{"created":"2023-05-15T10:32:38.493499+00:00","id":29438,"links":{},"metadata":{"_buckets":{"deposit":"9609fe04-4074-407f-8038-e764976ce321"},"_deposit":{"created_by":18,"id":"29438","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"29438"},"status":"published"},"_oai":{"id":"oai:u-fukui.repo.nii.ac.jp:00029438","sets":["2392:2203:2415:2854"]},"author_link":["83365","83361","83362","83363","83366","83364","83359","83360"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"22","bibliographicPageStart":"11","bibliographicVolumeNumber":"23","bibliographic_titles":[{"bibliographic_title":"福井大学医学部研究雑誌"},{"bibliographic_title":"Journal of Interdisciplinary Research of the School of Medical Sciences, University of Fukui","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"女性若年性乳がん患者の，術後内分泌療法中のボディイメージの変化による思考や行動への影響を明らかにすることを目的として，35 歳未満の女性若年性乳がん患者 7 名に半構成的面接を行い，その内容を質的記述的に分析した。\n当該患者らは，治療により変化した自分に【同年代の健康な女性の世界と自分の世界との隔たり】を感じることにより後ろ向きな気持ちを抱くこと，および【容姿の悪化・同年代の中で自分だけが老けたという劣等感】に苛まれることを体験していた。また当該患者らは，若年で【故意に生理（月経）を止めることにより感じる身体の不都合と不安】，【生理（月経）を止めたことにより実感する同年代や更年期女性との違い】，および【以前の性生活を取り戻せない戸惑い】も感じ，さらに時間が経過してもなお【治療を優先したとはいえ，あきらめきれない妊娠への思い】に苦悩していた。\nこのような状況の中でも当該患者らは，【女性であることの再認識】をし，改めて女性であることに向き合い，女性らしくありたい思いを持ち続けていた。そして，【生理（月経）がない現状の前向きな捉え方と納得】，【パートナーとの関係や性生活の改善に向けた努力】などの現状を受け入れ，適応しようと努力していた。\n今回の分析結果から，当該患者らの現状への適応に向けた思考や行動への理解と支援，および若年性患者の精神的/身体的な発達課題・発達危機を考慮した情報ニーズを捉えた支援の必要性が示唆された。\n\nTo clarify the effects of body image changes on the thoughts and behavior of juvenile female breast cancer patients, who were under 35 years old, during postoperative endocrine therapy, we conducted semi-structured interviews with seven these patients undergoing postoperative endocrine therapy, and analyzed the data qualitatively and descriptively.\nThe patients were forced to experience pessimistic feelings that arose in themselves, such as “the gap between the world of healthy women of the same age versus their own world,” by changing in their body image during the treatment, and they were tormented by their “senses of inferiority that their appearance had deteriorated and they were the only ones that aged among their peers.” The patients also felt “physical inconvenience and anxiety caused by intentionally stopping menstruation,” “differences with women of the same age and those undergoing menopausal after they realized stopping menstruation” at a young age, and “confusion about being unable to regain theirsex life.” Eventually, the patients remained struggling with the “thoughts of pregnancy that they could not give up despite prioritizing treatment.”\nDespite the circumstances, the patients “reaffirmed that they are women,” faced womanhood again, and continued to uphold their desire to remain womanly. The patients also made efforts to accept and adapt to their current situation, such as by “viewing positively and accepting their current situation of not having menstruation” and “making efforts to improve their relationship with their partners and sex life.” \nInconclusion, this research suggested the need for support for such thinking and actions toward adaptation, as well as support that also takes into account age characteristics, developmental issues, and developmental crises, and that captures the information needs of young individuals.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"福井大学医学部"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"福井大学医学部研究雑誌・応募要項"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.flib.u-fukui.ac.jp/about/publications/youkou/","subitem_relation_type_select":"URI"}}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"福井大学医学部"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13488562","subitem_source_identifier_type":"ISSN"}]},"item_10002_text_25":{"attribute_name":"その他のID","attribute_value_mlt":[{"subitem_text_value":"TD10126486"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中野, 妃佐惠"},{"creatorName":"ナカノ, ヒサエ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"繁田, 里美"},{"creatorName":"シゲタ, サトミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"磯見, 智恵"},{"creatorName":"イソミ, チエ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"看護学領域 臨床看護学分野"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakano, Hisae ","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Shigeta, Satomi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Isomi, Chie","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Department ofClinical Nursing, Division of Nursing, Faculty of Medical Sciences, University of Fukui","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","displaytype":"detail","filename":"BD10126486.pdf","filesize":[{"value":"712.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"url":"https://u-fukui.repo.nii.ac.jp/record/29438/files/BD10126486.pdf"},"version_id":"f6f79d7e-3e9e-4dde-a158-5fc83881311a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"若年性乳がん患者","subitem_subject_scheme":"Other"},{"subitem_subject":"術後内分泌療法","subitem_subject_scheme":"Other"},{"subitem_subject":"ボディイメージ","subitem_subject_scheme":"Other"},{"subitem_subject":"juvenile breast cancer patients","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"postoperative endocrine therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"body image","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"術後内分泌療法中のボディイメージの変化が女性若年性乳がん患者の思考や 行動に及ぼす影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"術後内分泌療法中のボディイメージの変化が女性若年性乳がん患者の思考や 行動に及ぼす影響"},{"subitem_title":"Effects of Body Image Changes on the Thoughts and Behavior of Juvenile female Breast Cancer Patients During Postoperative Endocrine Therapy","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["2854"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-12-26"},"publish_date":"2022-12-26","publish_status":"0","recid":"29438","relation_version_is_last":true,"title":["術後内分泌療法中のボディイメージの変化が女性若年性乳がん患者の思考や 行動に及ぼす影響"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-05-15T11:06:48.992650+00:00"}