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与护理人员进行视频会诊查房:癌症患者的体验

Video-consulted rounds with caregivers: The experience of patients with cancer.

作者信息

Petersson Nadja Buch, Jørgensen Ane Løvendahl, Danbjørg Dorthe Boe, Dieperink Karin Brochstedt

机构信息

Department of Oncology, Academy of Geriatric Cancer Research (AgeCare), Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark.

Department of Plastic Surgery, Odense University Hospital, J.B. Winsløws vej 4, 5000, Odense, Denmark.

出版信息

Eur J Oncol Nurs. 2020 Jun;46:101763. doi: 10.1016/j.ejon.2020.101763. Epub 2020 Apr 21.

DOI:10.1016/j.ejon.2020.101763
PMID:32447267
Abstract

PURPOSE

This study aim to explore how adult patients admitted to an oncology ward experience video-consulted rounds with caregivers as a mean for family involvement.

METHODS

The methodological framework for the study was Interpretative phenomenological analysis. Participant observations during video-consulted rounds and semi-structured interviews were conducted between November 2018 and March 2019 at the Department of Oncology, Odense University Hospital, Denmark.

RESULTS

15 patients participated in the study. Overall, patients experienced video-consulted rounds as a satisfactory way of involving their families in rounds while also creating a sense of presence and comfort. Appropriate positioning of stakeholders could influence the experience of virtual rounds. Limitations included the lack of physical care from caregivers, specifically when patients discussed serious matters with health care professionals. Furthermore, patients experienced challenges in reading body language when communicating virtually with their families.

CONCLUSION

The study provides important knowledge regarding patients' experiences with video-consulted rounds with caregivers. In concordance with patients' experiences, video-consulted rounds can offer a family centered way to involve caregivers in patient rounds. However, there should be awareness in regard to how the technology is used and to which context it is applied.

摘要

目的

本研究旨在探讨入住肿瘤病房的成年患者如何体验与护理人员进行视频会诊查房,将其作为家庭参与的一种方式。

方法

本研究的方法框架为诠释现象学分析。2018年11月至2019年3月期间,在丹麦欧登塞大学医院肿瘤科进行了视频会诊查房期间的参与观察和半结构化访谈。

结果

15名患者参与了本研究。总体而言,患者认为视频会诊查房是让家人参与查房的一种令人满意的方式,同时也营造了一种在场感和舒适感。利益相关者的适当定位可能会影响虚拟查房的体验。局限性包括护理人员缺乏身体护理,特别是当患者与医护人员讨论严肃问题时。此外,患者在与家人进行虚拟交流时,在解读肢体语言方面遇到了挑战。

结论

本研究提供了关于患者与护理人员进行视频会诊查房体验的重要知识。与患者的体验一致,视频会诊查房可以提供一种以家庭为中心的方式,让护理人员参与患者查房。然而,应该意识到技术的使用方式及其应用的背景。

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