为何口腔姑息治疗处于次要地位？一项关于姑息治疗医生、护士和牙医经历的全国焦点小组研究。
Why oral palliative care takes a backseat? A national focus group study on experiences of palliative doctors, nurses and dentists.
作者信息
Venkatasalu Munikumar Ramasamy, Murang Zaidah Rizidah, Husaini Hajah Asmah Binti Haji, Idris Deeni Rudita, Dhaliwal Jagjit Singh
机构信息
Oxford School of Nursing and Midwifery Oxford Brookes University Oxford UK.
Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences Universiti Brunei Darussalam Brunei Brunei Darussalam.
出版信息
Nurs Open. 2020 Jun 27;7(5):1330-1337. doi: 10.1002/nop2.480. eCollection 2020 Sep.
AIM
Poor oral care among frail older people at the end of life endangers quality of life. However, only few dying people have access to oral palliative care services. Therefore, this study aimed to investigate oral palliative care practices and referral patterns for palliative patients in the Brunei healthcare settings.
DESIGN
An exploratory qualitative study.
METHODS
Five focus groups were conducted among palliative care nurses ( = 7), palliative medicine doctors ( = 4), dentists ( = 6), oncologists ( = 4) and oncology nurses ( = 4). Verbatim was analysed using qualitative thematic analysis.
RESULTS
Analyses revealed four distinct themes emerging as current oral palliative care assessment and referral practice in the Brunei healthcare settings: "taking a back seat," "opportunistic oral care," "they refused and refused" and "challenging healthcare resources and oral palliative care."
目的
临终时体弱老年人的口腔护理不佳会危及生活质量。然而，只有少数临终患者能够获得口腔姑息治疗服务。因此，本研究旨在调查文莱医疗环境中姑息治疗患者的口腔姑息治疗实践和转诊模式。
设计
一项探索性定性研究。
方法
对姑息治疗护士（n = 7）、姑息医学医生（n = 4）、牙医（n = 6）、肿瘤学家（n = 4）和肿瘤护士（n = 4）进行了五个焦点小组访谈。采用定性主题分析法对逐字记录进行分析。
结果
分析揭示了文莱医疗环境中当前口腔姑息治疗评估和转诊实践中出现的四个不同主题：“退居次位”、“机会性口腔护理”、“他们拒绝再拒绝”以及“挑战医疗资源和口腔姑息治疗”。
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