在关怀癌症病人的痛苦、希望与美好中跋涉:肿瘤科护士的经验

Belza, Mercedes A Man, Dancil, Veronica T. Msn, Lauro, Jocelyn P Man, M. Ed
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引用次数: 0

摘要

护士经常为那些被诊断患有绝症并面临死亡过程的病人提供护理。与这些病人和家属一起工作可能会在情感上要求很高,也很有挑战性。护士应该迎接挑战,为癌症患者开发和提供有效的干预措施,主要关注健康促进,临终关怀,最重要的是,与健康相关的生活质量的四个领域:身体,心理,情感和精神功能。与健康有关的生活质量(HRQoL)干预措施可以使患者能够实践健康行为,并促进他们在护理中自我指导;从而大大提高了他们的生活质量。本研究旨在描述和了解肿瘤护士在为癌症患者提供与健康相关的生活质量干预方面的“生活”经验。本研究采用描述现象学方法进行,并通过对10名肿瘤科护士进行一对一的录音访谈产生数据。Colaizzi的[1]程序解释现象学调查方法用于数据编码和识别主题。实施了确保调查结果可信度的方法。确定了三个主题和14个次级主题。研究结果表明,与健康相关的生活质量干预措施在癌症患者的护理中至关重要。建议进一步研究通过HRQoL干预提高癌症患者生活质量的方式。此外,对于护理领导来说,为肿瘤护士提供与HRQoL干预技能相关的特定培训项目可能是有价值的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Wading Through Misery, Hope and Beauty in Caring For Cancer Patients: Experiences of Oncology Nurses
Nurses are often engaged in providing care for patients who are diagnosed with terminal illness and are faced with the process of dying. Working with these patients and families can be emotionally demanding and challenging. Nurses ought to meet the challenge of developing and rendering effective interventions for cancer patients, focusing predominantly on health promotion, end-oflife care, and above all, the four domains of health-related quality of life: physical, psychological, emotional and spiritual functioning. Health-related Quality of Life (HRQoL) interventions can empower patients to practice health behaviors and facilitate them to be selfdirected in their care; thereby contributing substantially to their quality of life. This study aimed to describe and understand the „lived‟ experiences of oncology nurses in providing health-related quality of life interventions among cancer patients. The study was conducted using descriptive phenomenological method and data was generated through one-on-one audio-recorded interview with ten oncology nurses Colaizzi‟s [1] procedural interpretation of the phenomenological method of inquiry was used for data coding and identifying themes. Methods to ensure trustworthiness of the findings were implemented. Three themes with 14 sub-themes were identified. Results of the study showed that health-related quality of life interventions were essential in nursing care among cancer patients. It was suggested that the manner in which cancer patients‟ quality of life improves through HRQoL interventions should be further studied. In addition, it may be of value for nursing leaders to provide specified training programs for oncology nurses working on issues relevant to the HRQoL intervention skills.
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