Ksiazek J, Gaworska-Krzemińska A, Piotrkowska R
Department of Surgical Nursing, Medical University of Gdańsk, Poland.
Adv Med Sci. 2007;52 Suppl 1:97-101.
The care of a cancer patient undergoes considerable changes. Patients' most important need is a demand of support in dealing with somatic, psychological, emotional and social complaints. The purpose of this research is to analyse the realization of the psychological support of a cancer patient based on nursing care process records.
The research analysis is based on 150 nursing care case histories of cancer children and adults treated in the Independent Public Clinical Hospital No 1 of the Academic Clinical Centre at the Medical University of Gdańsk in such wards as: Paediatric Haematology, Paediatric Chemotherapy, Adults' Haematology, Oncology and Radiotherapy, Thoracic Surgery. Evaluation chart of nursing care histories and statistical methods were tools in this research. The nursing case history evaluation chart created for this very research is successfully used by members of nursing records team in all of 61 wards.
The results indicate that in all analysed wards the most problematic factor for nurses was taking the patients' (children's) habits and free time planning into account while establishing the plan of action. In numerous cases a stated nursing care diagnosis was not connected with the realization of psychological support. Providing patients with the feeling of safety and contact with family was positively assessed.
In the care process nurses should pay more attention to the evaluation of patients and their families' need of social support.
癌症患者的护理会经历相当大的变化。患者最重要的需求是在应对身体、心理、情感和社会问题时获得支持。本研究的目的是基于护理过程记录分析癌症患者心理支持的实现情况。
本研究分析基于格但斯克医科大学学术临床中心第一独立公共临床医院收治的150例癌症儿童和成人的护理病历，涉及以下科室：儿科血液科、儿科化疗科、成人血液科、肿瘤科、放疗科、胸外科。护理病历评估表和统计方法是本研究的工具。为该研究专门创建的护理病历评估表已被61个科室的护理记录团队成员成功使用。
结果表明，在所有分析的科室中，护士面临的最棘手因素是在制定行动计划时考虑患者（儿童）的习惯和空闲时间安排。在许多情况下，既定的护理诊断与心理支持的实现并无关联。为患者提供安全感以及与家人的联系得到了积极评价。
在护理过程中，护士应更加关注对患者及其家属社会支持需求的评估。
