晚期癌症患者严重疾病对话的障碍:一种定性研究
Samantha Hanley1, Cody E Cotner2, Anny Fenton3
1Department of Nursing (S.N.), Brigham and Women's Hospital, Boston, Massachusetts, USA.
即使有干预措施,患者的准备性也是癌症患者严重疾病对话 (SIC) 的关键障碍. 未来的努力应该个性化沟通,并涉及个人互动,以提高参与度.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通 卫生沟通
背景情况:
- 严重疾病对话 (SIC) 对于将癌症护理与患者价值观保持一致至关重要.
- 促使SIC的干预措施改善了临终关怀.
- 了解障碍是临床试验中耐火病例的关键.
研究的目的:
- 检查晚期癌症患者SIC的障碍和促进因素.
- 确定提高SIC参与度的策略.
- 分析患者,护理人员和瘤学家的观点.
主要方法:
- 面试和调查的定性内容分析.
- 在随机化后招募了缺乏SIC的晚期癌症患者.
- 包括患者,护理人员和瘤学家.
主要成果:
- 患者应对机制影响了对SICs的准备.
- 临床医生的沟通风格影响了讨论的轻松性.
- 预后的不确定性和家庭的存在影响了SIC时间.
- 患者更喜欢个性化,交互式干预.
结论:
- 患者的准备状态仍然是一个重要的障碍,即使有干预措施.
- 未来的SIC干预需要定制的方法.
- 个性化沟通和互动对于有效的SIC至关重要.
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