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以患者为中心的护理中重要的因素有哪些?一项基于癌症患者认知的定量研究。

What are important for patient centered care? A quantitative study based on perception of patients' with cancer.

作者信息

Azimzadeh Roghayeh, Valizadeh Leila, Zamanzadeh Vahid, Rahmani Azad

机构信息

Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.

Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Caring Sci. 2013 Nov 30;2(4):321-7. doi: 10.5681/jcs.2013.038. eCollection 2013 Dec.

Abstract

INTRODUCTION

Today in all aspects of health care, there is a considerable emphasis on the provision of patient centered care. Various researches in cancer wards have demonstrated that from view of patients, there were some similarities and differences in importance of care in different cultural area. This study aimed to assess what are important for patient centered care in cancer wards.

METHODS

This is a descriptive study conducted with  participation of 200 patients with cancer  from a cancer center in Tabriz. Convenience sampling was used. The data were collected using Care-Questionnaire, developed by Larson. The Caring behaviors were ordered in 6 dimensions: "Being accessible", "Explains and facilitates", "Comforts", "Anticipates", "Trusting relationship", "Monitors and follows through" and ordered on a 5-point Likert-type scale. The data were analyzed using SPSS ver. 13.0.

RESULTS

The results showed that patients with cancer evaluated most of nurses caring behaviors with higher scores (moderate to high) and  assigned the "Monitors and follows through" and "Being accessible" as patients' higher priorities vs the "Comforts" 4.06 (0.50) and "Trusting Relationships" as lower priorities.

CONCLUSION

The findings of the present study, indicate that the "Monitors and follows through" and "Being accessible" caring behaviors have more importance by patients with cancer, so these conduces nurses to notice and perform these behaviors in their nursing care. By so doing, moving to the main goal of patient centered care can be provided.

摘要

引言

如今在医疗保健的各个方面,都相当重视提供以患者为中心的护理。在癌症病房进行的各种研究表明,从患者的角度来看,不同文化区域护理的重要性存在一些异同。本研究旨在评估癌症病房中以患者为中心的护理的重要因素。

方法

这是一项描述性研究,有来自大不里士一个癌症中心的200名癌症患者参与。采用便利抽样。数据通过由拉森编制的护理问卷收集。护理行为分为6个维度:“易于接触”“解释与协助”“安慰”“预见”“信任关系”“监督与跟进”,并按5级李克特量表排序。数据使用SPSS 13.0版进行分析。

结果

结果显示,癌症患者对护士的大多数护理行为评价得分较高(中等至高),并将“监督与跟进”和“易于接触”列为患者的较高优先级,而“安慰”得分为4.06(0.50),“信任关系”列为较低优先级。

结论

本研究结果表明,“监督与跟进”和“易于接触”的护理行为对癌症患者更为重要,因此这促使护士在护理工作中注意并执行这些行为。这样做能够朝着以患者为中心的护理这一主要目标迈进。

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