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“我们全程陪伴您”-接受高级居家护理的患者及其家属的体验。

"We Are Here for You All the Way"-Patients' and Relatives' Experiences of Receiving Advanced Home Care.

机构信息

Department of Strategic Planning, Sahlgrenska University Hospital, Göteborg, Sweden.

Institute of Caring Sciences and Health, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

出版信息

Am J Hosp Palliat Care. 2020 Sep;37(9):669-674. doi: 10.1177/1049909120905259. Epub 2020 Feb 13.

Abstract

BACKGROUND

It is of great importance to understand how patients and their close relatives experience the pros and cons of advanced home care so as to further develop this quickly growing choice of care.

OBJECTIVE

The aim of this study was to explore the experiences of receiving advanced home care among patients affected by life-threatening illness and their close relatives.

DESIGN

The study was an interview study conducted with patients in their homes. Some patient interviews were conducted together with a close relative participating.

SETTING/PARTICIPANTS: Patients registered in advanced home care in 2017 were offered the opportunity to participate in the study. The selection criteria were that the patient was within grade 3 of the Eastern Cooperative Oncology Group's Performance Status, older than 18 years, able to orient to time and place, and not newly registered.

ANALYSIS

The interviews were recorded and transcribed verbatim and analyzed with qualitative content analysis.

RESULTS

A total of 11 interviews were conducted: 8 with patients and 1 or 2 close relatives together; and 3 with the patient alone. It resulted in 3 main categories: create a safe environment, see the person, and better to manage care at home.

CONCLUSION

The results of this study show that patients and close relatives perceived that advanced home care was a safe and secure form of caring during advanced as well as end-of-life care.

摘要

背景

了解患者及其亲属如何看待晚期居家护理的利弊,对于进一步发展这种快速发展的护理选择非常重要。

目的

本研究旨在探讨生命垂危患者及其亲属接受晚期居家护理的体验。

设计

这是一项在患者家中进行的访谈研究,部分患者访谈是与参与的亲属一起进行的。

地点/参与者:2017 年登记接受晚期居家护理的患者有机会参与本研究。入选标准为患者的东部合作肿瘤学组(ECOG)体能状态评分 3 级及以上、年龄大于 18 岁、能够定向时间和地点、且非新登记患者。

分析

访谈进行了录音并逐字转录,采用定性内容分析法进行分析。

结果

共进行了 11 次访谈:8 次与患者及其 1 或 2 位亲属一起进行;3 次仅与患者进行。结果得出 3 个主要类别:创造安全的环境、看到人、以及更好地管理居家护理。

结论

本研究结果表明,患者及其亲属认为晚期居家护理是一种安全可靠的护理形式,无论是在晚期还是临终关怀期间。

相似文献

本文引用的文献

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Development of a framework for person-centred nursing.以患者为中心的护理框架的开发。
J Adv Nurs. 2006 Dec;56(5):472-9. doi: 10.1111/j.1365-2648.2006.04042.x.

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