Cedar S H, White Melanie, Atwal Anita
Associate Professor and Reader in Biomedical Sciences, School of Health and Social Care, London South Bank University, London, UK.
Team leader, Community Palliative Care Team, Waltham Forest, Bart's Health NHS Trust, Whipp's Cross Hospital, Leytonstone, UK.
Int J Palliat Nurs. 2018 Mar 2;24(3):146-151. doi: 10.12968/ijpn.2018.24.3.146.
Involving patients in their own care is associated with improved health outcomes. Complementary therapies are popular among patients and enable them to receive the palliative care they want and need. However, the range of complementary therapy services available to patients need to be evaluated for efficacy. This study evaluated the complementary therapy services offered at one cancer outpatient clinic in the UK, with the aim of evaluating the effect of complementary therapies on patient wellbeing and to systematise concerns and categories of wellbeing in order to improve service provision. A sample of 60 patients rated their feelings of wellbeing on a Likert scale before and after a series of six complementary therapies. They were also asked which concerns they had and, after treatment, were asked about factors that may influence their wellbeing. The data were analysed quantitatively by t-test and Wilcoxon signed ranks and the results show a statistically significant improvement in wellbeing. The concerns were assigned into super categories to aid service provision and the other factors that influence general wellbeing were assessed to categorise areas of patient needs that may be addressed in patient care. These results highlight important areas for investigation, which have implications for service provision in palliative cancer care.
让患者参与自身护理与改善健康结果相关。补充疗法在患者中很受欢迎，能使他们获得想要且需要的姑息治疗。然而，需要对患者可获得的补充疗法服务范围进行疗效评估。本研究评估了英国一家癌症门诊所提供的补充疗法服务，旨在评估补充疗法对患者幸福感的影响，并将幸福感的相关问题和类别系统化，以改善服务提供。60名患者的样本在接受一系列六种补充疗法前后，用李克特量表对他们的幸福感进行评分。他们还被问及有哪些担忧，治疗后被问及可能影响其幸福感的因素。通过t检验和威尔科克森符号秩和检验对数据进行定量分析，结果显示幸福感有统计学上的显著改善。将这些担忧归为超级类别以帮助提供服务，并评估其他影响总体幸福感的因素，以便对患者护理中可能解决的患者需求领域进行分类。这些结果突出了重要的调查领域，对姑息性癌症护理中的服务提供具有启示意义。
