护理人员与隐藏晚期癌症的患者之间的沟通问题:一种定性研究
Sanhapan Wattanapisit1, Apichai Wattanapisit2,3, Pornnapat Laksanapiya4
1MD, MSc, MRCFPT, Palliative Care Unit, Thasala Hospital, Nakhon Si Thammarat, Thailand.
概括
护理人员经常隐患者的晚期癌症诊断,原因是患者的个性和对负面影响的恐惧. 沟通涉及讨论症状而不是诊断,这给息护理中的家庭带来了挑战.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 瘤学通讯 瘤学通讯
- 定性研究是指质量研究.
背景情况:
- 在息治疗中,有效的沟通至关重要.
- 隐藏晚期疾病是一个重大的沟通挑战.
- 了解晚期癌症患者护理人员沟通动态是必不可少的.
研究的目的:
- 探索护理人员和患者之间隐藏晚期癌症的沟通模式和困难.
- 确定癌症缓解护理中隐信息背后的原因.
- 检查医疗保健专业人员在这种沟通动态中的作用.
主要方法:
- 使用解释性现象学方法进行定性研究.
- 与晚期癌症患者的护理人员进行半结构化的深度访谈.
- 收集数据的诱导性主题分析.
主要成果:
- 出现了四个主要主题:隐藏的原因 (患者个性,对不良影响的恐惧),沟通模式 (基于症状的沟通,信息扭曲),隐藏的挑战 (内,怀疑) 和医疗保健专业人员的支持.
- 护理人员隐诊断和预后,经常传达症状而不是直接信息.
- 医疗保健专业人员有时支持不披露,但也可以帮助决策.
结论:
- 一些护理人员认为隐晚期癌症是适当的,沟通是动态的.
- 家庭可以考虑未来的披露,医疗保健专业人员可以支持这一过程.
- 需要对决策和沟通进行进一步的研究,以改善在息治疗中隐信息的处理.
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