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异基因干细胞移植背景下患者的以人为本护理体验。

Patients' Experiences of Person-Centered Care in the Context of Allogenic Stem Cell Transplantation.

作者信息

O'Sullivan Anna, Lundh Hagelin Carina, Holmberg Katarina, Bergkvist Karin, Bala Sidona-Valentina, Wengström Yvonne, Malmborg Kisch Annika, Winterling Jeanette

机构信息

Marie Cederschiöld University, Stockholm, Sweden.

Sophiahemmet University, Stockholm, Sweden.

出版信息

Clin Nurs Res. 2025 Feb;34(2):86-94. doi: 10.1177/10547738241302393. Epub 2024 Dec 12.

Abstract

Studies addressing patients' experiences of person-centered care (PCC) in the context of allogeneic hematopoietic stem cell transplantation (allo-HSCT) are scarce; hence, this study aimed to explore patients' experiences of PCC, and its associations with individual characteristics and health-related quality of life, in the context of allogeneic stem cell transplantation. It is a cross-sectional survey study, in patients who had undergone an allo-HSCT at one center in Sweden. The PCC instrument for outpatient care in rheumatology (PCCoc/rheum) was used. Descriptive and analytical statistics were employed. The study had 126 participants, evenly distributed males and females, 18-79 years old (>60% were 50-69 years old), and most were (>70%) married or cohabiting. The sum score for all items on PCCoc/rheum ranged from 20 to 72 (higher score = higher degree of PCC), with a mean value of 62.67 (SD: 9.863). Most participants (87-99%) agreed with the level of person-centeredness for 22 of the 24 items. Of the participants, 83.3% agreed that they had undisturbed conversations, that their problems had been taken seriously (79.0%), that they had an opportunity to tell their story (77.8%), and collaboration with the nurse was good (77.6%). A sizeable proportion disagreed that the care environment was welcoming (11.9%), family members' involvement (13.7%), and the possibility to influence the care (15.5%). The fulfillment of PCC was rated as high, but the results indicate that there is room for improvement regarding the possibility of influencing the care and family members' involvement.

摘要

针对异基因造血干细胞移植(allo-HSCT)背景下患者以患者为中心的护理(PCC)体验的研究较少;因此,本研究旨在探讨异基因干细胞移植背景下患者的PCC体验及其与个体特征和健康相关生活质量的关联。这是一项横断面调查研究,研究对象为在瑞典一个中心接受过allo-HSCT的患者。采用了风湿病门诊护理的PCC工具(PCCoc/rheum)。运用了描述性和分析性统计方法。该研究有126名参与者,男女分布均匀,年龄在18 - 79岁之间(>60%为50 - 69岁),大多数(>70%)已婚或同居。PCCoc/rheum所有项目的总分在20至72分之间(分数越高 = PCC程度越高),平均值为62.67(标准差:9.863)。大多数参与者(87 - 99%)对24个项目中的22个项目的以患者为中心程度表示认同。在参与者中,83.3%的人认同他们有不受干扰的交谈、他们的问题得到了认真对待(79.0%)、他们有机会讲述自己的经历(77.8%)以及与护士的合作良好(77.6%)。相当一部分人不同意护理环境宜人(11.9%)、家庭成员的参与(13.7%)以及影响护理的可能性(15.5%)。PCC的实现程度被评为较高,但结果表明在影响护理的可能性和家庭成员的参与方面仍有改进空间。

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