血液癌症患者在计划死亡地点时需要考虑的因素:一个建设性的理论研究
Karen Campbell1, Kathleen Stoddart
1Author Affiliations: Edinburgh Napier University (Dr Campbell) and University of Stirling (Dr Stoddart), Scotland, United Kingdom.
Cancer nursing
|October 16, 2024
概括
对于血液癌症患者来说,计划死亡地点是复杂的. 根据疾病轨迹,能量和独立性,患者的偏好会发生变化,这凸显了对个性化生命终端护理讨论的需要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 定性研究是指质量研究.
背景情况:
- 对血液癌症患者来说,终身护理计划是一个挑战.
- 之前的研究重点是医疗保健专业人员和护理人员,而不是患者.
- 之前没有任何研究探讨了患者对死亡地点的观点,在生命的最后一年规划死亡.
研究的目的:
- 了解患者对死亡地点规划的经验.
- 专注于血液癌症患者在他们的生命的最后一年.
主要方法:
- 构造主义的立足理论方法.
- 与英国21名参与者进行半结构面试.
- 通过不断比较和记忆分析的数据.
主要成果:
- 确定了一个核心类别:影响死亡计划的因素在无法治愈的血液学癌症轨迹中.
- 分类包括个人因素 (开车离开,遗产,死亡计划,疾病决定) 和环境因素 (依赖性决定,家庭流离失所,服务辨别).
结论:
- 死亡地点的规划是复杂而多方面的.
- 患者对死亡地点的偏好随着疾病的发展轨迹,身体/情绪能量和独立性而演变.
- 突出了癌症患者终身决策的动态性质.
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