label: url

en: Attitudes toward treatment among patients with hematologic malignancies at first relapse: A qualitative analysis of age-specific characteristics

ja: 初回再発した造血器腫瘍患者の治療への構え:年齢別特徴に着目した質的研究

en: Objective: To elucidate attitudes toward treatment among patients with hematologic malignancies at first re- lapse, with a focus on age-specific differences, in order to draw implications for nursing support. Methods: Semi-structured interviews were conducted with 15 patients who had begun treatment for a first re- lapse of a hematologic malignancy. Data were analyzed using an inductive qualitative approach. Results: Among patients under the age of 65 years, three categories emerged: (1) constructing a personal ap- proach to complete treatment based on prior experience and current circumstances; (2) resolving to survive through mental discipline, especially now that relapse has occurred; and (3) situating the treatment process as a part of life and aspiring to grow so as to make that time meaningful. Among patients aged 65 years or older, four categories were identified: (1) trusting in the efficacy of treatment, enduring suffering, and concentrating solely on completing treatment; (2) anticipating physical frailty, preparing in advance, and undertaking treatment with complete readiness; (3) maintaining equanimity by moderating emotional fluctuations; and (4) relinquishing hope for cure, yielding oneself to the course of treatment, and accepting all out- comes. Conclusion: A distinctive age-related feature of attitudes toward treatment at first relapse was that patients perceived their stance not as fixed at a single point, but as unfolding along the course of their lives. These findings highlight the need for nursing support that attends to the temporal significance of patients' perspectives and recog- nizes age-specific differences.

ja: 目的:初回再発した造血器腫瘍患者の治療への構えを明らかにし，年齢差に着目して分析することで看護支援の示唆を得 ることを目的とした． 方法:初回再発治療を開始した造血器腫瘍患者 15 名を対象に半構造化面接を行い，質的帰納的に分析した． 結果:65 歳未満は【再発した今だからこそ，生き抜く決意を持ちながら自らの心を統制する】【治療過程を自らの人生の 一部として位置付け，意味ある時間となるように成長を希求する】等 3 カテゴリーが抽出された．65 歳以上は【治療の辛 さに揺らぐことなく，感情の振幅を抑えて平穏な心で臨む】【治癒は期待できないから，治療経過の流れに身を任せて全て を受け入れていく】等 4 カテゴリーが抽出された． 結論:初回再発を経験した造血器腫瘍患者の治療への構えには，年齢別に特徴がみられ，いずれも単なる一時点の反応で はなく，人生の時間軸を踏まえて形成されていることが示唆された．

en: Supportive Care in Cancer

ja: Supportive Care in Cancer


en: Preparedness for the future in patients with relapsed or refractory hematopoietic malignancies in the treatment process: a qualitative study

en: Annals of Palliative Medicine

ja: Annals of Palliative Medicine