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探索伊朗癌症患者的护理需求:一项质性内容分析

Exploring the care needs of Iranian patients with cancer: a qualitative content analysis.

作者信息

Mazhari Fariba, Khoshnood Zohreh

机构信息

Department of Fundamental Nursing, Geriatric Care Research Center, Faculty of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

Nursing Research Center, Razi School Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

BMC Nurs. 2021 Aug 9;20(1):138. doi: 10.1186/s12912-021-00659-3.

Abstract

BACKGROUND‏: Cancer is currently one of the most critical health problems worldwide. Different studies have shown that disease can reduce people's ability to take care of themselves and this makes them face many needs. Therefore, this study aimed to investigate unmet needs faced by patients with cancer‏. METHODS: This study employed a conventional, qualitative content analysis method. Data saturation was achieved after interviewing 13 participants in 15 interview sessions. With the in-depth semi-structured approach, the participants were asked to narrate their experiences of self-care needs in the process of disease. The collected data were analyzed using Graneheim and Lundman's method through the following steps: Construction of the units of analysis, construction of codes of meaning, condensation, extracting codes, and categorization (subcategories, categories, and the core category) ‏. RESULTS‏: Data analysis revealed two main categories. The first category was "Deficiency in disease management" with three subcategories: "the need to get rid of annoying physical symptoms"," the need for a caregiver to help with the daily routine", and "feeling frustrated and giving up treatment". The second main category covered "the need for sympathetic and knowledgeable caregivers" with the following five subcategories:" the need for sympathy and interaction with the nurse", "the need to hear the truth about the illness ", "the need for appropriate therapeutic interaction from physicians", "Inadequate qualification of medical secretaries about the patient", and" need for advice from psychologists for psychological adaptation‏". CONCLUSION‏: The most critical need reported by the patients was the need for compassionate and informed caregivers. So nursing management and care with kindness, competence, and conscience is the fundamental right of patients with cancer. Identifying patients' needs and problems can be used as a background for increasing the knowledge and experience of nurses and providing care for patients with cancer‏.

摘要

背景

癌症是当前全球最严重的健康问题之一。不同研究表明,该疾病会降低人们的自理能力,这使他们面临诸多需求。因此,本研究旨在调查癌症患者面临的未满足需求。

方法

本研究采用传统的定性内容分析法。在15次访谈中对13名参与者进行访谈后实现了数据饱和。采用深入的半结构化方法,要求参与者叙述他们在疾病过程中的自我护理需求经历。收集到的数据通过以下步骤使用格兰海姆和伦德曼的方法进行分析:构建分析单元、构建意义代码、浓缩、提取代码以及分类(子类别、类别和核心类别)。

结果

数据分析揭示了两个主要类别。第一类是“疾病管理不足”,有三个子类别:“摆脱恼人身体症状的需求”、“需要护理人员协助日常事务”以及“感到沮丧并放弃治疗”。第二个主要类别涵盖“对富有同情心且知识渊博的护理人员的需求”,有以下五个子类别:“需要与护士产生共鸣并互动”、“需要了解疾病真相”、“需要医生进行适当的治疗互动”、“医疗秘书对患者情况了解不足”以及“需要心理学家提供心理适应建议”。

结论

患者报告的最关键需求是需要富有同情心且见多识广的护理人员。因此,以友善、能力和良知进行护理管理和护理是癌症患者的基本权利。识别患者的需求和问题可作为增加护士知识和经验以及为癌症患者提供护理的背景依据。

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