影响癌症患者预期护理计划的因素:一种定性研究
Yin Yan1, Tan Derong2, Tong Qin1
1Department of Oncology Breast Lymphoma Subspecialty, The First Affiliated Hospital, Hengyang Medical School, University of South China, China.
概括
乐观的观点和家庭的支持有助于癌症患者提前进行护理规划. 误解,文化禁忌和财务负担造成障碍,需要针对性干预,以获得更好的以患者为中心的护理.
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:
- 提前护理计划 (ACP) 对于将癌症患者的护理与他们的价值观保持一致至关重要.
- 了解影响ACP的因素对于改善患者治疗结果至关重要.
- 在整个癌症治疗过程中,必须尊重患者的偏好.
研究的目的:
- 探索影响癌症患者预先护理计划 (ACP) 的因素.
- 确定促进和阻碍非洲国家和地区参与的因素.
- 为提高患者参与ACP的战略提供信息.
主要方法:
- 使用现象学方法进行定性描述性研究.
- 与17名癌症患者进行了深入的面对面采访和观察.
- 采访数据的内容和主题分析以社会生态系统理论为指导.
主要成果:
- 促进者包括乐观的健康观点和积极的态度对ACP.
- 障碍包括缺乏理解,误解,负面态度,家庭压力,经济负担和文化禁忌.
- 家庭信任促进了讨论,而对医疗保健提供者的依赖阻碍了对话.
结论:
- 癌症患者的ACP是由个人,家庭,经济和文化因素的复杂相互作用所塑造的.
- 解决误解和文化障碍对于有效的ACP来说至关重要.
- 需要有针对性的干预措施来赋予患者权力,并确保护理与他们的价值观保持一致.
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