การปรับตัวของครอบครัวที่มีสมาชิกเจ็บป่วยด้วยโรคมะเร็งระยะสุดท้าย Adaptation of Family with Advanced Cancer Person

Main Article Content

แพงพรรณ เท่าสาร พัชราภรณ์ เจนใจวิทย์

Abstract

This case study research was conducted by using  interviews  and  non-participant observation with its aim to study the adaptation of family with advanced cancer person. The sample consisted of 10 primary caregivers or members who took care of advanced cancer person in the hospitals. Data were collected by using the family adaptation interview based on a family resiliency model with the non-participant observation. The interviews were carried out 2 times with the length of approximately 45-60 minutes at the patient wards before analyzing the data with descriptive statistics such as percentage and means. Data were also qualitatively analyzed by using content analysis.


The results showed that the families with advanced cancer person were seen in five adaptive behaviors:       1) being prepared and ready to go ahead (2 families found). In such families, both the patients and the family members recognized and accepted the situations by preparing and planning in advance while the patients were still  alive. 2) being prepared with hesitation and negotiation (3 families found). This kind of family recognized the situation but waited for negotiation.  The families did not plan to take care of the patients while they were still alive. Moreover, their duration of illness was found to be in a short period of time before death.  3) being  prepared with  disillusionment (2 families found). The families recognized and accepted the situations. They had a plan to take care of the patients (while living or dying) while the families were collectively piling up and facing with a number of problems such as debts. Moreover, they ignored help offered by others and preferred to take care of the patients alone. Therefore, their expression was often seen through crying and discouragement. 4) being prepared with plan but not yet ready for the situations (1 family found). It was a family with different point of view on the treatment plan and live support. This could be seen through trial treatment, full fight and support, preferring comfort, preparing for death but denying the problems, and not wanting to see the patients. And 5) not prepared nor ready to deal with the situations but needing to hold it until the last minute (2 families found). Normally the patients were those who hold a decision making in the families. They were in a denial phase holding up until the last minute due to a number of unfinished businesses and family fragilities such as quarrels, debts, etc. The research had  also  revealed the factors affecting the perception and the giving of meanings to the families thus making them harder for adaptation. Such factors were the duration of illness and the important role of the patients in the families.  The results supported the concept of family resiliency model.

Keywords

Article Details

Section
Articles