伊朗一家转诊医院中癌症患者家庭照顾者未被满足的需求
The Unmet Needs of the Family Caregivers of Patients with Cancer Visiting a Referral Hospital in Iran.
作者信息
Ashrafian Shima, Feizollahzadeh Hossein, Rahmani Azad, Davoodi Arefeh
机构信息
Department of Medical-Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Asia Pac J Oncol Nurs. 2018 Jul-Sep;5(3):342-352. doi: 10.4103/apjon.apjon_7_18.
OBJECTIVE
The complex process of taking care of patients with cancer can affect various aspects of the needs and health of their family caregivers. The present study aims to determine the unmet needs of the family caregivers of patients with cancer and to compare it according to background variables.
METHODS
The present descriptive study recruited 200 family caregivers of patients with cancer visiting a referral hospital in Iran. Sampling was carried out through the convenience method. Data were collected using Shin's comprehensive needs assessment tool in seven domains (health and psychological problems, family/social support, healthcare staff, information, religious/spiritual support, hospital facilities/services, and practical support).
RESULTS
The mean (±standard deviation) of the total scores of the unmet needs of the family caregivers was 81.73 (±16.82), with a possible range of 0-123. A significant percentage of the family caregivers of patients with cancer had unmet needs in all of the seven domains with different severities. The mean scores were higher in the information, healthcare staff (physicians and nurses), and health and psychological problems domains as compared to the other domains.
CONCLUSIONS
The results showed that the majority of the family caregivers of patients with cancer have many unmet needs, which should be addressed by professional care providers through the development of holistic care programs targeting family caregivers by focusing on information needs and a proper communication process.
目的
照顾癌症患者的复杂过程会影响其家庭照顾者需求和健康的各个方面。本研究旨在确定癌症患者家庭照顾者未得到满足的需求，并根据背景变量进行比较。
方法
本描述性研究招募了200名前往伊朗一家转诊医院就诊的癌症患者的家庭照顾者。采用便利抽样法。使用申氏综合需求评估工具在七个领域（健康和心理问题、家庭/社会支持、医护人员、信息、宗教/精神支持、医院设施/服务和实际支持）收集数据。
结果
家庭照顾者未满足需求的总分均值（±标准差）为81.73（±16.82），可能范围为0至123。相当比例的癌症患者家庭照顾者在所有七个领域都有不同程度未得到满足的需求。与其他领域相比，信息、医护人员（医生和护士）以及健康和心理问题领域的平均分更高。
结论
结果表明，大多数癌症患者家庭照顾者有许多未得到满足的需求，专业护理人员应通过制定针对家庭照顾者的整体护理计划来满足这些需求，重点关注信息需求和适当的沟通流程。
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