Nursing-care for family caregivers of terminally ill cancer patients to enhance preparedness for death.

IF 0.9 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Nagoya Journal of Medical Science Pub Date : 2024-02-01 DOI:10.18999/nagjms.86.1.121

Akiko Unesoko, Naoki Ozawa, Ayumi Sugimura, Kazuki Sato, Shoko Ando

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引用次数: 0

Abstract

Family caregivers of terminally ill cancer patients prepare for a patient's death. Nursing-care for preparedness is effective for their psychological health. This study aims to structuralize nursing-care for preparedness and extract related factors while presenting the implications for improved quality of care. Data from a cross-sectional survey of general ward and palliative care unit nurses in designated cancer care hospitals (n=561) was analyzed with exploratory factor analysis and multiple regression analyses. The results of the analysis, the structure was classified into "Nurse-centered support" and "Support through inter-professional work." Both supports were practiced significantly more frequently in palliative care units than general wards. Related factors in general wards were; communication skills, cooperation with doctors, the existence of certified nurse/certified nurse specialists as consultants, attitudes toward care of the dying, frequency of death conferences, and cooperation with specialist cancer counselors. Therefore, the results can help improve the quality of family care in palliative care, especially in general wards.

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为癌症晚期患者的家庭护理人员提供护理服务，以加强对死亡的准备。

癌症晚期患者的家庭护理人员要为患者的死亡做好准备。对临终准备的护理能有效地促进他们的心理健康。本研究旨在对临终关怀护理进行结构化分析并提取相关因素，同时阐述其对提高护理质量的意义。通过探索性因素分析和多元回归分析，对癌症护理定点医院普通病房和姑息治疗病房护士（n=561）的横断面调查数据进行了分析。分析结果显示，该结构分为 "以护士为中心的支持 "和 "通过跨专业工作提供的支持"。这两种支持在姑息关怀病房的实施频率明显高于普通病房。普通病房的相关因素包括：沟通技巧、与医生的合作、是否有认证护士/认证专科护士作为顾问、对临终关怀的态度、死亡会议的频率以及与癌症专科顾问的合作。因此，研究结果有助于提高姑息治疗中家庭护理的质量，尤其是在普通病房。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nagoya Journal of Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal publishes original papers in the areas of medical science and its related fields. Reviews, symposium reports, short communications, notes, case reports, hypothesis papers, medical image at a glance, video and announcements are also accepted. Manuscripts should be in English. It is recommended that an English check of the manuscript by a competent and knowledgeable native speaker be completed before submission.