一项混合方法研究,为为癌症应急查提供护理人员特定问题清单的开发提供信息
Ashley Buchanan1, Astrid Sarfo2, Maria Lizette Rangel3
1Department of Psychology & Neuroscience, Baylor University, Waco, Texas, USA.
Psycho-oncology
|September 12, 2023
概括
癌症患者的护理人员经历了相当大的痛苦. 需要一个新的问题清单来识别和解决他们独特的挑战,改善瘤护理的支持服务.
科学领域:
- 在瘤学瘤学.
- 心理社会支持 心理社会支持
- 混合方法研究研究混合方法研究
背景情况:
- 瘤学指南建议使用应急温度计 (DT) 和问题列表 (PL) 的患者进行应急查.
- 缺乏用于查和选癌症护理人员痛苦的标准化协议.
- 整合以护理人员为中心的支持对于全面的癌症护理至关重要.
研究的目的:
- 评估转移性乳腺癌患者的护理人员的痛苦水平.
- 识别导致护理人员痛苦的挑战.
- 为培养护理人员特定支持服务的发展提供信息.
主要方法:
- 一项混合方法研究,涉及19名转移性乳腺癌患者的护理人员.
- 调查包括DT,原来的39项PL和五个护理人员特定的PL项目.
- 进行了半结构面试,以探索护理人员的挑战.
主要成果:
- 护理人员报告中度痛苦,超过一半超过NCCN的痛苦切断线.
- 应急级别和原始PL上认可的项目数量之间没有发现任何关联.
- 定性分析揭示了9个未满足的需求领域,包括照顾者的责任和沟通,这些领域并未被原来的PL所涵盖.
结论:
- 鉴定的问题领域可以构成一个护理人员特定的PL的基础.
- 特定于护理人员的PL可以增强应急查和转诊流程.
- 需要进一步的研究来开发和验证这种工具用于常规瘤实践.
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