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一种用于检验肿瘤科护士对生育力保存态度的工具的开发。

Development of an Instrument to Examine Nursing Attitudes Toward Fertility Preservation in Oncology.

作者信息

Grabowski Maria C, Spitzer Deborah A, Stutzman Sonja E, Olson DaiWai M

机构信息

University of Texas Southwestern Medical Center.

出版信息

Oncol Nurs Forum. 2017 Jul 1;44(4):497-502. doi: 10.1188/17.ONF.497-502.

DOI:10.1188/17.ONF.497-502
PMID:28632245
Abstract

PURPOSE/OBJECTIVES: To develop an instrument to measure staff nurse perceptions of the barriers to and benefits of addressing fertility preservation (FP) with patients newly diagnosed with cancer. 
.

DESIGN: A prospective, nonrandomized instrument development approach. 
.

SETTING: Harold C. Simmons Comprehensive Cancer Center at the University of Texas Southwestern Medical Center in Dallas. 
.

SAMPLE: 224 RNs who care for patients with cancer. 
.

METHODS: The instrument was developed with content experts and field-tested with oncology staff nurses. Responses to a web-based survey were used in exploratory factor analysis. After refining the instrument, the authors conducted a confirmatory factor analysis with 230 web-based survey responses. 
.

MAIN RESEARCH VARIABLES: Self-perceived barriers to providing FP options to patients newly diagnosed with cancer.
.

FINDINGS

The results supported a 15-item instrument with five domains.

CONCLUSIONS: This instrument can be used to explore oncology nurses' attitudes toward FP in newly diagnosed people with cancer in their reproductive years. 
.

IMPLICATIONS FOR NURSING

A more comprehensive understanding of attitudes and barriers related to FP will guide the building of optimal systems that support effective FP options, resources, and programs for individuals with cancer.

摘要

目的/目标:开发一种工具,用于衡量注册护士对向新诊断为癌症的患者提供生育力保存(FP)的障碍和益处的看法。

设计

前瞻性、非随机的工具开发方法。

地点

达拉斯德克萨斯大学西南医学中心的哈罗德·C·西蒙斯综合癌症中心。

样本

224名护理癌症患者的注册护士。

方法

该工具由内容专家开发,并在肿瘤护理人员中进行了实地测试。对基于网络的调查的回复用于探索性因素分析。在完善该工具后,作者对230份基于网络的调查回复进行了验证性因素分析。

主要研究变量

向新诊断为癌症的患者提供FP选项的自我感知障碍。

结果

结果支持了一个包含五个领域的15项工具。

结论

该工具可用于探索肿瘤护士对处于生育年龄的新诊断癌症患者的FP态度。

对护理的启示

对与FP相关的态度和障碍有更全面的理解,将指导建立最佳系统,为癌症患者提供有效的FP选项、资源和项目。

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