Mårtensson G, Carlsson M, Lampic C
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Eur J Cancer Care (Engl). 2008 Jul;17(4):350-60. doi: 10.1111/j.1365-2354.2007.00866.x.
The present study examines differences, associations and agreement in cancer patients' and their nurses' ratings of cancer patients' coping resources, emotional distress and quality of life. The study sample includes 90 individual patient-nurse pairs. The patient and nurse in each pair independently completed the Cancer Behaviour Inventory, the Hospital Anxiety and Depression Scale and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being. The results indicate a distinct pattern in which nurses overestimate patients' emotional distress and underestimate patients' coping resources and quality of life. A nurse who overestimated a patient's emotional distress and underestimated his/her resources for handling the situation was also likely to underestimate the patient's quality of life. Patient-nurse pairs who demonstrated consistent agreement differed from remaining pairs in that they had a larger percentage of nurses with advanced education and previous responsibility for their patients' care and in that they had higher frequencies of patients who had previously received care at the ward >5 days. Nurses caring for patients with cancer should be aware of the risk of making systematic misjudgements of patients' status. Increased attention to patients' internal resources may improve nurses' ability to make correct assessments and plan for individualized care.
本研究探讨了癌症患者及其护士对癌症患者应对资源、情绪困扰和生活质量的评分差异、关联及一致性。研究样本包括90对患者-护士个体。每对中的患者和护士独立完成了癌症行为量表、医院焦虑抑郁量表以及慢性病治疗功能评估-精神健康量表。结果显示出一种明显的模式，即护士高估患者的情绪困扰，低估患者的应对资源和生活质量。高估患者情绪困扰且低估其应对能力的护士，也可能低估患者的生活质量。表现出一致评分的患者-护士对与其他对不同，在于他们拥有更高比例接受过高等教育且之前负责过患者护理的护士，且之前在该病房接受护理超过5天的患者频率更高。护理癌症患者的护士应意识到对患者状况做出系统性错误判断的风险。更多关注患者的内在资源可能会提高护士做出正确评估和制定个性化护理计划的能力。
