@article{oai:toyama.repo.nii.ac.jp:00002641,
 author = {長, 光代 and 落合, 宏 and 上野, 栄一},
 issue = {2},
 journal = {富山大学看護学会誌},
 month = {Mar},
 note = {We investigated gear change and its influencing factors grasped by the 13 male family members who experienced the end of patient's life before more than one year. Word-for-word manner-based Krippendorff's content analysis of the electrical transcription obtained from the semi-constructive interview showed that they meet various scenes of gear changes which are classified into three core categories such as "impatient feeling for the difficulty in gear change in opposition to their rational power"," everlasting ties" and "resilience", for the first, second and third core categories, respectively, with the lapse of times and phase of desire of life. The first core category consisted of 7 categories, "coexistence with cancer" (a chief category), "threat and crisis of cancer", "social support", "spirituality circulated through the patient", "partnership", "complexity in cancer care" and "give over a patient for dead".
The second and third ones consisted of each two categories, "interaction" and "dignity", and "recovery" and "fluctuant grief of bereavement", respectively. In order to facilitate their recovery from the grief of bereavement, the smooth changing gear at the first scene seemed to play a key role and thereby a lot of useful h information might be included in the first scene for the terminal cancer nursing., 終末期がん患者の男性家族員が捉えるギアチェンジの様相とその関連要因を探るために，死別後１年以上経過した13名を対象とし，半構成的面接を行った．得られた逐語録をクリッペンドルフの内容分析手法で分析した結果，ギアチェンジの様相は，第１【理性を持ちながらギアチェンジできないもどかしさ】，第２【永遠の絆】と第３【リジリアンス】が，《生の希望》《時の流れ》に沿って3コアカテゴリーとして生成された．第１には，《がんとの共生》を中心に，《がんの脅威と危機》《ソーシャルサポート》《患者から放たれていたスピリチュアリティ》《パートナーシップ》《死への諦めと受容》《がん闘病の複雑さ》が，第２には，《相互作用》《尊厳》が，第３には，《行きつ戻りつする死別後の悲嘆》《立ち直り》が関連していた．死別悲嘆からの回復には，円滑な第１のギアチェンジが重要であり，その関連要因の中に，がん看護への多くの示唆が含まれていると考えられる．, Article, 富山大学看護学会誌, 第7巻2号, 2008.3., page 15-28},
 pages = {15--28},
 title = {終末期がん患者の男性家族員が捉えたギアチェンジ},
 volume = {7},
 year = {2008}
}