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日本姑息治疗病房中晚期癌症患者家庭照顾者的照顾者负担及护士对其护理支持的应用:多中心横断面研究

Use of Nursing Support Among Nurses for Caregiver Burden in Family Caregivers of Terminally Ill Patients with Cancer in Palliative Care Units in Japan: Multisite Cross-Sectional Study.

作者信息

Kajiwara Kohei, Kobayashi Masamitsu, Nakano Kimiko, Kanno Yusuke, Morikawa Miharu, Matsuda Yoshinobu, Kako Jun

机构信息

Faculty of Nursing, Japanese Red Cross Kyushu International College of Nursing, Munakata, Japan.

Graduate of Nursing Science, St. Luke's International University, Tokyo, Japan.

出版信息

Palliat Med Rep. 2024 Oct 3;5(1):425-429. doi: 10.1089/pmr.2024.0043. eCollection 2024.

Abstract

PURPOSE

This study explores the use of nursing support among nurses for caregiver burden in family caregivers of terminally ill patients with cancer in palliative care units (PCUs).

METHODS

Requests were sent to 389 institutions, and cooperation was received from 162 PCUs. Nurses at 162 PCUs were asked to participate in an Internet survey regarding nursing practices for caregiver burden in Japan. The frequency of six nursing support practices (extracted in a scoping review) was reported using a 5-point Likert scale.

RESULTS

The response rate was 22.3% (539/2448). Support for reducing caregiver stress was the most frequently provided nursing support (mean Likert score: 2.41 for monthly prognosis and 2.42 for weekly prognosis). Psychological and educational support was mainly provided via non-face-to-face (telephone) (mean Likert score: 2.26 for monthly prognosis and 2.21 for weekly prognosis) and face-to-face methods (mean Likert score: 2.32 for monthly prognosis and 2.29 for weekly prognosis).

CONCLUSION

Nursing support was provided through telephone support and face-to-face interactions and aimed at reducing caregiver stress among nurses and family caregivers of patients with terminal cancer in PCUs. In this study, the trends in nursing support were similar for patients with a prognosis of weeks or months.

摘要

目的

本研究探讨姑息治疗病房(PCUs)中,护士对晚期癌症患者家庭照护者的照护负担提供护理支持的情况。

方法

向389家机构发出请求,收到了162个PCUs的合作回复。要求162个PCUs的护士参与一项关于日本照护负担护理实践的网络调查。使用5点李克特量表报告六种护理支持实践(在范围综述中提取)的频率。

结果

回复率为22.3%(539/2448)。减轻照护者压力的支持是最常提供的护理支持(每月预后的平均李克特评分为2.41,每周预后的平均李克特评分为2.42)。心理和教育支持主要通过非面对面(电话)(每月预后的平均李克特评分为2.26,每周预后的平均李克特评分为2.21)和面对面方法(每月预后的平均李克特评分为2.32,每周预后的平均李克特评分为2.29)提供。

结论

通过电话支持和面对面互动提供护理支持,旨在减轻PCUs中晚期癌症患者的护士和家庭照护者的照护者压力。在本研究中,预后为几周或几个月的患者的护理支持趋势相似。

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