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中国大陆儿童癌症治疗住院期间家庭在医疗服务方面未满足的需求:一项定性研究

Unmet Family Needs Concerning Healthcare Services in the Setting of Childhood Hospitalization for Cancer Treatment in Mainland China: A Qualitative Study.

作者信息

Lyu Qi-Yuan, Wong Frances Kam Yuet, You Li-Ming, Zhou Xue-Zhen

机构信息

School of Nursing, Sun Yat-Sen University, Guangzhou, China.

School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.

出版信息

J Pediatr Nurs. 2019 Jan-Feb;44:e66-e71. doi: 10.1016/j.pedn.2018.11.003. Epub 2018 Nov 29.

DOI:10.1016/j.pedn.2018.11.003
PMID:30503155
Abstract

PURPOSE

The focus of this paper is to identify the unmet family needs during children's hospitalization for cancer treatment.

DESIGN AND METHODS

Qualitative interviews were carried out with five fathers and fourteen mothers purposively sampled from four pediatric oncology departments in Mainland China from September 2013 to March 2014. Audiotaped interviews were transcribed verbatim, and data in transcripts were coded and analyzed by qualitative content analysis.

RESULTS

The identified unmet family needs pertaining to healthcare service during a child's hospitalization for cancer treatment were unmet need for warm and supportive attitudes; competent care; adequate information; a comfortable environment; and catering support.

CONCLUSIONS

The results showed that families with children hospitalized for cancer treatment have a variety of unmet needs related to healthcare service. These identified unmet family needs have already shed light on areas for healthcare service improvement.

PRACTICE IMPLICATIONS

This study have reminded nurses' to become more concerned about unmet family needs instead of only focusing on the hospitalized child in clinical settings. Healthcare professionals can assist in promoting family adaptation to children's hospitalization by satisfying their unmet family needs.

摘要

目的

本文重点在于确定儿童癌症治疗住院期间家庭未得到满足的需求。

设计与方法

2013年9月至2014年3月,从中国大陆四个儿科肿瘤科室中,有目的地抽取了五名父亲和十四名母亲进行定性访谈。访谈录音逐字转录,通过定性内容分析法对转录本中的数据进行编码和分析。

结果

在儿童癌症治疗住院期间,确定的家庭在医疗服务方面未得到满足的需求包括:未得到温暖和支持性态度的需求;专业护理的需求;充分信息的需求;舒适环境的需求;以及餐饮支持的需求。

结论

结果表明,孩子因癌症治疗住院的家庭在医疗服务方面有各种未得到满足的需求。这些确定的家庭未满足需求已为医疗服务改进领域提供了启示。

实践意义

本研究提醒护士在临床环境中要更加关注家庭未满足的需求,而不仅仅关注住院儿童。医疗保健专业人员可以通过满足家庭未满足的需求来协助促进家庭适应孩子的住院治疗。

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