{"insert":{"type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=463111","label":"url"}],"paper_title":{"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"},"authors":{"en":[{"name":"Akashi Kazuko"},{"name":"Imai Yoshie"},{"name":"Nakamura Shingen"},{"name":"高橋 真美子"},{"name":"Miki Hirokazu"}],"ja":[{"name":"明石 和子"},{"name":"今井 芳枝"},{"name":"中村 信元"},{"name":"高橋 真美子"},{"name":"三木 浩和"}]},"description":{"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．"},"publication_date":"2026-03-29","publication_name":{"en":"Supportive Care in Cancer","ja":"Supportive Care in Cancer"},"volume":"1","number":"1","starting_page":"2","ending_page":"9","languages":["jpn"],"referee":true,"identifiers":{"issn":["0941-4355"]},"published_paper_type":"scientific_journal"},"priority":"input_data"}
{"insert":{"type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=463110","label":"url"}],"paper_title":{"en":"Preparedness for the future in patients with relapsed or refractory hematopoietic malignancies in the treatment process: a qualitative study","ja":"Preparedness for the future in patients with relapsed or refractory hematopoietic malignancies in the treatment process: a qualitative study"},"authors":{"en":[{"name":"Akashi Kazuko"},{"name":"Imai Yoshie"},{"name":"Nakamura Shingen"},{"name":"Maeda Yusaku"},{"name":"Sumitani Ryohei"},{"name":"Oura Masahiro"},{"name":"Sogabe Kimiko"},{"name":"Fujii Shiroh"},{"name":"Harada Takeshi"},{"name":"Miki Hirokazu"}],"ja":[{"name":"明石 和子"},{"name":"今井 芳枝"},{"name":"中村 信元"},{"name":"前田 悠作"},{"name":"住谷 龍平"},{"name":"大浦 雅博"},{"name":"曽我部 公子"},{"name":"藤井 志朗"},{"name":"原田 武志"},{"name":"三木 浩和"}]},"publication_date":"2025-01-22","publication_name":{"en":"Annals of Palliative Medicine","ja":"Annals of Palliative Medicine"},"volume":"14","number":"1","starting_page":"43","ending_page":"56","languages":["eng"],"referee":true,"identifiers":{"issn":["2224-5820"]},"published_paper_type":"scientific_journal"},"priority":"input_data"}