加强护士对心理社会需求的沟通,以及晚期癌症患者亲密性和性行为的变化:一项混合方法研究
Susanne A M Arends1,2,3, Corien M Eeltink4, Floortje K Ploos van Amstel5
1Amsterdam UMC, location Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Boelelaan 1117, Amsterdam, The Netherlands.
International journal of nursing studies advances
|May 19, 2025
概括
培训提高了护士在讨论高级癌症患者的心理社会需求,包括亲密性和性欲方面的认知能力. 然而,关于这些敏感主题的文档实践显示出最小的改进.
科学领域:
- 瘤科 护理 护理专业
- 心理社会护理 心理社会护理
- 患者沟通 患者沟通
背景情况:
- 晚期癌症患者经常经历影响生活质量的心理社会需求.
- 护士经常犹要解决敏感的心理社会问题,特别是亲密和性方面的变化.
研究的目的:
- 评估培训计划对医院护士在沟通心理社会需求方面的能力和实践的影响.
- 具体评估在治疗晚期癌症患者的亲密性和性问题方面的改进.
主要方法:
- 一项混合方法研究,涉及荷兰53名医院护士 (2022-2023年).
- 数据收集包括培训前后调查,患者记录查和半结构面试.
- 评估感知能力和记录心理社会需求的沟通.
主要成果:
- 培训后,明显更高的护士比例报告说,在解决心理社会需求 (78.8%与46.0%相比),亲密 (90.9%与64.0%) 和性 (84.8%与50.0%) 方面感到有能力.
- 对患者记录的分析显示,在训练前和训练后,对心理社会需求的记录有限,特别是关于亲密性和性行为的记录有限.
- 护士们提到不情愿,时间限制和不舒服是记录敏感话题的障碍.
结论:
- 该培训提高了护士在讨论高级癌症患者的心理社会需求,包括亲密性和性欲方面的自我认知能力.
- 该培训对改善患者记录中心理社会需求的记录产生了有限的影响.
- 诸如不情愿和时间限制等障碍仍然存在,影响了敏感患者信息的记录.
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.6K
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...
4.6K
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
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.7K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.7K
Nursing Ethical Principles II
898
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...
898
Role of Communication in the Nursing Process I: Assessment and Diagnosis
3.1K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
3.1K
Communication
5.4K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
5.4K


