@article{oai:gunma-u.repo.nii.ac.jp:00008188,
 author = {中澤, 健二 and 神田, 清子 and 京田, 亜由美 and 本多, 昌子},
 issue = {4},
 journal = {The Kitakanto medical journal = 北関東医学},
 month = {Nov},
 note = {Journal Article, 【目的】Oxaliplatinによる持続性末梢神経障害が大腸がん患者の社会生活に及ぼす影響を明らかにし, 看護支援を検討することである. 【対象と方法】外来でOxaliplatinの総投与量が850mg/m????以上の大腸がん患者19 名を対象に半構成的面接法によりデータを収集し, 質的帰納的分析を行った. 【結果】大腸がん患者における持続性末梢神経障害が社会生活に及ぼす影響を表す【社会生活基盤崩壊への恐れ】【他者との関係性を考慮した生活行動の依存と自立】【他者との関係性の中で生じる自己概念の揺らぎ】【しびれをきっかけに深まる親密性】【しびれにより脅かされる自己の存在価値】の5カテゴリとカテゴリ間の関連性が明らかとなった. 【結語】持続性末梢神経障害による社会生活への影響には関連性があり, 心理・スピリチュアルをも含むトータルな影響であると考えられた. 以上より, 患者の抱える持続性末梢神経障害への総合的なアセスメントが重要であることが示唆された., Purpose: The objective of this study was to reveal the impact of oxaliplatin-induced persistent peripheral neuropathy on the social life of colorectal cancer patients and to review their care and available support services. Patients and Methods : Data was collected from 19 colorectal cancer outpatients treated with oxaliplatin ( 850mg/m????in total) using semi-structured interviews, and the results were analyzed qualitatively and inductively. Results : The results revealed that the impacts of persistent peripheral neuropathy on the social life of colorectal cancer patients could be classified into the following 5 interrelated categories: “fear of the collapse of the foundation of their social life”, “dependence and independence in activities of life associated with relationships with others”,“fluctuation of self-concept in relation to other people”,“deepening of intimacy triggered by numbness”,and “numbness as a threat to the value of one’s own existence”. Conclusions : A hierarchy in the effects of persistent peripheral neuropathy on social life was observed,and the effects of neuropathy,including both mental and spiritual aspects, should therefore be considered in totality. Our study suggested that the comprehensive assessment of patients’persistent peripheral neuropathy is important.},
 pages = {313--323},
 title = {大腸がん患者における持続性末梢神経障害が社会生活に及ぼす影響},
 volume = {64},
 year = {2014}
}