护士是否为癌症患者提供全面护理？
Do nurses provide holistic care to cancer patients?
作者信息
Bahrami Masoud
机构信息
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2010 Fall;15(4):245-51.
BACKGROUND
In order to support cancer patients, nurses need to identify different physio-psycho- social needs of patients using a holistic approach. Focusing on Quality of Life (QoL) is congruent with the philosophy of a holistic approach in nursing. The main aim of this research study thus was to identify the level of agreement between cancer patients and nurses about cancer patients' QoL.
METHODS
The study was a survey which was completed in 2008. 166 cancer patients and 95 nurses were conveniently recruited from three major hospitals in Adelaide, Australia. Each patient and nurse was invited to complete the World Health Organization Quality of Life Brief (WHOQoL-BREF) questionnaire separately. This questionnaire considers QoL across four domains or dimensions: physical health, psychological health, social relationship and environment.
RESULTS
The proportion of the exact agreement between the two groups was 34.9%, 34.5%, 33.8% and 36.9% for the physical, psychological, social relationship, and environmental QoL domains, respectively.
CONCLUSIONS
Results may indicate that nurses do not have a holistic understanding of cancer patients' QoL. QoL tools like the World Health Organization Quality of Life Brief (WHOQoL-BREF) might be used as guidelines for nurses to assess cancer patients' QoL rather than relying heavily on their perceptions and intuitions. The results provide some implications for Iran.
背景
为了支持癌症患者，护士需要采用整体护理方法来识别患者不同的生理、心理和社会需求。关注生活质量（QoL）与整体护理理念相契合。因此，本研究的主要目的是确定癌症患者与护士在癌症患者生活质量方面的一致程度。
方法
该研究是一项于2008年完成的调查。从澳大利亚阿德莱德的三家主要医院方便地招募了166名癌症患者和95名护士。邀请每位患者和护士分别填写世界卫生组织生活质量简表（WHOQoL-BREF）问卷。该问卷从四个领域或维度考量生活质量：身体健康、心理健康、社会关系和环境。
结果
两组在生理、心理、社会关系和环境生活质量领域的完全一致比例分别为34.9%、34.5%、33.8%和36.9%。
结论
结果可能表明护士对癌症患者的生活质量没有全面的理解。像世界卫生组织生活质量简表（WHOQoL-BREF）这样的生活质量工具可作为护士评估癌症患者生活质量的指导方针，而不是严重依赖他们的认知和直觉。研究结果对伊朗有一定启示。
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