終末期患者を受け持った学生のストレス・コーピング

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The objective of this study is to investigate stress-coping strategies of students who took care of terminally ill patients as part of nursing practice. The subjects were six nursing major students who took care of terminally ill patients in their third-year practice. The investigators explained to the subjects the objective of this study and that it would not affect their grades, and subsequently had them submit their written consent. Under the Lazarus' framework of stress-coping, semistructured interviews were carried out. From their remarks, what was considered as relevant to the framework was classified by item, and the meaning was encoded, compared, and categorized. The stressors of students who took care of terminally ill patients were classified into those related to "physical care", "communication", "difficulty of pain control", and "trusting relationships". Two types of coping were used : emotion- focused coping such as "resignation" and "justification", and problem-focused coping such as "care-practice based on patients' requests". After coping, when the result was positive, as a patient's response had been good and the relationship improved, students also had positive feelings such as "relief" and "satisfaction". On the other hand, when the result was negative because they could not develop a favorable relationship with the patients and thus could not provide good care for them, it was considered that feelings, such as "anxiety" and "disgust" which had emerged before coping, were rather intensified and became more complex. In addition to further understanding the stress-coping process of students, the necessity of providing guidance should be considered.
香川県立保健医療大学の論文

終末期患者を受け持った学生のストレス・コーピング

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