Galbraith M E
School of Nursing, Loma Linda University, California 92350, USA.
Cancer Nurs. 1995 Oct;18(5):362-7.
Health care workers have been identified as sources of social support for cancer patients. However, little is known about the type of support patients receive from nurses. The primary purpose of this study was to determine if patients perceived differences in how often they received different types of support from nurses. The dimensions of support assessed were based on House's conceptualization of social support as made up of four components: emotional, informational, instrumental, and appraisal. A secondary purpose was to determine how satisfied the patients were with the nursing care they received while hospitalized. Sixty-six patients completed a questionnaire containing a 23-item self-report scale that measured how often they received specific types of support from nurses. The questionnaire also contained a seven-item self-report scale that measured how satisfied they were with the nursing care they received. Patients reported receiving significantly more instrumental and less appraisal support than other types of support (p < 0.008). Satisfaction with nursing care was significantly related to the amount of support they perceived receiving (p < 0.01). Implications for the importance of affirming the personal worth of cancer patient's as a part of routine nursing care are discussed and intervention strategies suggested.
医护人员已被视为癌症患者社会支持的来源。然而，对于患者从护士那里获得的支持类型却知之甚少。本研究的主要目的是确定患者是否察觉到他们从护士那里获得不同类型支持的频率存在差异。所评估的支持维度基于豪斯对社会支持的概念化，即社会支持由四个成分组成：情感支持、信息支持、工具性支持和评价性支持。第二个目的是确定患者对住院期间所接受护理的满意度。66名患者完成了一份问卷，问卷包含一个23项的自我报告量表，该量表测量了他们从护士那里获得特定类型支持的频率。问卷还包含一个7项的自我报告量表，用于测量他们对所接受护理的满意度。患者报告称，他们获得的工具性支持显著多于其他类型的支持，而评价性支持则少于其他类型的支持（p < 0.008）。对护理的满意度与他们所感知到的支持量显著相关（p < 0.01）。本文讨论了在常规护理中肯定癌症患者个人价值的重要性，并提出了干预策略。
