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情感纽带:癌症患者姑息治疗中关系的本质

Emotional Bond: The Nature of Relationship in Palliative Care for Cancer Patients.

作者信息

Aghaei Mir Hossein, Vanaki Zohreh, Mohammadi Eesa

机构信息

Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

Indian J Palliat Care. 2020 Jan-Mar;26(1):86-94. doi: 10.4103/IJPC.IJPC_181_19. Epub 2020 Jan 28.

Abstract

AIM

Relationship between care providers and cancer patients is one of the main elements in providing healthcare to these patients. Understanding the characteristics and the nature of the relationship is a basis for further organization of palliative care and will enhance the performance of care providers. The purpose of this study was to investigate the nature of the relationship in palliative care for cancer patients.

METHODS

In this qualitative study, 16 participants with rich experiences in the field of cancer patient's palliative care were selected by purposive sampling. A semi-structured face-to-face interview was conducted with each of the participants. After data collection, all interviews were transcribed and reviewed, and then primary codes, sub-categories, and categories were extracted.

RESULTS

Data analysis emerged three categories; being alongside the patient, establishing and maintaining cordiality relationship, and mutual understanding with the patient. Moreover, an emotional bonding was the main theme that defined the nature of relationship between the care provider team and cancer patients in a palliative care approach.

CONCLUSION

Effective relationship based on emotional bonding is the foundation of palliative care in cancer patients. Considering the structures and palliative care settings in health systems, it is possible to provide training programs regarding the strategies related to establishing emotional bond for effective delivery of palliative care.

摘要

目的

护理提供者与癌症患者之间的关系是为这些患者提供医疗服务的主要要素之一。了解这种关系的特点和本质是进一步组织姑息治疗的基础,并且会提高护理提供者的工作表现。本研究的目的是调查癌症患者姑息治疗中这种关系的本质。

方法

在这项定性研究中,通过目的抽样选取了16名在癌症患者姑息治疗领域有丰富经验的参与者。对每位参与者进行了半结构化的面对面访谈。数据收集后,所有访谈都进行了转录和审核,然后提取了初级编码、子类别和类别。

结果

数据分析得出三个类别;陪伴患者、建立和维持亲切关系以及与患者相互理解。此外,情感联系是在姑息治疗方法中界定护理提供者团队与癌症患者之间关系本质的主要主题。

结论

基于情感联系的有效关系是癌症患者姑息治疗的基础。考虑到卫生系统中的结构和姑息治疗环境,有可能提供关于建立情感联系以有效提供姑息治疗的相关策略的培训项目。

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