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化疗所致周围神经病变中的护理困境:中国一家三级医院的定性研究

Nursing Dilemmas in Chemotherapy-Induced Peripheral Neuropathy: A Qualitative Study of a Tertiary Hospital in China.

作者信息

Fan Jia Xin, Hu Ya Chen, Chen XinXin, Li YuMei

机构信息

School of Medicine, Tongji University, Shanghai, People's Republic of China.

Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, People's Republic of China.

出版信息

J Pain Res. 2023 Jul 6;16:2299-2308. doi: 10.2147/JPR.S409580. eCollection 2023.

DOI:10.2147/JPR.S409580
PMID:37435154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332414/
Abstract

PURPOSE

This study investigated the experience of oncology nurses caring for chemotherapy-induced peripheral neuritis patients.

PATIENTS AND METHODS

Through phenomenological research method, 11 nurses in a tertiary hospital in Shanghai were interviewed using face-to-face semi-structured interviews. Data analysis was conducted with the thematic analysis approach.

RESULTS

This analysis revealed the experiences of oncology nurses in caring for patients with CIPN and identified three themes: 1) stress in the nursing of CIPN (inadequate knowledge of CIPN among oncology nurses, oncology nurses' CIPN nursing skills need to be improved, negative emotions of oncology nurses at work); 2) environmental dilemmas in nursing of CIPN (lack of effective care norms, busy schedules, doctors pay little attention to CIPN); 3) oncology nurses' desire to improve their knowledge of CIPN to meet care needs.

CONCLUSION

Based on the perspective of oncology nurses, the care dilemma of CIPN is mainly influenced by individual and environmental factors. It is recommended to enhance the attention of oncology nurses to CIPN, set specific and feasible training courses, explore CIPN assessment tools that meet our clinical practice, and construct CIPN care programs to improve CIPN clinical care ability and reduce patient suffering.

摘要

目的

本研究调查了肿瘤护理人员对化疗引起的周围神经炎患者的护理体验。

患者与方法

采用现象学研究方法,对上海某三级医院的11名护士进行面对面半结构式访谈。采用主题分析法进行数据分析。

结果

该分析揭示了肿瘤护理人员对化疗引起的周围神经炎患者的护理体验,并确定了三个主题:1)化疗引起的周围神经炎护理中的压力(肿瘤护理人员对化疗引起的周围神经炎知识不足,肿瘤护理人员化疗引起的周围神经炎护理技能有待提高,肿瘤护理人员工作中的负面情绪);2)化疗引起的周围神经炎护理中的环境困境(缺乏有效的护理规范,日程安排繁忙,医生对化疗引起的周围神经炎关注较少);3)肿瘤护理人员希望提高化疗引起的周围神经炎知识以满足护理需求。

结论

从肿瘤护理人员的角度来看,化疗引起的周围神经炎护理困境主要受个体和环境因素影响。建议提高肿瘤护理人员对化疗引起的周围神经炎的关注度,设置具体可行的培训课程,探索符合我国临床实践的化疗引起的周围神经炎评估工具,构建化疗引起的周围神经炎护理方案,以提高化疗引起的周围神经炎临床护理能力,减轻患者痛苦。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c82/10332414/d8a5f3567c6d/JPR-16-2299-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c82/10332414/d8a5f3567c6d/JPR-16-2299-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c82/10332414/d8a5f3567c6d/JPR-16-2299-g0001.jpg

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