Actual circumstances of treatment and nursing care for cancer patients in disaster situations: A survey of nurses who experienced the Great Hanshin-Awaji Earthquake

Autor: Yuko Kawasaki, Tamami Kobayashi, Sachiko Makino, Atsuko Uchinuno, Yasuko Numata, Reiko Sakashita, Harue Arao
Rok vydání: 2007
Předmět:
Zdroj: Japan Journal of Nursing Science. 4:111-119
ISSN: 1742-7932
DOI: 10.1111/j.1742-7924.2007.00080.x
Popis: Aim: The purpose of the study was to identify the actual circumstances of treatment and nursing care for cancer patients during a time of disaster. Methods: The study subjects were 17 nurses working in eight institutions who engaged in nursing activities for cancer patients in the wake of the 1995 Hanshin-Awaji Earthquake at hospitals located in and around the stricken areas. The data were collected through focus group interviews and were analyzed by inductive and qualitative methods to categorize needs. The results were compared with the data categorized by Knowledgeocean, a text-mining tool for analyzing unstructured text in order to examine data validity. Results: The actual circumstances of the treatment and nursing care of cancer patients in disaster situations were divided into three major categories and 10 subcategories. The major categories were: “difficulty in keeping track of patients” undergoing outpatient treatment, “adjustment in treatment” in an effort to continue various therapies for cancer treatment, and “care for patients and their families before and after the last moment” in the case of terminally ill patients. Conclusions: The results suggest that the following issues should be addressed in the future: the need for an information management system for the resumption of interrupted treatment and the transportation of patients, the need for enhancing the self-care ability of cancer patients in ordinary situations so that they can be more self-sufficient in disaster situations, and the need for the creation of a suitable location for dying patients and their families and the development of grief care strategies in disaster situations.
Databáze: OpenAIRE