癌告知を受けた患者への看護介入 : 危機理論を援用して

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A 42-year-old male needed to have surgery after declaration of cancer. Considering that his father was also critically ill at that time, he must have been in a accidental crisis. His reaction to this situation and the nursing prosess to him were analyzed on the stand-point of crisis theory. It is said that free expression of one's affections and dependency to others were effective procedures for being supported by other people, and also for avoidance from crisis successfully. However, he refused to accept these procedures. During his pre-operative period, he could neither stop smoking nor tried his respiration-training actively. Apparently, he could not play a role as a patient. Therefore, the patient was encouraged to express his affection. He also tried to accept a troublesome relation to his son. After re-examination and restoration of his congnitive pattern to others, he could change his coping pattern. As a result, he could actively play a role as a usual preoperative patient. His recognition about his pathological condition was studied carefully by the staff. Then, his misuunderstanding of his recovery process was found. Since his understanding of his postoperative process was corrected by staff, his psychological stress reduced and he could avoid the crisis successfully. My experience may be concluded as follows : [1] When a patient is pedictable to fall in crisis, he [or she] must be encouraged to express his [she] affections freely. The patient's reaction may indicate an individual's way of recognition and a coping pattern, possibly caused from his [her] experience of life. [2] Crisis would be avoided by the playing patient's own role correctly about his [her] health problem.
神戸大学の論文

癌告知を受けた患者への看護介入 : 危機理論を援用して

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