Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Int J Qual Stud Health Well-being. 2013 Aug 6;8:20870. doi: 10.3402/qhw.v8i0.20870.
The aim of this study was to describe what factors of the healthcare environment are perceived as being important to patients in oncology care.
A qualitative design was adopted using focus group interviews.
The sample was 11 patients with different cancer diagnoses in an oncology ward at a university hospital in west Sweden.
Analysis of the patients' perceptions of the environment indicated a complex entity comprising several aspects. These came together in a structure consisting of three main categories: safety, partnership with the staff, and physical space. The care environment is perceived as a complex entity, made up of several physical and psychosocial aspects, where the physical factors are subordinated by the psychosocial factors. It is clearly demonstrated that the patients' primary desire was a psychosocial environment where they were seen as a unique person; the patients wanted opportunities for good encounters with staff, fellow patients, and family members, supported by a good physical environment; and the patients valued highly a place to withdraw and rest.
This study presents those attributes that are valued by cancer patients as crucial and important for the support of their well-being and functioning. The results show that physical aspects were subordinate to psychosocial factors, which emerged strongly as being the most important in a caring environment.
本研究旨在描述肿瘤患者认为哪些医疗环境因素对其重要。
采用焦点小组访谈的定性设计。
样本为瑞典西部一所大学医院肿瘤科病房的 11 名不同癌症诊断的患者。
对患者对环境的看法进行分析，表明环境是一个由几个方面组成的复杂实体。这些方面结合在一起形成了一个由三个主要类别组成的结构：安全性、与工作人员的合作关系以及物理空间。患者认为护理环境是一个复杂的实体，由几个生理和心理社会方面组成，其中生理因素由心理社会因素决定。研究清楚地表明，患者的主要愿望是一个心理社会环境，在这个环境中，他们被视为一个独特的个体；患者希望有机会与工作人员、其他患者和家属进行良好的互动，同时得到良好的物理环境的支持；患者还非常重视一个可以撤退和休息的地方。
本研究提出了癌症患者认为至关重要和重要的属性，这些属性对他们的幸福感和功能支持至关重要。研究结果表明，物理因素从属于心理社会因素，而心理社会因素在关怀环境中是最重要的。
