本研究の目的は，短期入院による化学療法を継続する大腸がん患者のセルフケアを行う上での問題とセルフケアを明らかにし，セルフケアの促進に必要な援助を検討することである。対象者は，大腸がんで研究同意の得られた5名で，データ収集は，半構成的質問紙を用いて面接を行い，質的帰納的に分析を行った。患者のセルフケアを行う上での問題は，【がん罹患や病状に対する悲観】【治療処置そのものに関する懸念】【抗がん剤の副作用よる苦痛な身体症状】【副作用症状に対する否定的な思い】【化学療法を継続することに関する懸念】【不安定な現状と将来への不安】【社会的役割が遂行できない難しさ】の7つのカテゴリーとセルフケアは『自己調整型行動』『環境調整型行動』『感情調整型制御』の3つのカテゴリーが抽出された。以上の結果より，患者のセルフケアを促進する看護援助として，1）持続する副作用による苦痛な身体症状に対する援助，2）がん罹患や病状の進行への不安に対する援助，3）不確かで限られた治療を継続することを支える援助の3つの援助の必要性が示唆された。

The purpose of this study was to determine problems regarding self-care in patients with colorectal cancer who continue chemotherapy through short-term hospitalization, and to consider the necessary support to facilitate such self-care.Subjects were those with colorectal cancer who provided consent for the study.Data were collected by interview using semi-structured questionnaires,and qualitative and inductive analyses were performed.Seven categories were selected for problems regarding patient’s self-care:“painful physical symptoms caused by side effects of anticancer agents”,“concerns about the treatment itself”,“negative feeling over symptoms of side effects”,“pessimism regarding the cancer and symptoms”,“concerns about continuing chemotherapy”,“anxiety over the fragile existing condition and future”,and “the difficulty of playing a social role”. Three categories were selected for self-care:“self-adjusting behavior”, “environment-adjusting behavior” and “emotion-adjusting control”. Therefore, the need to provide three kinds of support was suggested as support to facilitate patientself-care: “support for painful physical symptoms caused by continued side effects”“support for anxiety regarding the cancer and progression of symptoms”,and“support for the continuation of uncertain and limited treatment”.

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