard to maintaining the quality of life of people living with cancer. We reviewed the literature published in the past 10 years to examine research leading to improved nursing practices and education related to depression in cancer patients. Consequently, we confirmed the following: 1. We reviewed literature related to depression in cancer patients in the field of nursing, using the terms "depression" and "cancer" as keywords. The research contents of the 18 original papers we reviewed are classified into 1) comprehension of the actual conditions of depression and the study of relevant factors; 2) studies of intervention programs; and 3) the relevance of such depression to other concepts. 2. The scale for depression should be selected while considering the physical condition of cancer patients. 3. Depression must be studied in association with spiritual pain both during terminal care as well as during active treatment. 4. The approach for nursing patients' families should be studied. 5. Nursing practices for depression in cancer patients should be clear, and studies of practical means of intervention with regard to physical, social, and psychological factors related to depression and on their effects must be accumulated.
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