痛みへのセルフケアを行っているがん患者と家族に対する訪問看護師の援助

pain

看護総合科学研究会誌

The purpose of this study is to clarify the nursing support provided by visiting nurses for cancer patients and their families engaged in in-home, self-care for pain management. Data was collected through the participant-observation method of the nursing situations in the patients' homes. Participants included four visiting nurses, five patients with cancer pain and their families. The support provided was composed of the following six categories: "focusing and recognizing patient's pain and self-care when the nurse does not visit the patient's home", "assessing the patient's pain with the patients and his or her family", "proposingpain management methods to the patient and his or her family", "understanding and defusing anxiety about pain and items related to pain", "intervention to realize the patient's state and to accept the patient's goals for pain management", and "expressing to manage the patient's pain together". These 6 categories were formulated two core categories: "developing the patient and his or her family's ability for selfcare of pain management", and "encouraging the patient and their family to manage independently". These two core categories are related to each other.