患有癌症的人如何导航卫生系统? :一个多基础理论
Emma Hennessey1, Amy Kirkegaard, Lauren Ball
1Authors' Affiliation: Centre for Community Health and Wellbeing, The University of Queensland, Springfield, Queensland, Australia.
Cancer nursing
|January 29, 2025
概括
患有癌症的人 (PLWC) 通过五个关键组成部分导航卫生系统,包括身份调整和知识同化. 了解这些因素可以改善医疗保健的准入和对癌症患者的支持.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 癌症的生理和心理影响是可以理解的,但它们对癌症患者 (PLWC) 的健康系统导航的影响还没有得到很好的定义.
- 现有的研究缺乏全面了解PLWC如何导航复杂的医疗保健系统.
研究的目的:
- 开发一个解释PLWC导航卫生系统以满足其健康和福祉需求的过程的理论.
- 为了解癌症患者在医疗机构中的多方面的旅程提供一个框架.
主要方法:
- 为了开发解释理论,采用了多基础理论方法.
- 在癌症诊断后六个多月,对个体进行了半结构面试.
- 整合了健康信念模型和社会生态模型,以建立候选理论.
主要成果:
- 开发的理论包括五个核心组成部分:"处于旅程中"",适应新的身份"",吸收知识"",在卫生系统中导航"和"政策环境".
- 影响导航的关键因素包括核心护理团队,个人身份转移,信息获取,寻求健康的行为以及更广泛的政策背景.
- 参与者 (n=18) 主要患有乳腺癌 (50%);采访显示在获取服务方面有不同的经验.
结论:
- 候选理论提供了影响PLWC在整个癌症旅程和生存过程中如何导航健康和福祉服务的因素的全面描述.
- 确定的因素,如信任和知识,可以为癌症患者制定有针对性的导航支持计划和计划.
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