Bakke A, King D
Department of Hematology/Oncology, Children's Hospital and Regional Medical Center, Seattle, WA 98105, USA.
J Pediatr Oncol Nurs. 2000 Jul;17(3):182-7. doi: 10.1053/jpon.2000.8067.
Recent advances in supportive care therapies have significantly contributed to the likelihood that a child diagnosed with cancer will be cured. Quantitatively recognized supportive care practices, such as central line care management, pain control, nutritional support, and blood transfusions are typically identified as the major contributors to these improved rates of survival. However, just as important are the more qualitative aspects of the nursing care delivery process. As a fundamental part of nursing's caring role, the encounter with patients and families offers unique opportunities for nurses to participate in the creation of a healing environment. Gaining understanding and skill at balancing professional relationships, while also knowing the risks of caring, are critical components of providing excellent supportive care to pediatric oncology patients and their families. The professional caring encounter is a complex and multidimensional process. Strategies for developing optimal communication and healthy professional caring relationships within the pediatric oncology setting are discussed.
支持性护理疗法的最新进展显著提高了被诊断患有癌症的儿童被治愈的可能性。定量认可的支持性护理实践，如中心静脉导管护理管理、疼痛控制、营养支持和输血，通常被认为是这些生存率提高的主要因素。然而，护理服务过程中更具质性的方面同样重要。作为护理关怀角色的基本组成部分，与患者及其家属的接触为护士参与营造康复环境提供了独特的机会。在平衡专业关系的同时理解并掌握相关技巧，同时了解关怀的风险，是为儿科肿瘤患者及其家属提供优质支持性护理的关键组成部分。专业关怀接触是一个复杂且多维度的过程。本文讨论了在儿科肿瘤环境中建立最佳沟通和健康专业关怀关系的策略。
