Rooeintan Mansooreh, Khademi Mojgan, Toulabi Tahereh, Nabavi Fatemeh Heshmati, Gorji Mojtaba
Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Dr. Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Indian J Palliat Care. 2019 Jan-Mar;25(1):110-118. doi: 10.4103/IJPC.IJPC_164_18.
This study aimed to explain the postdischarge care needs of cancer patients.
In this qualitative content analysis, nine cancer patients presenting to the department of chemotherapy or an oncologist's office, four of patients' accompaniments, four nurses, and two oncologists were selected purposefully until data saturation. They underwent deep individual interviews. Data were collected from October 2016 to June 2017. Data were analyzed using Zhang's method with an inductive approach to extract the themes.
Data analysis led to the formation of two main categories of healing and relaxation needs (with subcategories of "respect and friendship," "trust and confidence," "relief," "patience and tolerance," "empowerment," and "protection from tension and excessive pressure") and monitoring and balancing conditions (with subcategories of "care monitoring" and "protection").
Postdischarge needs are a set of needs for primary exposure to diagnosis, outpatient attendance at the hospital and treatment centers, access to the treatment team, family readiness, and care systems and community needs for acceptance and care of these patients. The discharge plan should be designed in accordance with the needs set out above, so that the patients can meet the needs of the acute and disease encounter phase and also can manage the emerging postdischarge needs, such as empowerment.
本研究旨在阐明癌症患者出院后的护理需求。
在这项质性内容分析中,有目的地选取了9名前往化疗科或肿瘤医生办公室就诊的癌症患者、4名患者陪同人员、4名护士和2名肿瘤医生,直至数据饱和。他们接受了深度个人访谈。数据收集时间为2016年10月至2017年6月。采用张氏方法并运用归纳法对数据进行分析以提取主题。
数据分析产生了两个主要类别,即康复与放松需求(子类别包括“尊重与友谊”“信任与信心”“缓解”“耐心与宽容”“赋能”以及“免受紧张和过大压力”)和监测与平衡状况(子类别包括“护理监测”和“保护”)。
出院后需求是一系列需求,包括初次接触诊断、在医院和治疗中心的门诊就诊、与治疗团队接触、家庭准备情况以及护理系统和社区对这些患者接纳与护理的需求。出院计划应根据上述需求进行设计,以便患者能够满足急性期和患病阶段的需求,并且还能应对出院后出现的需求,如赋能。