以人为中心的护理在异构干细胞移植中使用对话工具:一种定性研究
Cecilia Engberg de Carvalho1,2, Anna O'Sullivan3,4, Karin Bergkvist5
1Department of Health Sciences, Lund University, Lund, Sweden.
Scandinavian journal of caring sciences
|November 7, 2025
概括
康复需求评估检查清单 (ARNC) 可以通过促进基于叙事的对话来支持全原血造干细胞移植 (allo-HCT) 中以人为本的护理 (PCN). 然而,它的有效性取决于结构化的后续和支持性的组织条件.
科学领域:
- 血液学 血液学 血液学
- 瘤科 护理 护理专业
- 移植医学 移植医学
背景情况:
- 全基性血造干细胞移植 (allo-HCT) 患者有复杂的康复需求.
- 以人为中心的护理 (PCN) 是至关重要的,但在专业的全HCT护理中还没有得到充分研究.
- 康复需求评估检查清单 (ARNC) 在癌症治疗中使用,但其在allo-HCT的PCN中的作用尚未研究.
研究的目的:
- 调查"康复需求评估检查清单" (ARNC) 如何在全源血造干细胞移植 (allo-HCT) 背景下促进以人为中心的护理 (PCN).
- 探索ARNC作为对话工具的实用性,以支持PCN对所有HCT患者的支持.
主要方法:
- 在两个瑞典分配HCT中心进行的定性研究.
- 与16名患者和16名注册护士 (RN) 进行半结构面试.
- 使用反射主题分析分析了30个RN撰写的备忘录.
主要成果:
- 该ARNC促进了个性化对话,并确定了未满足的患者需求,包括敏感问题.
- 确定的主题:"让故事出现"",未满足的需求"和"实践中的结构性差距".
- 时间压力和分散的护理等组织限制限制了共享护理计划和持续参与.
结论:
- 该ARNC有潜力通过基于叙事,需求驱动的对话支持PCN在all-HCT.
- 有效性取决于结构化的后续流程.
- 优化ARNC使用需要组织条件,促进关系关怀和解决结构性差距.
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