缩小差距，为癌症患者开发居家姑息关怀模式

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2024-11-01 DOI:10.1016/j.apjon.2024.100583

Zahra Alizadeh , Camelia Rohani , Maryam Rassouli , Mahnaz Ilkhani , Maryam Hazrati

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引用次数: 0

摘要

目的尽早将姑息治疗纳入家庭医疗服务对癌症患者提高生活质量和降低医疗费用至关重要。因此，本研究旨在为伊朗的成年癌症患者开发一种基于家庭的姑息治疗模式。方法这是一项基于世界卫生组织指南的卫生政策和系统研究。研究包括四个阶段：综合回顾、通过个人半结构式访谈（37 人）和焦点小组访谈（8 人）进行的定性研究、在第三阶段整合这些结果并生成模式指标。在最后一个阶段，通过四轮典型的德尔菲法对指标的重要性进行了评估，并对模型进行了验证。结果从第一阶段中提取了居家姑息关怀的障碍，然后从定性阶段中产生了八个支柱的 22 个类别。在第三阶段（n = 118），整合了两个阶段为模型创建的指标。结论虽然该模型是为我国社会设计的，但它可以作为其他类似社会设计实用模型和创新项目的有用指南，为癌症患者提供居家姑息关怀。该模型在预测不同结果方面的应用应在未来的试验中加以研究。

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Bridging the gap and developing a home-based palliative care model for cancer patients

Objective

Early integration of palliative care into home health care services is essential for cancer patients to improve their Quality of Life and reduce their health care costs. Thus, this study aimed to develop a home-based palliative care model for adult cancer patients in Iran.

Methods

This is a health policy and systems research based on the World Health Organization guide. It consists of four phases; an integrative review, a qualitative study through individual semi-structured interviews (n = 37), and one focus group interview (n = 8), integrating these results in the third phase and generating model indicators. In the last phase, the evaluation of the importance of the indicators and the validation of the model were carried out during four classic Delphi rounds.

Results

Barriers to home-based palliative care were extracted from the first phase, and then 22 categories in eight pillars emerged from the qualitative phase. The indicators created for the model from two phases were integrated in the third phase (n = 118). After the four-round of the Delphi, a conceptual model for home-based palliative care in cancer patients, including 92 indicators within eight pillars was created.

Conclusions

Although this model was designed for our society, it can be utilized as a useful guide in other similar societies to design practical models and innovative programs to provide home-based palliative care in cancer patients. The application of the model in predicting different outcomes should be investigated in future trials.

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