了解食道切除术后食道癌患者退院后的支持性护理需求:一项定性研究
Zi Yun Li1, Jin Ying Ren1, Jiu Di Zhong2
1School of Nursing, Sun Yat-sen University, Zhongshan 2 Rd 74#, Guangzhou, Guangdong, PR China.
概括
退院的食道癌患者在症状管理,营养,心理社会调整和社会支持方面有未满足的需求. 解决这些问题对于改善术后护理质量至关重要.
科学领域:
- 在瘤学瘤学.
- 患者护理 患者护理
- 定性研究是指质量研究.
背景情况:
- 消化管癌手术 (消化管切除术) 会给患者带来重大的身体和心理社会挑战.
- 了解未满足的支持性护理需求对于提高术后护理质量至关重要.
研究的目的:
- 为了探索因食道癌而经食道切除术后出院的患者的支持性护理需求.
主要方法:
- 一个描述性的定性研究设计.
- 半结构面试与20名有意取样的患者进行.
- 对收集的数据进行主题分析.
主要成果:
- 确定了四个未满足需求的关键主题:症状管理 (消化不良,反流,疲劳),饮食/营养支持,心理社会调整 (耻辱,依赖,恐惧复发) 和社会支持 (医疗,家庭,同龄人).
结论:
- 中国食道癌患者经历了各种未满足的支持性护理需求后食道切除术.
- 医疗保健提供者应该通过专业指导和可访问的沟通道,包括在线平台,主动识别和解决这些需求.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
100
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
100
Endotracheal Intubation II: Nursing Management
839
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
839
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
128
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
128
Esophageal Perforation-II: Clinical Manifestations and Management
98
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
98
Esophageal Strictures-II: Clinical Features and Management
114
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
114
Barrett Esophagus-II: Clinical Manifestations and Management
218
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
218


