护理人员对代孕母参与事先护理计划的看法:一项混合方法研究
Xiaohang Liu1, Yuanxia Han2, Jung Jae Lee1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
International journal of nursing studies
|October 15, 2025
概括
家庭护理人员由于意识,动机和支持有限,在事先的护理计划中参与度较低. 早期的策略应该澄清事先护理规划的好处,并为代孕决策者提供更好的支持.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 家庭参与预先护理计划 (ACP) 对于调整患者的愿望和减少代孕负担至关重要,特别是在以家庭为中心的文化中.
- 癌症患者的非正式护理人员在当前/未来护理规划中发挥着至关重要的作用,并充当代人决策者.
研究的目的:
- 评估预先护理规划 (ACP) 中的代孕参与水平.
- 识别阻碍代理参与的挑战.
主要方法:
- 混合方法设计,结合定量调查和定性访谈.
- 在中国广州,170名癌症护理人员完成了调查;25人参加了深入采访.
- 使用描述性和单变量统计数据分析了定量数据; 定性数据进行了专题分析.
主要成果:
- 只有27.6%的参与者积极参与事先的护理计划,尽管95.3%的参与者参与了医疗讨论.
- 代孕产妇报告知识不足,自我效能不足,对自己的角色和生命结束问题没有准备.
- 确定了关键挑战:有限的ACP意识,矛盾的动机和缺乏支持.
结论:
- 作为代孕的癌症护理人员在事先的护理计划中表现出有限的参与.
- 主要障碍包括缺乏对代孕的认识,动机和支持.
- 干预措施应侧重于早期参与,澄清ACP利益,解决矛盾,加强支持系统.
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