癌症患者接受植入式静脉通路装置手术的过渡体验:一项探索性研究

IF 0.3 Q4 Medicine
Eliane Dalex, Dominique Munteanu Nicou, Florence Roch Barrena, Catherine Salvi, Marie-José Roulin
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引用次数: 0

摘要

导言:当患者被诊断为癌症或癌症复发时,他们经历了健康与严重疾病之间的过渡。背景:静脉通路装置的植入通常发生在诊断后不久,是一个额外的压力因素。目的:探讨静脉置管器植入术后患者未满足的需求和期望,为患者提供专科护理提供依据。方法:采用探索性描述性定性方法,结合演绎内容分析。Afaf Meleis的过渡理论是指导分析的框架。数据收集自对12名患者的访谈。结果:结果显示了患者在静脉导管植入过程中的脆弱性。发现个人、人际关系和组织维度阻碍或促进了过渡,影响了患者体验的质量。患者使用了几种应对策略来减少他们的情绪困扰。讨论:支持自我护理策略,提前准备和适当的疼痛管理有助于减少焦虑和不安全感。结论:护理人员必须提供过渡护理,以促进静脉通路装置植入的积极体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transition experience of patients with cancer undergoing surgical insertion of an implantable venous access device: An exploratory study

Introduction: Patients experience a transition between health and a serious disease when they receive a diagnosis of cancer or of its recurrence.

Context: The implantation of a venous access device often takes places shortly after the diagnosis and is an additional stress factor.

Aim: Explore the unmet needs and expectations of patients after a venous access device has been implanted in order to offer specialized nursing care.

Method: An exploratory descriptive qualitative approach with deductive content analysis was used. Afaf Meleis’ transitions theory was the framework that guided the analysis. Data was collected from interviews with twelve patients.

Results: The results showed the vulnerability of patients during venous access device implantation. Personal, interpersonal, and organizational dimensions were found to hinder or facilitate the transition, influencing the quality of patients’ experience. Several coping strategies were used by patients to diminish their emotional distress.

Discussion: Support for self-care strategies, advance preparation, and adequate pain management help to reduce anxiety and insecurity.

Conclusion: Nurses must offer transition care in order to facilitate a positive experience of venous access device implantation.

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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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