Mårtensson Gunilla, Carlsson Marianne, Lampic Claudia
Department of Caring and Social Sciences, University of Gävle, Gävle, Sweden.
Oncol Nurs Forum. 2010 Jan;37(1):E34-42. doi: 10.1188/10.ONF.E34-E42.
PURPOSE/OBJECTIVES: To investigate nurses' planning and implementation of individualized patient care in relation to patients' emotional distress as assessed by nurses and whether nurses and patients perceived the implemented care in a similar manner.
Prospective, comparative.
Five oncologic-hematologic wards in Sweden.
90 individual nurse-patient pairs were recruited and 81 were intact after three consecutive days. Each pair consisted of a patient with cancer and a nurse responsible for that patient's care.
Nurse-patient pairs were followed using questionnaires. Outcome measures were nurses' identification of patients' emotional distress, care planning, and nurse-patient ratings of implemented care.
Patients' emotional distress and nurses' implemented care.
Nurses identified a variety of emotional issues among patients and planned individual nursing interventions. Nurse and patient perceptions of implemented care demonstrated weak correlations for individually planned interventions and nurses' general caring behavior. With one exception, nurse self-reports did not indicate any differences in nurses' caring behavior directed to more and less distressed patients. Nurses reported providing comfort more frequently to patients with high levels of emotional distress, but this was not substantiated in patients' ratings.
Nurses showed an intention to provide individualized care. However, with one exception, nurses did not report providing more care to patients with cancer with high levels of emotional distress than to less distressed patients.
To ensure individualized care, nurses in cancer care should closely validate the accuracy of their interpretation of patients' needs and their planning of care in collaboration with the patients.
目的/目标：调查护士针对患者情绪困扰所进行的个性化患者护理的规划与实施情况（由护士评估），以及护士和患者对所实施护理的认知是否相似。
前瞻性、比较性研究。
瑞典的五个肿瘤血液科病房。
招募了90对护士 - 患者组合，连续三天后有81对保持完整。每对由一名癌症患者和一名负责该患者护理的护士组成。
通过问卷对护士 - 患者组合进行跟踪。结果指标包括护士对患者情绪困扰的识别、护理计划以及护士和患者对所实施护理的评分。
患者的情绪困扰和护士所实施的护理。
护士识别出患者中的各种情绪问题，并计划了个性化的护理干预措施。护士和患者对所实施护理的认知表明，针对个性化计划的干预措施和护士的一般护理行为，两者之间的相关性较弱。除了一个例外，护士的自我报告并未表明针对情绪困扰程度较高和较低的患者，护士的护理行为存在任何差异。护士报告更频繁地为情绪困扰程度高的患者提供安慰，但患者的评分并未证实这一点。
护士表现出提供个性化护理的意愿。然而，除了一个例外，护士并未报告为情绪困扰程度高的癌症患者提供比困扰程度低的患者更多的护理。
为确保个性化护理，癌症护理中的护士应与患者密切合作，验证其对患者需求的解读及护理计划的准确性。
