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神经肿瘤患者的精神需求:从患者角度出发。

The spiritual needs of neuro-oncology patients from patients' perspective.

机构信息

Aline Nixon, School of Biomedical Sciences, Queens Medical Centre, University of Nottingham, Nottingham, UK.

出版信息

J Clin Nurs. 2010 Aug;19(15-16):2259-370. doi: 10.1111/j.1365-2702.2009.03112.x. Epub 2010 Jun 7.

DOI:10.1111/j.1365-2702.2009.03112.x
PMID:20529167
Abstract

AIMS

This study aimed to identify the spiritual needs of neuro-oncology patients from a patient perspective and how nurses currently support patients with spiritual needs.

BACKGROUND

Spiritual needs of cancer patients should be assessed and discussed by healthcare professionals from diagnosis. Nurses should assess and support neuro-oncology patients with their spiritual needs during their hospital stay.

DESIGN

Qualitative research.

METHODS

Data were collected through a Critical Incident Technique questionnaire from neuro-oncology patients and were subjected to thematic content analysis.

RESULTS

Some patients with brain tumours do report spiritual needs during their hospital stay and some of these needs are not met by nurses.

CONCLUSIONS

There is clearly a need for healthcare professionals to provide spiritual care for neuro-oncology patients and their relatives. Further research is required to explore how effective nurses are at delivering spiritual care and if nurses are the most appropriate professionals to support neuro-oncology patients with spiritual care.

RELEVANCE TO CLINICAL PRACTICE

The study illuminates that some neuro-oncology patients' have spiritual needs that could be met by nurses. Spiritual needs include supportive family relationships, emotional support, loneliness, religious needs, need to talk, reassurance, anxiety, solitude, denial, plans for the future, thoughts about meaning of life, end of life decisions and discussion of beliefs. The implications of the findings of this study are that nurses need to be aware and respond to these spiritual needs.

摘要

目的

本研究旨在从患者角度确定神经肿瘤患者的精神需求,以及护士目前如何满足患者的精神需求。

背景

癌症患者的精神需求应在诊断时由医疗保健专业人员进行评估和讨论。护士应在神经肿瘤患者住院期间评估并支持其精神需求。

设计

定性研究。

方法

通过神经肿瘤患者的关键事件技术问卷收集数据,并进行主题内容分析。

结果

一些脑瘤患者在住院期间确实报告了精神需求,但其中一些需求未得到护士的满足。

结论

显然需要医疗保健专业人员为神经肿瘤患者及其家属提供精神关怀。需要进一步研究探索护士在提供精神关怀方面的有效性,以及护士是否是支持神经肿瘤患者精神关怀的最合适的专业人员。

临床相关性

本研究阐明了一些神经肿瘤患者存在可以由护士满足的精神需求。这些需求包括支持性的家庭关系、情感支持、孤独感、宗教需求、倾诉需求、安心需求、焦虑感、孤独感、否认感、对未来的计划、对生命意义的思考、临终决策和信仰讨论。本研究结果的意义在于,护士需要意识到这些精神需求并做出回应。

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