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患者-家庭照顾者二元组在医院至家庭过渡过程中的姑息治疗经历。

Experiences of patient-family caregiver dyads in palliative care during hospital-to-home transition process.

作者信息

Rocío López, Rojas Edier Arias, González Mabel Carrillo, Carreño Sonia, Diana Cárdenas, Gómez Olga

机构信息

Instituto Nacional de Cancerología, Bogota-Colombia.

Universidad Nacional de Colombia, Bogota-Colombia.

出版信息

Int J Palliat Nurs. 2017 Jul 2;23(7):332-339. doi: 10.12968/ijpn.2017.23.7.332.

Abstract

BACKGROUND

there are many people with advanced cancer who are cared for in the community, though little is known about patients' and family members' lived experiences during discharge from hospital to home.

OBJECTIVES

to describe the experiences of the patient-family caregiver dyad during the transition from hospital to home at a National Cancer Institute in Colombia.

METHODS

a descriptive phenomenological approach was taken for this study.

RESULTS

Forty-one nominal codes emerged, comprising seven themes that describe the experience of the individual in palliative care and their family caregiver during the transition from hospital to home care.

CONCLUSIONS

the patient-family caregiver dyad have to deal with symptoms while being confronted with the prognosis and progression of the disease at home. The economic costs in acquiring supplies needed for proper care provision are considerable. In addition there are administrative fees from consultations and accessing the health services. Emotional and spiritual support for the dyad is required.

摘要

背景

有许多晚期癌症患者在社区接受护理,但对于患者及其家庭成员从医院出院回家期间的生活经历知之甚少。

目的

描述在哥伦比亚一家国家癌症研究所,患者与家庭照顾者这一配对在从医院过渡到家庭期间的经历。

方法

本研究采用描述性现象学方法。

结果

出现了41个名义编码,包括七个主题,这些主题描述了个体在姑息治疗期间以及其家庭照顾者在从医院护理过渡到家庭护理期间的经历。

结论

患者与家庭照顾者这一配对在面对家中疾病的预后和进展时,还必须应对各种症状。获取适当护理所需用品的经济成本相当可观。此外,还有咨询和使用医疗服务的行政费用。需要为这一配对提供情感和精神支持。

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