息癌症患者的未满足需求:一个有根据的理论研究
Ilaria Basile1,2, Letteria Consolo3, Anita Bellani4
1High-Complexity Unit of Palliative Care, Pain Therapy and Rehabilitation, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
The American journal of hospice & palliative care
|April 18, 2025
概括
在息治疗中的癌症患者有未满足的需求,往往是未表达的. 这项研究确定了关键的需求,包括赋权,尊严,疾病管理,未来的理解和存在的支持,以承认为中心.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
背景情况:
- 在息治疗中的成人癌症患者经常无法表达担忧,导致未解决的需求.
- 这些未表达的需求被称为未满足的需求,需要进一步的支持.
研究的目的:
- 制定一个概念框架,详细说明接受息治疗的癌症患者未得到满足的需求.
- 了解晚期疾病隐藏的情感和心理层面.
主要方法:
- 构造主义的立足理论方法.
- 与29名癌症患者进行的半结构面试,涉及各种息护理机构.
- 使用NVIVO 14软件进行主题分析,按照逐行和集中编码.
主要成果:
- 确定了五类未满足的需求:赋权,尊严,疾病进展管理,未来前景和生存支持.
- 核心类别:"需要认可",强调患者感到被看到和理解的重要性.
- 患者需要表达亲密的需求,强调他们独特的生活故事超越他们的疾病.
结论:
- 该概念模型有效地识别了以前隐藏的患者在息护理方面的需求.
- 提供了对晚期癌症情绪和心理方面的更深入的理解.
- 强调承认在解决患者担忧方面的关键作用.
更多相关视频
相关概念视频
Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Nursing Ethical Principles II
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 cancer...
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 cancer...
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Cancer Survival Analysis
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...
Bonanno's Theory of Grieving
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
The resilience...
Resilience
The resilience...


