向癌症患者的综合息护理:使用慢性护理模型进行病例管理的定性研究
Shima Yadegar Tirandaz1, Leila Valizadeh2, Vahid Zamanzadeh3
1Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
概括
这项研究探讨了息性癌症护理中的病例管理,发现所有慢性护理模型组件对于有效的以患者为中心的干预至关重要. 这些见解可以指导医疗保健政策,改善护理协调.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 息治疗对于癌症患者的生活质量至关重要,但提供它是复杂的.
- 病例管理是系统和协作性息性癌症护理的推方法.
- 了解患者和提供者经验是开发更好的干预措施的关键.
研究的目的:
- 探索癌症缓解护理中的病例管理经验和看法.
- 确定协调,持续和以患者为中心的息性癌症护理的基本组成部分.
- 为制定有效的医疗保健干预和政策提供见解.
主要方法:
- 使用慢性护理模型框架进行定性研究.
- 与40名参与者 (患者,护理人员,提供者,决策者) 进行了半结构化的深度访谈.
- 有针对性的内容分析和MAXQDA 10软件用于数据分析.
主要成果:
- 分析得出了六个主要类别,与慢性护理模型保持一致.
- 这些类别包括社区政策,自我管理支持,决策支持,交付系统设计,临床信息系统和医疗保健组织.
- 在这些主要类别中,确定了16个子类别.
结论:
- 所有慢性护理模型的组件对于有效的息护理病例管理至关重要.
- 这项研究提供了慢性护理模型的概念延伸,用于缓和性癌症护理.
- 研究结果作为制定与癌症相关的政策和医疗保健干预措施的参考.
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