Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
BMC Palliat Care. 2021 Mar 2;20(1):38. doi: 10.1186/s12904-021-00732-3.
Patient-centered care is one of the main components in providing palliative care for cancer patients. This issue has been the subject of numerous studies and practices in nursing for many years. Few studies, however, have explored the perception of nurses about patient-centered treatments. This study aimed at exploring the perception of care-providers about offering patient-centered care to cancer patients.
For attaining that aim, 18 care-providers were purposefully selected for an interview which allowed the researchers to explore the enriched experiences of these participants about offering patient-centered palliative care to cancer patients. After transcribing the recorded data, analysis was carried out based on Graneheim and Lundman's method of content analysis. The research was qualitative in nature and conducted in 2019 in Iran.
From content analysis, 3 main categories; considering patient's spirituality, maintaining patient's dignity during care, and reducing patient's suffering, were found. The essence of these categories reflect on the care-providers' consideration and effort in "inducing a sense of worthiness" in patients by providing patient-centered care. These categories also reflect on the perspective of care-providers about nurse- patient relationship for providing high qualified palliative care.
For providing patient-centered care inducing a sense of worthiness in patients, is the most fundamental component in providing palliative care to cancer patients. Therefore, by considering the structures and settings where the care is to be provided in the healthcare system, it is possible to direct the necessary educational, research, and administrative programs related to inducing a sense of worthiness in patients towards providing a more effective palliative care.
以患者为中心的护理是为癌症患者提供姑息治疗的主要内容之一。这个问题已经在护理领域的许多研究和实践中得到了广泛的关注。然而，很少有研究探讨护士对患者为中心的治疗的看法。本研究旨在探讨护理人员对为癌症患者提供以患者为中心的护理的看法。
为了达到这一目的，我们有针对性地选择了 18 名护理人员进行访谈，这使研究人员能够深入了解这些参与者提供以患者为中心的姑息治疗的丰富经验。在记录数据的转录后，我们根据格兰内姆和伦德曼的内容分析法进行了分析。这项研究是定性的，于 2019 年在伊朗进行。
通过内容分析，我们发现了 3 个主要类别：考虑患者的灵性、在护理过程中维护患者的尊严以及减轻患者的痛苦。这些类别的本质反映了护理人员在提供以患者为中心的护理时，努力使患者感到有价值。这些类别还反映了护理人员对护士与患者关系的看法，以提供高质量的姑息治疗。
为了提供以患者为中心的护理，使患者感到有价值是为癌症患者提供姑息治疗的最基本组成部分。因此，通过考虑医疗体系中提供护理的结构和环境，可以针对患者的价值感引导必要的教育、研究和管理计划，以提供更有效的姑息治疗。
