終末期高齢がん患者の在宅移行期に関する文献レビュー

The purpose of this study was to characterize periods of hospital-to-home care transition for elderly cancer patients by extracting definitions of such periods and their characteristics as situations from the literature, and to discuss effective nursing support toward hospital-to-home care transition. Relevant research papers published within the period between ２０１０ and ２０２０ were searched for using Ichushi Web and PubMed. Descriptions related to periods of transition, characteristics of situations, and hindering／promoting factors were extracted without any changes and categorized based on descriptive content similarities. In these papers, a period of hospital-to-home care transition was described as １ week to １ year after discharge. As a situation, it was characterized as “a time when the patient rebuilds his／her life”, and therefore, “a time of instability”. Factors hindering and promoting hospital-to-home care transition were represented by６categories, which suggested the following commonalities between them : ［ physical management］,［patients’／families’ intentions］,［home care systems］,［other family members’ commitments to home care］, ［collaboration systems］, and［nurses’ home care experience］.