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照顾教学医院中前列腺癌患者的家庭护理者的心理社会体验:描述性现象学研究。

Psychosocial experiences of caring by family caregivers of patients living with prostate cancer in a teaching hospital: A descriptive phenomenological study.

机构信息

School of Nursing and Midwifery, Department of Mental Health, University of Cape Coast, Cape Coast, Ghana.

School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana.

出版信息

Nurs Open. 2023 Sep;10(9):6268-6281. doi: 10.1002/nop2.1869. Epub 2023 Jun 2.

Abstract

AIM

This study explored the psychosocial experience of caregiving on the family caregiver of patients with prostate cancer in the Cape Coast metropolis of Ghana.

DESIGN

A descriptive phenomenological study was conducted through in-depth face-to-face semi-structured interviews. Twelve family caregivers of prostate cancer patients were selected through purposive sampling. Interviews were conducted until data saturation. All interviews were taped, transcribed verbatim and analysed thematically.

RESULTS

The family caregiver's psychosocial experience associated with caregiving uncovered two significant themes with 13 sub-themes. 'Psychological impact' emerged as the first central theme, with anxiety, care as an obligation and feelings of inadequacy, hopelessness, uncertainty, denial and concealment as the sub-themes. The second central theme was 'Social impact' with sexual concerns, role adjustment, loss of livelihood, turmoil and reduced leisure activities emerging as sub-themes.

CONCLUSION

The findings demonstrated that caring significantly impacts the psychological and social well-being of the caregivers of prostate cancer patients. Therefore, there is a need for holistic assessment to include the psychosocial well-being of family caregivers to improve quality of life. Therefore, psychiatric nurses support family caregivers through education and psychosocial interventions to improve their quality of life and enable them to care for their loved ones more effectively.

摘要

目的

本研究探讨了加纳开普敦都会区前列腺癌患者家庭照顾者的照顾所带来的心理社会体验。

设计

通过深入的面对面半结构化访谈进行描述性现象学研究。通过目的性抽样选择了 12 名前列腺癌患者的家庭照顾者。访谈一直进行到数据饱和为止。所有访谈均进行录音、逐字转录,并进行主题分析。

结果

与照顾相关的家庭照顾者的心理社会体验揭示了两个重要主题,有 13 个次主题。“心理影响”是第一个中心主题,其下有焦虑、照顾是一种义务和不称职感、绝望感、不确定性、否认和隐瞒等子主题。第二个中心主题是“社会影响”,其下有性问题、角色调整、生计丧失、动荡和休闲活动减少等子主题。

结论

研究结果表明,照顾对前列腺癌患者家庭照顾者的心理和社会福祉有重大影响。因此,需要进行全面评估,包括家庭照顾者的心理社会福祉,以提高生活质量。因此,精神科护士通过教育和心理社会干预来支持家庭照顾者,以提高他们的生活质量,并使他们能够更有效地照顾亲人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c0/10416052/74148cfb4b37/NOP2-10-6268-g001.jpg

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