评估护士主导的叙述性访谈干预,与癌症患者进行首次诊断:一个可行性研究
Giovanna Artioli1, Laura Deiana1, Maria Bertuol1
1University of Parma, Department of Medicine and Surgery, Parma, Italy.
Heliyon
|June 13, 2024
概括
对管理新诊断的癌症患者的护士来说,叙述面试 (NI) 是可行的,揭示了患者的压力和社会支持的重要性. 需要进一步的研究来确认NINI.
科学领域:
- 瘤学 护理 护理专业
- 患者沟通 患者沟通
- 心理社会瘤学
背景情况:
- 叙事医学和护理增强了沟通和以患者为中心的护理.
- 叙事采访 (NI) 是医生与患者的沟通工具,有争议的实用性.
- 有限的研究存在于使用NI的护士与新诊断的癌症患者.
研究的目的:
- 评估护士对新确诊癌症患者进行叙事采访 (NI) 的可行性和实用性.
- 通过NI探索患者的体验和适应癌症诊断.
- 评估NI对早期癌症患者心理痛苦的潜在影响.
主要方法:
- 试点混合方法研究与干预前后评估.
- 定性纵向数据分析和并发数据三角化.
- 使用了迷你心理调整癌症和心理痛苦清单调查问卷.
主要成果:
- 与新诊断的癌症患者进行叙事采访 (NI) 是可行的.
- 主题分析揭示了关键主题:对疾病的反应,生活变化,人际关系和护理感知.
- 患者报告高压力,并重视社会支持网络应对.
结论:
- 通过护士采用叙事采访 (NI) 方法对新诊断的癌症患者是可行的.
- 该研究表明NI是有用的,但由于样本大小的限制,无法证实NI对心理痛苦的影响.
- 建议使用更大的样本和额外的工具进行进一步的研究,以澄清NI对疾病意识和心理调整的好处.
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