从困难到意义 - 患有晚期癌症的患者经历的预先护理计划对话和息治疗计划的经验
Adriana Kolstrøm1, Bardo Driller2, Elin Margrethe Aasen3
1Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund, Norway; Home Care Department, Kristiansund Municipality, Kristiansund N, Norway.
概括
关于癌症和死亡的高级护理计划 (ACP) 对话对患者来说很困难. 然而,缓解计划提供了意义,安全和保障,将经验从具有挑战性的转变为有益的.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 医疗保健通讯 医疗保健通讯
背景情况:
- 先进的护理计划 (ACP) 对晚期癌症患者至关重要.
- 了解患者在初级保健中对ACP的体验至关重要.
研究的目的:
- 通过高级护理规划 (ACP) 沟通探索患者的体验.
- 调查在挪威初级医疗保健机构创建息计划的过程.
主要方法:
- 探索性定性研究设计.探索性定性研究设计.
- 与五名晚期癌症患者进行半结构面试.
- 专注于曾经接受过ACP并有息治疗计划的患者.
主要成果:
- 关于癌症和死亡的ACP对话被认为是困难和禁忌的.
- 与医疗保健专业人员关于息计划的互动促进了患者参与和验证.
- 亲属的存在并不能保证他们参与到ACP进程中去.
- 息计划为患者提供了安全感,安全感和意义.
结论:
- 对于晚期癌症的息计划来说,ACP是一个从困难到意义的过程.
- 医疗保健专业人员的有效沟通和患者参与至关重要.
- 息计划为终身护理提供了更好的意义,控制和安全.
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