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学位論文 |
学位
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村田, 裕人
概要:
Thesis or Dissertation<br />学位記番号：医博甲1721
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学位論文 |
学位
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堀越, 政孝
概要:
Thesis or Dissertation<br />学位記番号：保博甲106
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論文 |
論文
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Horikoshi, Masataka ; Futawatari, Tamae
概要:
Journal Article<br />Background and Aims:Male rectal cancer patients experience postoperative anxiety regarding bowel,ur
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inary,andsexual function impairment. These patients must cope with various physical and psychosocial issues. The purposeof this study was to explain the process of accepting postoperative functional impairments among male rectal cancerpatients.M ethods:Fourteen male rectal cancer patients who had undergone surgery 6 or more months beforehand wereassessed through semi-structured interviews. Data were analyzed using the grounded theory approach.Results: Simultaneous bowel, urinary, and sexual dysfunction mutually impeded male rectal cancer patients’activities and negatively affected their self-esteem alongside a feeling of lost masculinity. However,patients learnedto understand their condition while exploring coping techniques for these three major impairments on their ownterms. Patients adopted one of two coping methods,positive acceptance or acceptance with resignation,dependingon support structures and the effectiveness of these established coping methods.Conclusion:Patients’acceptance of the impairment of three major bodily functions should be characterized as asingle structure,rather than focusing on accepting bowel dysfunction alone. Support programs should be structuredbased on the processes characterized through this study along with patient readiness.
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