专业人士对照顾癌症患者的观点,这些患者先前存在严重精神障碍
Josefine Maria Bruun1,2, Pernille Andreassen3, Louise Elkjær Fløe1,2
1Department of Oncology, Aarhus University Hospital.
Danish medical journal
|May 5, 2024
概括
医疗保健专业人员在优化严重精神障碍 (SMD) 患者的癌症护理方面面临挑战. 解决耻辱感,知识差距和系统障碍对于改善这一群体癌症发展轨迹至关重要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 患有严重精神障碍 (SMD) 的患者癌症预后不佳.
- 对于SMD患者来说,癌症护理轨迹是复杂和具有挑战性的.
- 丹麦医疗保健专业人员对为这群人提供最佳护理的障碍的看法尚未得到充分研究.
研究的目的:
- 为了探索癌症护理轨迹的障碍,为患者预先存在的严重精神障碍 (SMD).
- 确定丹麦医疗保健专业人员在管理SMD癌症患者时所面临的挑战.
主要方法:
- 与医疗保健专业人员进行了半结构化采访.
- 用有目的的抽样来选择参与者.
- 对采访数据进行了诱导性定性内容分析.
主要成果:
- 医疗保健专业人员报告说,他们对SMD患者的支持性社会系统缺乏了解.
- 瘤学家缺乏对精神疾病的了解,一些同事不愿意对SMD患者进行治疗.
- 参与者发现了系统层面的障碍,包括缺乏时间和护理的连续性.
结论:
- 医疗保健专业人员对SMD患者的最佳癌症护理表示担忧.
- 污名化,知识不足和系统性问题 (时间,连续性) 阻碍了有效的癌症治疗.
- 解决这些障碍对于改善已有SMD的个体的癌症发展轨迹至关重要.
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