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护士对一名晚期老年结肠癌患者进行临终关怀姑息治疗的经验。

Nurses' Experience of Hospice Palliative Care for an Elderly Patient with Colon Cancer in the Terminal Stage.

作者信息

Han Lu, Shao XiaoLu

出版信息

Altern Ther Health Med. 2025 Jul;31(4):126-131.

Abstract

BACKGROUND

Hospice palliative care is used as a last resort to relieve the clinical symptoms of elderly colon cancer patients. The nurse is a key participant in the overall care process. However, little is known about hospice palliative care from a nursing perspective.

AIM

To explore hospice palliative care and nurses' experiences of clinical care for people with colon cancer in the terminal stage. To identify the challenges, facilitators and practice areas requiring further support. Chinese society has traditionally held a taboo attitude towards death, which leads to a relatively low acceptance of the concept of hospice care among the public. After this study and discussion, the public can more truly understand hospice care and improve the acceptance degree.

METHOD

Summarizes the practical experience of nursing hospice care for an elderly patient with advanced colon cancer.This study used a mixed methodology, including semi-structured interviews, live observations, and case studies. The combination of these methodologies provides a multi-dimensional understanding framework for research, enables researchers to deeply explore the specific situations and challenges nurses encounter in clinical care.

CONCLUSION

The key points of nursing include concerning on the terminal stage patient and his family, adopting a multidisciplinary collaborative model to manage pain and other symptoms, providing comfort care, and offering psychological, spiritual, and social support. Guided by the theory of "holistic care" and "psychological care" under the hospice palliative care, the patient's spiritual needs were assessed based on which spiritual care was given for a good end, a good farewell, and a good life.In addition, we specifically focused on the following challenges and facilitators: professional staff shortage: the insufficient number of professional nurses in the hospice care field, affecting the quality of care. Facilitating ators: Multidisciplinary teamwork: collaboration between team members greatly improves the patient's overall care experience. To effectively respond to these challenges and leverage facilitators, intensive communication training is recommended: through training to improve nurses' communication skills and ensure effective communication with patients and their families. Through these measures, the overall quality of hospice services can be significantly improved and patients and their families can achieve a better care experience.

摘要

背景

临终关怀姑息治疗被用作缓解老年结肠癌患者临床症状的最后手段。护士是整体护理过程中的关键参与者。然而,从护理角度对临终关怀姑息治疗的了解甚少。

目的

探讨临终关怀姑息治疗及护士对晚期结肠癌患者的临床护理经验。识别挑战、促进因素及需要进一步支持的实践领域。中国社会传统上对死亡持忌讳态度,这导致公众对临终关怀概念的接受度相对较低。经过本研究及讨论,公众能更真实地了解临终关怀并提高接受度。

方法

总结对一名老年晚期结肠癌患者进行临终护理的实践经验。本研究采用混合方法,包括半结构化访谈、现场观察和案例研究。这些方法的结合为研究提供了一个多维度的理解框架,使研究人员能够深入探索护士在临床护理中遇到的具体情况和挑战。

结论

护理要点包括关注晚期患者及其家属,采用多学科协作模式管理疼痛和其他症状,提供舒适护理,并给予心理、精神和社会支持。在临终关怀姑息治疗的“整体护理”和“心理护理”理论指导下,评估患者的精神需求,并在此基础上给予精神护理,以实现善终、善别、善生。此外,我们特别关注了以下挑战和促进因素:专业人员短缺:临终关怀领域专业护士数量不足,影响护理质量。促进因素:多学科团队合作:团队成员之间的协作极大地改善了患者的整体护理体验。为有效应对这些挑战并利用促进因素,建议进行强化沟通培训:通过培训提高护士的沟通技巧,确保与患者及其家属进行有效沟通。通过这些措施,可显著提高临终关怀服务的整体质量,使患者及其家属获得更好的护理体验。

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