伊朗护理人员，照顾患癌亲属的沉默媒介。
Iranian caregivers, silent mediums in caring for relatives suffering from cancer.
作者信息
Hashemi Masoumeh, Taleghani Fariba, Kohan Shahnaz, Yousefi Alireza
机构信息
Student's Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran, and Department of Midwifery, Arak Medical Sciences Branch, Islamic Azad University, Arak, Iran.
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. 2014 Feb;19(7 Suppl 1):S83-90.
BACKGROUND
Poor interaction of treatment personnel with patients' families leads to informational contrast in families, which may ultimately increase the tension and pressure in these conditions. Considering the necessity of caregivers' contribution for an optimized treatment, continuation of care, and supporting patients, and with regard to caregivers' important role, and also considering the emphasis placed by previous studies on the significance of the caregivers' experiences and as there are a limited number of studies on eastern countries, the present study attempts to justify caregivers' understanding of their own needs for interaction with the treatment team.
MATERIALS AND METHODS
This study is a qualitative research conducted through a content analysis method with an inductive approach. 23 familial caregivers of breast cancer patients from Seyed-Al-Shohada and ayat- ollah khan sari Hospital of Isfahan and Arak were selected through purposive sampling. Data were gathered through in-depth interviews and field notes. The content was read for several iterations and units of meaning and primary codes were extracted, and then categories were extracted based on the centrality and similarity of meanings.
RESULTS
Four categories were extracted: a) caregivers' contribution and acknowledging them in the treatment system, b) training in efficient caregiving, c) efficient interaction of the medical team with caregivers, and d) easy and dynamic access to the medical services.
CONCLUSIONS
The results of the study showed that family caregivers should cooperate and interact with the medical team. They also need training from the medical team on caregiving to cancer patients. An understanding of caregivers' experiences and needs in their interaction with the medical team and identifying their needs as an important aspect in cancer care system assists in designing evidence-based healthcare interventions and a comprehensive family-cantered care program.
背景
治疗人员与患者家属之间的不良互动会导致家庭内部信息反差，这最终可能会加剧这些情况下的紧张和压力。考虑到护理人员对于优化治疗、持续护理及支持患者的必要性，以及护理人员的重要作用，同时鉴于先前研究强调护理人员经历的重要性，且针对东方国家的研究数量有限，本研究试图阐明护理人员对于自身与治疗团队互动需求的理解。
材料与方法
本研究是一项采用归纳法的内容分析法进行的定性研究。通过目的抽样从伊斯法罕和阿拉克的赛义德 - 阿尔 - 肖哈达医院及阿亚图拉·汗·萨里医院选取了23名乳腺癌患者的家庭护理人员。通过深度访谈和实地记录收集数据。对内容进行多次阅读，提取意义单元和初始编码，然后根据意义的核心性和相似性提取类别。
结果
提取了四类：a）护理人员的贡献及在治疗系统中对他们的认可；b）高效护理培训；c）医疗团队与护理人员的有效互动；d）便捷且动态的医疗服务获取途径。
结论
研究结果表明，家庭护理人员应与医疗团队合作及互动。他们还需要医疗团队提供关于照顾癌症患者的培训。了解护理人员在与医疗团队互动中的经历和需求，并将他们的需求确定为癌症护理系统的一个重要方面，有助于设计基于证据的医疗保健干预措施和全面的以家庭为中心的护理计划。
Zotero 插件