探索头部和部癌症患者的护理过渡:一项多方法研究
Jaling Kersen1, Pamela Roach1,2,3, Shamir Chandarana4,5
1Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
BMC cancer
|September 5, 2024
概括
对头癌 (HNC) 患者的护理转型带来了重大挑战. 了解这些护理过渡 (TiC) 对于改善HNC患者的患者安全,满意度和整体护理质量至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者护理管理的管理.
背景情况:
- 患有头癌 (HNC) 的患者经常经历护理过渡 (TiC).
- 护理中的转变可能会对患者的安全和满意度产生负面影响,并增加医疗保健成本.
- 有限的证据表明,TiC专门用于HNC患者.
研究的目的:
- 为了提高HNC患者对TiC的理解.
- 确定改善HNC患者TiC期间护理质量的策略.
主要方法:
- 一项多方法研究,将基于人口的回顾性队列分析 (第一阶段) 与定性描述性访谈 (第二阶段) 结合起来.
- 第一阶段利用加拿大阿尔伯塔省 (2012-2020年) 的行政健康数据,在3,752名HNC患者中量化了TiC.
- 第二阶段涉及与10名HNC患者和6名医疗保健提供者进行半结构面试,以探索他们在TiC期间的经验.
主要成果:
- HNC患者平均接受了1.6次治疗,手术到放射治疗是常见的过渡.
- 患者经常住院 (平均每周) 3.3) 和急诊室的访问 (平均每天). 7.8) 在研究期间.
- 定性分析揭示了导航医疗复杂性的主题,关系护理的重要性以及TiC对患者和系统的影响.
结论:
- 在HNC护理中频繁出现的TiC对患者和提供者来说都是挑战,影响了护理质量.
- 这些发现强调了需要改进的策略来管理HNC患者护理中的TiC.
- 这项研究为未来的研究和干预措施提供了洞察力,以增强HNC患者的TiC.
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