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癌症患者与肿瘤护理:土耳其肿瘤护士的观点

Cancer patients and oncology nursing: Perspectives of oncology nurses in Turkey.

作者信息

Kamisli S, Yuce D, Karakilic B, Kilickap S, Hayran M

机构信息

Department of Preventive Oncology, Hacettepe University Oncology Hospital, Ankara, Turkey.

Clinical Oncology Unit, Hacettepe University Oncology Hospital, Ankara, Turkey.

出版信息

Niger J Clin Pract. 2017 Sep;20(9):1065-1073. doi: 10.4103/njcp.njcp_108_16.

DOI:10.4103/njcp.njcp_108_16
PMID:29072227
Abstract

BACKGROUND AND AIM

Burnout and exhaustion is a frequent problem in oncology nursing. The aim of this study is to evaluate the aspects of oncology nurses about their profession in order to enhance the standards of oncology nursing.

MATERIALS AND METHODS

This survey was conducted with 70 oncology nurses working at Hacettepe University Oncology Hospital. Data were collected between January-April 2012. Each participant provided a study form comprising questions about sociodemographic information; about difficulties, positive aspects and required skills for oncology nursing; and questions evaluating level of participation and clinical perception of oncology nursing.

RESULTS

Mean age of nurses was 29.9 ± 5.7 years. More than half of the participants were married (51.4%) and 30% had at least one child. Percent of nurses working in oncology for their entire work life was 75.8%. Most frequently expressed difficulties were exhaustion (58.6%), coping with the psychological problems of the patients (25.7%), and frequent deaths (24.3%); positive aspects were satisfaction (37.1%), changing the perceptions about life (30%), and empathy (14.3%); and required skills were patience (60%), empathy (57.1%), and experience (50%). For difficulties of oncology nursing, 28.3% of difficulties could be attributed to job-related factors, 30.3% to patient-related factors, and 77% of difficulties to individual factors. The independent predictors of participation level of the nurses were self-thoughts of skills and positive aspects of oncology nursing.

CONCLUSION

According to the findings of this study, nurses declared that working with cancer patients increase burnout, they are insufficient in managing work stress and giving psychological care to patients, but their job satisfaction, clinical skills and awareness regarding priorities of life has increased.

摘要

背景与目的

职业倦怠和疲惫是肿瘤护理中常见的问题。本研究旨在评估肿瘤护士对其职业的看法,以提高肿瘤护理水平。

材料与方法

本调查针对在哈杰泰佩大学肿瘤医院工作的70名肿瘤护士开展。于2012年1月至4月收集数据。每位参与者提供一份研究表格,其中包含有关社会人口学信息的问题;有关肿瘤护理的困难、积极方面和所需技能的问题;以及评估肿瘤护理参与水平和临床认知的问题。

结果

护士的平均年龄为29.9±5.7岁。超过一半的参与者已婚(51.4%),30%至少育有一个孩子。在肿瘤科室工作整个职业生涯的护士比例为75.8%。最常提到的困难是疲惫(58.6%)、应对患者的心理问题(25.7%)和频繁的死亡(24.3%);积极方面是满意度(37.1%)、改变对生活的看法(30%)和同理心(14.3%);所需技能是耐心(60%)、同理心(57.1%)和经验(50%)。对于肿瘤护理的困难,28.3%可归因于工作相关因素,30.3%归因于患者相关因素,77%的困难归因于个人因素。护士参与水平的独立预测因素是对自身技能的认知以及肿瘤护理的积极方面。

结论

根据本研究结果,护士表示与癌症患者共事会增加职业倦怠,他们在管理工作压力和给予患者心理护理方面存在不足,但他们的工作满意度、临床技能以及对生活优先事项的认知有所提高。

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