免疫療法を受けている全がんケア患者における緩和医療の認識とニーズ: 混合方法の研究
Malek Alnajar1, Nahyun Kim2, Ellie Roark3
1Malek Alnajar, PhD, MSN, CNS, RN, is an Associate Instructor, College of Nursing, University of Utah, Salt Lake City, UT.
まとめ
がん免疫療法を受けている患者は,多くの場合,緩和ケア (PC) の知識が不足しており,満たされていない感情的,精神的なニーズを持っています. PCサービスの早期統合は,生活の質とサポートを改善するために不可欠です.
科学分野:
- 腫瘍学 腫瘍学
- 緩和ケアとは,緩和ケアです.
- がん患者サポート サポート
背景:
- 免疫療法は,進行がんの治療にますます使用され,緩和ケア (PC) の必要性に関する誤解を潜在的に引き起こしています.
- 免疫療法による長期生存は,患者のケア要件に対する認識を変化させる可能性があります.
研究 の 目的:
- 進行がん治療の文脈における患者の知識,認識,および緩和ケアニーズを検証する.
- 癌の免疫療法を受けている患者の主要な心理的,社会的,精神的なニーズを特定する.
主な方法:
- 進行がん患者の調査 (n=33) と半構造面接 (n=16) を含む収束混合方法の研究.
- 定量的なデータは記述的に分析され,定性的なデータはテーマ分析が行われました.
主要な成果:
- ほとんどの患者は,免疫療法を病気のコントロールとして認識し,81.8%がPCに関する知識が不十分であると報告しました.
- 満たされていない主なニーズには,将来への準備,患者と家族の感情的サポート,精神的なサポートが含まれています.
- 定性的なテーマは,治療の期待,PCの認識,統合のタイミングに関する問題を明らかにしました.
結論:
- 先進的な癌患者のために,積極的な教育と緩和ケアを早期に統合することが不可欠です.
- 満たされていない心理的,社会的,精神的なニーズに対処することで,生活の質と症状の管理が改善されます.
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