Güner Perihan, Hiçdurmaz Duygu, Kocaman Yıldırım Nazmiye, İnci Figen
Koç University Faculty of Nursing, İstanbul, Turkey.
Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, Ankara, Turkey.
Eur J Oncol Nurs. 2018 Jun;34:68-75. doi: 10.1016/j.ejon.2018.03.005. Epub 2018 Mar 16.
In cancer patients, unmet psychosocial needs are a common occurrence. The purpose of this study was to determine the views, obstacles, and needs of the nurses working with adult oncology patients with regards to psychosocial care.
A qualitative descriptive research design conducted through focus group interviews was adopted for the study. Thirty nurses providing care for cancer patients in adult oncology departments of three hospitals in Turkey with comprehensive oncology centers were involved in the interviews. The interviews were conducted via a semi-structured interview form. In analyzing the data, content analysis technique was utilized.
In the study, three main themes and seven sub-themes were determined. These were as follows: "Challenge" (Sub-themes: The nature of the disease: A thin line between life and death; Lack of team/institutional support; Lack of time, staff, and knowledge; Vulnerability of the patient and their family), "reward and cost" (Sub-themes: Satisfaction; Personal growth; Exhaustion), and "essential but hard to define".
This study reveal that nurses have difficulty delivering psychosocial care, which they perceive in abstract terms, in an environment where the disease is still considered fatal, the conditions of the patients change constantly, and they cannot receive the necessary support. It can be important that, as well as supportive institutional regulations, the nurses are in need of necessary assistance to help them change their own perceptions on cancer, to become emotionally stronger, and to acquire necessary knowledge and skills to give psychosocial care.
在癌症患者中，未满足的心理社会需求很常见。本研究的目的是确定在成人肿瘤患者护理中工作的护士对于心理社会护理的看法、障碍和需求。
本研究采用通过焦点小组访谈进行的定性描述性研究设计。来自土耳其三家设有综合肿瘤中心的医院成人肿瘤科的30名护理癌症患者的护士参与了访谈。访谈通过半结构化访谈表格进行。在分析数据时，采用了内容分析技术。
在该研究中，确定了三个主要主题和七个子主题。具体如下：“挑战”（子主题：疾病的性质：生死一线之隔；缺乏团队/机构支持；缺乏时间、人员和知识；患者及其家庭的脆弱性）、“回报与代价”（子主题：满意度；个人成长；疲惫）以及“重要但难以定义”。
本研究表明，在疾病仍被视为致命、患者状况不断变化且护士无法获得必要支持的环境中，护士在提供他们以抽象方式感知的心理社会护理方面存在困难。除了支持性的机构规定外，护士还需要必要的帮助，以帮助他们改变对癌症的自身看法、在情感上变得更强大，并获得提供心理社会护理所需的知识和技能，这可能很重要。
