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癌症恶病质体验探索:患者及其家属对医护人员的期望。

An exploration of the experience of cancer cachexia: what patients and their families want from healthcare professionals.

机构信息

Nursing and Midwifery Research Unit, School of Nursing and Midwifery, Queen's University, and Belfast City Hospital, Belfast, UK.

出版信息

Eur J Cancer Care (Engl). 2010 Sep;19(5):682-9. doi: 10.1111/j.1365-2354.2009.01124.x. Epub 2009 Nov 13.

Abstract

The aim of this paper is to investigate the perceptions of patients and family members with regard to care received for cancer cachexia. A qualitative study recruited 27 participants, of which 15 were patients with advanced cancer who had primary cachexia and 12 were family members. Participants were recruited from a regional cancer centre in the UK. All participants took part in a domiciliary interview, which was transcribed verbatim for analysis. A major finding from analysis was 'lack of response from health care professionals' in relation to cancer cachexia management. This finding illuminated that patients and their family members wanted three things from healthcare professionals. They wanted their profound weight loss acknowledged, they wanted information about it and why it was happening and they wanted interventions to deal with it. This paper provides powerful messages for healthcare professionals and highlights the needs of patients and their family regarding cancer cachexia management. Patients and their families want this problem addressed by healthcare professionals. This client group requires supportive healthcare interventions, so that they can understand the nature and impact of this syndrome.

摘要

本文旨在探讨患者和家属对癌症恶病质所接受治疗的看法。一项定性研究招募了 27 名参与者,其中 15 名是患有原发性恶病质的晚期癌症患者,12 名是家属。参与者是从英国的一个地区癌症中心招募的。所有参与者都参加了家庭访谈,访谈内容逐字转录以供分析。分析的一个主要发现是“医疗保健专业人员对此缺乏回应”,这与癌症恶病质的管理有关。这一发现表明,患者及其家属希望医护人员能做到三件事。他们希望医护人员能承认他们明显的体重下降,希望能了解体重下降的原因,希望能采取干预措施来解决体重下降的问题。本文为医护人员提供了有力的信息,并强调了患者及其家属在癌症恶病质管理方面的需求。患者及其家属希望医护人员能解决这个问题。这一患者群体需要得到支持性的医疗干预,以便他们能够理解这种综合征的性质和影响。

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