Granek Leeat, Nakash Ora, Ariad Samuel, Shapira Shahar, Ben-David Merav
Ben-Gurion University of the Negev.
Smith College.
Clin J Oncol Nurs. 2019 Feb 1;23(1):43-51. doi: 10.1188/19.CJON.43-51.
Oncology nurses have an important role in identifying mental health distress; however, the research to date indicates that oncology nurses often do not accurately detect this distress.
The aim of this study is to explore oncology nurses' perspectives on indicators of distress in patients, the strategies they use in identifying these signs of distress, and the barriers they face in recognizing these indicators.
Twenty oncology nurses were interviewed. The study used the grounded theory method of data collection and analysis.
Nurses relied on a number of emotional and behavioral indicators to assess distress. Nurses reported that indicators of mental health distress often were expressed by patients or their caregivers. Strategies to identify distress were limited, with nurses reporting that their only method was directly asking the patient. Barriers to identifying distress included patients concealing distress, nurses' lack of training, and time constraints.
肿瘤护理人员在识别心理健康困扰方面发挥着重要作用；然而，迄今为止的研究表明，肿瘤护理人员往往无法准确检测到这种困扰。
本研究旨在探讨肿瘤护理人员对患者困扰指标的看法、他们识别这些困扰迹象所采用的策略以及在识别这些指标时所面临的障碍。
对20名肿瘤护理人员进行了访谈。该研究采用扎根理论方法进行数据收集和分析。
护理人员依靠多种情绪和行为指标来评估困扰。护理人员报告称，心理健康困扰指标通常由患者或其护理人员表现出来。识别困扰的策略有限，护理人员表示他们唯一的方法是直接询问患者。识别困扰的障碍包括患者隐瞒困扰、护理人员缺乏培训以及时间限制。
