1. TEXT MINING ANALYSIS OF BOOKS BY PATIENTS OF BREAST CANCER: FOCUSING ON THE EXPRESSIONS OF WISH AND DEMAND ITO Takehiko, SHIROMARU Mizue, NAKADA Migiwa, & MIZUTANI Satomi Department of Psychology and Education, Wako University, Tokyo, Japan Department of Nursing, Sapporo Medical University, Sapporo, Japan Doctoral Course, Graduate School of Health Sciences, Sapporo Medical University, Sapporo, Japan EAFONS 2017　　Hong Kong 2017/03/09

2. AIMS
The aim of the study is to understand what patients of breast cancer wish and demand by analyzing autobiographical books (Tobyo-ki).

3. METHODS
The data was retrieved from 61 books on experience of the disease.
The texts in 646 chapters in the books published in or after 2000 were analyzed.
The data analysis was conducted using text mining method.
The procedure was as follows:
(1) The frequency of content words in the text was counted.
(2) Verbal expressions associated with wish and demand in each book were extracted.
(3) Then the extracted phrased were searched and closely examined.

4. RESULTS: Overall The results of the
data showed that, among words in 646 chapters,
◉　the most frequent words were
“think (9672 times)”, “talk (9641)”,
“person (6368)”, “cancer (5261)”, and “good (5033)”.

5. Results：WISH
The most frequent expressions of wish were “to get treatment (17)” , “to listen (17)” , “to go to toilet (15)”, “to give birth (14)” , “to go back home (13)”, and “to make people no worry (13).”

6. Results: DEMAND
The expressions of demand appeared frequently mostly were “to get medical examination (9)”, “to be listened (9)” , “to have somebody near me (8)”, “to go to another hospital (8)” , “to read a book (7)”, and “to be listened by somebody (6).

7. DISCUSSION
The main topics of the narratives related to wish were good medical treatment including attentive listening, female life events, and human relationship, which reflect the patients’ physical, psychological, social and spiritual wellbeing.
Their demands include professional and nonprofessional attention and caring for their own unique wellbeing.

8. CONCLUSION
The study suggests that medical professionals must listen to the narrative of patients and their family members for the better treatment not only from
(1) physical and medical perspective
(=life as 生命 inochi),
(2) but also from comfortable daily life
(=life as 生活 kurashi),
(3) lifelong spiritual wellness
(=life as 人生 jinsei).

9. Contact: take@wako.ac.jp
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平成23年度～26年度　科学研究費補助金　基盤（Ｃ）　　乳がん患者の語りにみる苦痛の経時的変化と対処方法に関する研究（代表者　城丸瑞恵）