姑息治疗方案对护士前列腺癌护理表现及患者预后的影响

E. Metwaly, Amal A. Hamad
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引用次数: 3

摘要

慢性疾病患者可能会出现极端症状,包括身体、精神和社会心理影响。预防和管理这些症状,同时在整个死亡过程中优化生活质量是姑息治疗的目标。目的探讨姑息治疗方案对护理人员前列腺癌护理表现及患者预后的影响。样本与方法:研究设计采用前测/后测准实验设计达到研究目的。研究是在埃及Sharkia Zagazig大学医院的肿瘤科和泌尿科进行的。目的选取30名护士和30名患者作为样本。数据收集工具使用了四种工具:护士结构化访谈问卷、姑息治疗观察性清单、患者结构化访谈问卷和症状指数。结果本研究结果显示,83%的受访护士对项目后阶段的知识水平满意。项目实施后,83.3%的受访护士的执业水平满意。实施姑息治疗方案后,患者在营养、用药和生活方式方面的依从性均有改善,平均±SD分别为9.1±1.71、12.1±2.5和10.3±3.4。此外,80%的研究患者在该项目后症状有所减轻,尽管减轻程度并不显著。根据目前的研究结果,姑息治疗项目对提高护士的知识和实践水平有积极的作用,并反映在改善患者的预后上。对新招募的护士进行在职培训将有助于更新他们的知识和提高他们的实践水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of palliative care program on nurses’ performance regarding prostate cancer and patients’ outcomes
Background Patients with chronic illnesses may experience extreme symptoms, including physical, spiritual, and psychosocial effects. Preventing and managing these symptoms while optimizing the quality of life throughout the dying process is the goal of palliative care. Aim To evaluate the effect of palliative care program on nurses’ performance regarding prostate cancer and patient’s outcomes. Sample and methods: research design A pretest/posttest quasi-experimental design was used to achieve the aim of the study. Setting The study was conducted in the Oncology and Urology Departments at Zagazig University Hospital, Sharkia, Egypt. Patients A purposive sample of 30 nurses and 30 patients had been selected. Tools of data collection Four tools were used: a structured interviewing questionnaire for nurses, observational checklists for palliative care, a structured interview questionnaire for patients, and symptom index. Results The results of the present study showed that 83% of studied nurses had satisfactory level of knowledge in the postprogram phase. Moreover, 83.3% of studied nurses had satisfactory level of practice after the program implementation. There was improvement in patients’ compliance regarding nutrition, medication, and lifestyle after applying the palliative care program, with mean±SD of 9.1±1.71, 12.1±2.5, and 10.3±3.4, respectively. Moreover, 80% of the studied patients had decreased symptoms after the program, though the decrement was not significant. Conclusion In light of the current study results, it can be concluded that the palliative care program had a positive effect on improving nurses’ knowledge and practice, which reflected then on improving patients’ outcomes. Recommendation In-service training for newly recruited nurses will help to update their knowledge and improve their practice.
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