在全身抗癌治疗期间影响向急诊室提交的因素:一项探索性定性研究
Polly H Dufton1, Marie F Gerdtz2, Rebecca Jarden3
1Department of Nursing, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia; Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Victoria, Australia.
了解患者在门诊系统性抗癌疗法方面的经验,可以减少急诊室的访问. 关键因素包括不可预测的副作用,生活方式的改变,及时获得可靠的护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 门诊系统性抗癌疗法越来越常见.
- 在治疗期间的急诊室 (ED) 演示可能是繁的.
- 影响这些表现的因素需要进一步调查.
研究的目的:
- 探索在接受门诊系统性抗癌治疗的患者中影响急诊室 (ED) 呈现的因素.
- 确定需要干预的领域,以减少不必要的ED访问.
主要方法:
- 使用半结构面试进行的探索性定性研究.
- 成年癌症患者和护理人员的有目的样本.
- 对面试数据进行主题分析.
主要成果:
- 五个主要主题出现了:治疗的未知/不可预测性质,生活方式的变化,获得的社会决定因素,对护理提供者的信任和护理的不可用性.
- 患者和护理人员的经验强调了需要更好的支持系统.
结论:
- 减少ED表现需要解决及时获得可信任护理的问题,并提高患者自我管理能力.
- 在协调,以人为中心的癌症护理中,护士领导的创新至关重要.
- 卫生服务研究应该集中于减轻系统抗癌疗法患者的ED访问.
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