乌干达晚期癌症患者的提前护理规划和息护理
Samuel Guma1, Eve Namisango2, Henry Ddungu3
1Kawempe Home Care, Kampala, Uganda.
概括
乌干达的息护理专业人员对提前护理计划 (ACP) 的认识很高,但定期的实践受到社会文化和机构障碍的限制. 需要进一步的研究和政策制定,以改善非洲和非洲国家和地区的实施.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 生物伦理学生物伦理学
背景情况:
- 预先护理计划 (ACP) 对于以患者为中心的终身护理至关重要.
- 了解乌干达的缓和护理专业人员的ACP实践对于改善护理提供至关重要.
研究的目的:
- 评估乌干达的息护理卫生专业人员中提前护理规划 (ACP) 实践的程度.
- 确定影响ACP实施先进癌症护理的障碍.
主要方法:
- 一项混合方法研究,结合了对9名经验丰富的专业人士的定性访谈和57名受访者的定量调查数据.
- 用专题分析分析定性数据;用描述性统计数据分析定性数据.
主要成果:
- 87%的卫生专业人员知道ACP,其中55%报告经常使用.
- 尽管有良好的认识和态度 (98.2%对患者自主权的同意),但重要的社会文化障碍 (例如,死亡是禁忌) 和制度障碍 (例如,缺乏法律框架,时间限制) 阻碍了实施.
- 在经验丰富的专业人士中,只有1.2%的ACP综合流行率被注意到.
结论:
- 乌干达的息护理专业人员对ACP有很高的认识和积极的态度,但其常规实践受到显著限制.
- 解决社会文化信仰,建立法律框架和分配足够的时间对于加强非洲和非洲国家和地区的实施至关重要.
- 建议进行进一步的研究和有针对性的教育/宣传计划,以克服上下文障碍.
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