癌症患者的家庭综合预先护理计划:混合方法可行性研究
Megumi Kishino1, Jonathan Koffman2, Jun Hamano3
1Cicely Saunders Institute of Palliative Care (M.K., C.E.S.), Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College, London, UK.
Journal of pain and symptom management
|March 13, 2025
概括
家庭综合性严重疾病对话指南 (SICG-Fam) 被日本的晚期癌症患者及其家属接受. 医生的沟通方式和家庭动态影响了这些严重疾病对话的感知帮助.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 医学伦理 医学伦理
背景情况:
- 涉及家庭的提前护理计划对话是有限的.
- 为了解决这一差距,制定了一个家庭综合的严重疾病对话指南 (SICG-Fam).
研究的目的:
- 评估日本SICG-Fam的可行性和可接受性.
- 评估其在晚期癌症患者,家庭成员和医生中的使用情况.
主要方法:
- 训练有素的医生使用SICG-Fam与22名患者的家人进行严重疾病对话.
- 数据是通过问卷和采访收集的.
- 进行了描述性统计和专题分析.
主要成果:
- 在大多数谈话中,SICG-Fam被交付,并且通常被患者和家人发现有帮助.
- 医生沟通和家庭背景影响了人们对帮助的感知.
- 一些参与者在对话中经历了痛苦.
结论:
- 该SICG-Fam是可交付和可接受的患者和家庭.
- 医生意识到家庭的看法可以减轻痛苦.
- 需要进一步的细化和有效性研究.
相关概念视频
Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
Nursing Ethical Principles II
902
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
902
Cancer Survival Analysis
315
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
315
Planning Nursing Care II
2.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.5K
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K


