[原著］沖縄県の中高年者におけるがん告知に対する意識と関連要因 : 自分自身および配偶者へのがん告知に焦点をあてて

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概要

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• Up until now there have been no reports on people living in Okinawa's attitudes to knowledge of the telling truth about diagnosis of cancer and its related factors. The purpose of this study was to elucidate knowledge from middle and advanced age Okmawans on telling truth about the cancer and factors relating to the demands m respect to the provision of information. A questionnaire was given to a sample of 1,888 chosen subjects 30 years and older who consented after its purpose was explained. We analyzed 1,129 (59.8%) valid responses. About 90% of the subjects demanded of telling truth, even if the probability of curing the cancer was high or low. Also about 80% of the subjects demanded they be told, even if their families did not want it. In case of spouse suffering from a cancer that had a high probability for cure, 80% of the subjects demanded to be told. For low probability for cure, only 50% demanded to be told. There were statistically significant differences in answers regarding basic attributes, information seeking and decision making of Autonomy Preference Index (API). In conclusion, Okinawans in the middle and advanced ages have a high rate of demanding to be told the truth when they themselves were suffering from cancers, but if their spouses were suffering from cancer, they tended to take a prudent attitude. Demanding the truth about cancer was shown to be related to peoples basic attribute and API. This data may also suggest that nurses need to consider a patients will and think about the differences between demands by family, and the patient, and the need to share common information between family and medical staff and to educate the patient by supporting his will and to give assessment to degree for comprehension for medical informations would become more important.

• 琉球医学会,Ryukyu Medical Associationの論文

著者

• 奥平 貴代

  昭和大学横浜市北部病院 看護部

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