在中国大陆的低收入晚期癌症患者中偏爱息治疗:一项定性研究
Wenjuan Xie1, Hui Huang1, Honglian Wang1
1Hefei Ion Medical Center the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
BMC palliative care
|April 21, 2025
概括
低收入的晚期癌症患者优先考虑舒适护理,受财务,家庭支持和文化信仰的影响. 解决这些因素对于有效的息护理计划至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 社会医学科学 社会医学科学
背景情况:
- 收入显著影响了人们获得息护理的机会.
- 有限的研究存在于低收入高级癌症患者的息治疗偏好.
- 这些患者需要全面的支持,包括财务,心理,精神和社会援助.
研究的目的:
- 探索中国大陆低收入晚期癌症患者的息护理偏好.
- 确定影响这些偏好的因素.
主要方法:
- 使用表述学现象学方法进行定性研究.
- 与23名低收入晚期癌症患者进行半结构面试.
- 使用Giorgi的方法论进行主题分析,遵循COREQ的指导方针.
主要成果:
- 经济状况极大地影响了息护理选择 (治疗,药物,延续).
- 家庭和医疗人员的支持增强了患者对息治疗的决心.
- 中国传统文化对死亡地点,手术和输管决定产生影响.
- 患者更喜欢舒适护理,镇静剂和降低意识来缓解痛苦.
结论:
- 息护理的偏好是由经济地位,社会支持,文化信仰和渴望减轻痛苦的愿望所塑造的.
- 医疗保健专业人员必须为患者提供尊重,心理支持,并通过保险和社会援助改善经济援助.
- 决策者和临床医生应将文化价值观和患者偏好纳入治疗计划.
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