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非住院约旦癌症患者的医疗保健需求:一项探索性描述性研究。

Healthcare needs of noninstitutionalized Jordanian cancer patients: an exploratory descriptive study.

作者信息

Al-Jauissy Mohammed Said, Al-Hassan Muosa, Akhu-Zaheya Laila

机构信息

Adult Health Department, Jordan University of Science & Technology, PO Box 3030, Irbid 22110, Jordan.

出版信息

Cancer Nurs. 2009 Jul-Aug;32(4):291-8. doi: 10.1097/NCC.0b013e3181a0221e.

DOI:10.1097/NCC.0b013e3181a0221e
PMID:19444081
Abstract

Despite all advances in healthcare, provision of healthcare for cancer patients remains one of major continuing challenges for healthcare professionals. One of these challenges is shorter hospital stay. In this fast-paced environment, identification of cancer patients' needs is limited yet necessary to initiate an appropriate treatment plan for this group of patients. The major purpose of this study was to identify healthcare needs of noninstitutionalized patients with cancer from Arab Jordanians' perspective. The study was conducted at a chemotherapy clinic of a major university hospital in Jordan. An exploratory descriptive design using a structured interview was used to collect the data. The questions of the interview composed of items of several scales including the Patient Need Scale. Sixty-two participants met the inclusion criteria and agreed to participate. The participants were patients with cancer, were receiving chemotherapy, and were (a) Jordanian male or female patients, (b) able to communicate in Arabic, (c) 19 years of age or older, and (d) free from psychiatric or mental illnesses. Participants reported 70 existing needs (68.6%). However, 50% of these identified needs were perceived as being not met. Jordanian patients with cancer reported more healthcare needs than patients in Western cultures. Individualized comprehensive assessment of patients' needs from their perspective is essential to initiate an effective treatment plan.

摘要

尽管医疗保健领域取得了诸多进展,但为癌症患者提供医疗服务仍是医疗保健专业人员面临的主要持续性挑战之一。其中一个挑战是缩短住院时间。在这种快节奏的环境中,识别癌症患者的需求虽有限但对于为这组患者制定适当的治疗计划而言是必要的。本研究的主要目的是从阿拉伯约旦人的角度识别非机构化癌症患者的医疗需求。该研究在约旦一所主要大学医院的化疗诊所进行。采用结构化访谈的探索性描述性设计来收集数据。访谈问题由包括患者需求量表在内的几个量表的项目组成。62名参与者符合纳入标准并同意参与。参与者为癌症患者,正在接受化疗,且(a)为约旦男性或女性患者,(b)能够用阿拉伯语交流,(c)年龄在19岁及以上,(d)无精神疾病或心理疾病。参与者报告了70项现存需求(占68.6%)。然而,这些已识别需求中有50%被认为未得到满足。与西方文化中的患者相比,约旦癌症患者报告的医疗需求更多。从患者角度对其需求进行个性化综合评估对于启动有效的治疗计划至关重要。

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