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姑息治疗:提升护理知识、态度与行为

Palliative Care: Improving Nursing Knowledge, Attitudes, and Behaviors
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作者信息

Harden Karen, Price Deborah, Duffy Elizabeth, Galunas Laura, Rodgers Cheryl

机构信息

University of Michigan.

University of Michigan Hospitals and Health Centers.

出版信息

Clin J Oncol Nurs. 2017 Oct 1;21(5):E232-E238. doi: 10.1188/17.CJON.E232-E238.

Abstract

BACKGROUND: Oncology nurses affect patient care at every point along the cancer journey. This creates the perfect opportunity to educate patients and caregivers about palliative care early and often throughout treatment. However, healthcare providers frequently do not have the knowledge and confidence to engage in meaningful conversations about palliative care.
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OBJECTIVES: The specific aims were to improve oncology nurses' palliative care knowledge, attitudes, and behaviors by providing a palliative care nursing education program. An additional aim was to increase the number of conversations with patients and families about palliative care.
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METHODS: This project had a pre-/post-test design to assess knowledge, attitudes, and behaviors at baseline and one month after implementation of an established education curriculum. The teaching strategy included one four-hour class for oncology RNs with topics about the definition of palliative care, pain and symptom management, and how to have palliative care conversations.
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FINDINGS

Results showed a statistically significant difference after the educational intervention for knowledge, attitudes, and behaviors. The number of conversations with patients and caregivers about palliative and end-of-life care increased significantly.

摘要

背景

肿瘤护理人员在癌症治疗的每个阶段都会影响患者护理。这为在整个治疗过程中尽早且频繁地对患者及其护理人员进行姑息治疗教育创造了绝佳机会。然而,医疗保健提供者常常缺乏进行有关姑息治疗的有意义对话的知识和信心。

目的

具体目标是通过提供姑息治疗护理教育项目来提高肿瘤护理人员的姑息治疗知识、态度和行为。另一个目标是增加与患者及其家属就姑息治疗进行对话的次数。

方法

本项目采用前后测试设计,以评估在既定教育课程实施前和实施后一个月时的知识、态度和行为。教学策略包括为肿瘤注册护士开设一节四小时的课程,主题涵盖姑息治疗的定义、疼痛和症状管理以及如何进行姑息治疗对话。

结果

结果显示,教育干预后在知识、态度和行为方面存在统计学上的显著差异。与患者及其护理人员就姑息治疗和临终关怀进行对话的次数显著增加。

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