Japanese

Title	看護師が捉える終末期がん患者の穏やかさにつながる看護援助
Subtitle	原著
Authors	松野史1), 鈴木志津枝2)
Authors (kana)
Organization	1)久留米大学, 2)神戸常盤大学
Journal	ホスピスケアと在宅ケア
Volume	33
Number	2
Page	102-112
Year/Month	2025 /
Article	原著
Publisher	日本ホスピス・在宅ケア研究会
Abstract	「要旨」【目的】終末期において穏やかさには肯定的な意味があることが示されており, 本研究では看護師が捉える終末期がん患者の穏やかさにつながる看護援助を明らかにした. 【方法】終末期がん患者の看護に携わる看護師10名を研究参加者として半構造化面接法にてデータ収集を行い, 質的記述的に分析を行った. 【結果および結論】分析の結果, 看護師が捉える終末期がん患者の穏やかさにつながる看護援助として, 『患者の生き方を尊重し支え続ける』『患者を揺らさないように予測的に対応する』『患者と家族の相互性を強めることで患者に安らぎを届ける』『患者が人との親密なつながりを感じられるように関わる』『患者が安楽に過ごせるように支援する』の5コアカテゴリーが明らかとなった. 看護師は, 終末期がん患者がいい状況の中で過ごせ, その中で家族も含めた重要他者とのつながりを大切にして意識的に穏やかさにつながる援助を実践していると考えられた.
Practice	看護学
Keywords	終末期, がん, 穏やかさ, 看護援助, 看護師の認知, end of life, cancer, calmness, nursing care, nurses' perceptive

English

Title	Nurses' Perceptions of Nursing Care Leading to Calm to End of Life Cancer Patients
Subtitle
Authors	Fumi Matsuno, Shizue Suzuki
Authors (kana)
Organization	Kurume University, Kobe Tokiwa University
Journal	Hospice and home care
Volume	33
Number	2
Page	102-112
Year/Month	2025 /
Article	Original article
Publisher	Japanese Society of Hospice and Home-care
Abstract	[Abstract] This study aimed to clarify nurses' perceptions of nursing care that leads to calm end-of-life patients with cancer. Data were collected through semi-structured interviews with 10 nurses involved in the care of end-of-life patients with cancer. A qualitative descriptive analysis was performed. We extracted the following five core categories of nurses' perceptions of nursing care leading to calm to end-of-life patients with cancer: "keep respecting and supporting the patient's way of life, " "respond predictably to avoid shaking the patient, " "provide peace to patients by strengthening the mutuality between patient and their family, " "relate patients to feel a close connection with others, " and "support patients to be at comfort. " Nurses consciously provide care to help end-of-life patients with cancer live in a supportive environment and spend as much time as possible with their significant others, including family members. This nursing care does not imply that a single intervention is sufficient; rather, it must be delivered in a complex and continuous manner, tailored to the patient's condition. Furthermore, nurses should ask patients about their sense of calmness and provide opportunities for them to discuss it, as this may also constitute a form of nursing care that contributes to patient calmness.
Practice	Nursing
Keywords	end of life, cancer, calmness, nursing care, nurses' perceptive

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