Back
 Health  Vol.9 No.13 , December 2017
The Process of How Elderly Patients with Lung Cancer Who Are Receiving Molecularly Targeted Therapy with Oral Agents Establish Self-Management
Abstract: Purpose: In Japan, many elderly cancer patients are receiving chemotherapy using oral molecularly targeted drugs. They receive treatment in outpatient setting and have a need to self-manage at home. The purpose of this study was to clarify how elderly patients with lung cancer who are undergoing treatment with molecularly targeted drugs in outpatient setting establish self-management. Methods: The study used Kinoshita’s Modified Grounded Theory. Semi-structured interviews were conducted with 17 patients (eight males and nine females). Results: This study identified six categories: Accepting life with cancer, Maintaining activities of daily living without feeling shackled by cancer, Reconsidering how to continue being themselves in daily life until life comes to an end, Using trial and error to integrate treatment and daily living, Formulating their criteria for continuing treatment, and Obtaining help from caregivers. Conclusion: The self-management process in elderly patients consisted of maintaining treatment and integrating treatment with daily living. And they are exploring the effects of treatment and side effects in order to live their own life. Implications for Nursing: In many elderly patients with lung cancer the purpose of treatment is curative extension of survival and improved quality of life. Our findings suggest that is important we help patients to identify how patients want to live, identify ways to improve their quality of life, and share the goals of treatment between the patient and the caregiver.
Cite this paper: Fukawa, A. (2017) The Process of How Elderly Patients with Lung Cancer Who Are Receiving Molecularly Targeted Therapy with Oral Agents Establish Self-Management. Health, 9, 1801-1816. doi: 10.4236/health.2017.913131.
References

[1]   Center for Cancer Control and Information Services Japan. (In Japanese)
http://ganjoho.jp/reg_stat/statistics/stat/summary.html

[2]   The Japan Lung Cancer Society (2016) Lung Cancer Clinical Practice Guidelines Based on EBM Method 2016 Edition, Kanehara Shuppan. Tokyo, 122-123, 125. (In Japanese)

[3]   Bezjak, A., Tu, D., Seymour, L., Clark, G., Trajkovic, A., Zukin, M., et al. (2006) Symptom Improvement in Lung Cancer Patients Treated with Erlotinib: Quality of Life Analysis of the National Cancer Institute of Canada Clinical Trials Group Study BR.21. Journal of Clinical Oncology, 24, 3831-3837.
https://doi.org/10.1200/JCO.2006.05.8073

[4]   Hayashi, T., Kitaoka, T., Uto, N., Hiraga, H., Kondo, G., Otsubo, Y., et al. (2006) A Multicenter Survey on the Proper Use and Dosage of Erlotinib in Japanese Patients with Non-Small Cell Lung Cancer. Journal of Japanese Society of Hospital Pharmacists, 49, 539-543. (In Japanese)

[5]   Kudoh, S., Kato, H., Nishiwaki, Y., Fukuoka, M., Nakata, K., Ichinose, Y., et al. (2008) Interstitial Lung Disease in Japanese Patients with Lung Cancer: A Cohort and Nested Case-Control Study. American Journal of Respiratry and Critical Care Medicine, 177, 1348-1357.
https://doi.org/10.1164/rccm.200710-1501OC

[6]   Komatsu, H., Yagasaki, K. and Yoshimura, K. (2014) Current Nursing Practice for Patients on Oral Chemotherapy: A Multicenter Survey in Japan. BMC Research Notes, 7, 259.
https://doi.org/10.1186/1756-0500-7-259

[7]   Jooste, V., Woronoff, A.S., Quipourt, V., Bouvier, A.M., Mercier, M., Fournier, E., Jooste, V., Woronoff, A.S., et al. (2016) Health-Related Quality of Life Is a Prognostic Factor for Survival in Older Patients after Colorectal Cancer Diagnosis: A Population-Based Study. Digestive and Liver Disease, 48, 87-93.
https://doi.org/10.1016/j.dld.2015.09.006

[8]   Fukawa, A. (2017) Quality of Life in Older Cancer Patients Who Receiving Chemotherapy : A Literature Review. Journal of Japanese Society of Cancer Nursing, 31, 76-81. (In Japanese)

[9]   Knobf, M.T., Cooley, M.E., Duffy, S., et al. Oncology Nursing Society 2014-2018 Research Agenda.
https://www.ons.org/sites/default/files/2014-2018%20ONS%20Research%20Agenda.pdf

[10]   Kinoshita, Y. (2003) Practice of Grounded Theory Approach, Tokyo, Koubundou. (In Japanese)

[11]   Kinoshita, Y. (2007) The Live Lecture on M-GTA: The Practical Qualitative Research Methodology, All Modified Grounded Theory Approach, Tokyo, Koubundou. (In Japanese)

[12]   Quinten, C., Coens, C., Ghislain, I., Zikos, E., Sprangers, M.A., Ringash, J., et al. (2015) The Effects of Age on Health-Related Quality of Life in Cancer Populations: A Pooled Analysis of Randomized Controlled Trials using the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 Involving 6024 Cancer Patients. European Journal of Cancer, 51, 2808-2819.
https://doi.org/10.1016/j.ejca.2015.08.027

[13]   Lo, C., Lin, J., Gagliese, L., Zimmermann, C., Mikulincer, M. and Rodin, G. (2010) Age and Depression in Patients with Metastatic Cancer: The Protective Effects of Attachment Security and Spiritual Wellbeing. Ageing and Society, 30, 325-336.
https://doi.org/10.1017/S0144686X09990201

[14]   Yoshio, C., Mimura, N. and Tomita, M. (2010) The Constructive Consepts of Zest for Living among Older People Who Require Nursing Care. Journal of Japan Academy of Home Care, 14, 31-38. (In Japanese)

[15]   Erikson, E. and Erikson, J. (1998) The Life Cycle Completed. Extended Version Edition, W. W. Norton & Company, New York.

[16]   Nishigaki, E. (2008) Typology and Characterisitics of Japanese Patients from the Perspective of Patients-Physician Trust. The Japanese Journal of Health Psychology, 21, 1-9. (In Japanese)
https://doi.org/10.11560/jahp.21.1_1

[17]   Mkanta, W.N., Chumbler, N.R., Richardson, L.C. and Kobb, R.F. (2007) Age-Related Differences in Quality of Life in Cancer Patients: A Pilot Study of a Cancer Care Coordination/Home-Telehealth Program. Cancer Nursing, 30, 434-440.
https://doi.org/10.1097/01.NCC.0000300167.80466.91

[18]   Van Weert, J.C., Bolle, S., van Dulmen, S. and Jansen, J. (2013) Older Cancer Patients’ Information and Communication Needs: What They Want Is What They Get? Patient Education and Counseling, 92, 388-397.
https://doi.org/10.1016/j.pec.2013.03.011

 
 
Top