华人生死学
护士对过渡至终末期的肿瘤患者提供安宁疗护的体验
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杨玉丽,副主任护师,护理硕士研究生,中华护理学会安宁疗护专科护士,第五期中英联合 全民末期生命品质照护QELCA?培训师,第34期日本笹川医学奖学金获得者,通讯地址:宁 夏医科大学总医院肿瘤医院,邮编:750004,电子邮箱:heyy1666@163.com

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R47;R48

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Nurses' experience of providing palliative care to patients transitioning to end-stage cancer
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    摘要:

    目的:深入了解护士对从治疗期过渡到终末期的肿瘤患者提供安宁疗护的体验,为制定针对性干预措施提供参考。方法:对 12 名肿瘤科护士,就治疗为主过渡至终末期患者的护理进行一对一深入访谈,采用 Colaizzi 资料分析方法对资料进行分析和主题提炼。结果:提炼出以下主题——护理认知多样、安宁疗护实践较丰富、而谈论死亡及病情告知是主要障碍,个人知识欠缺及组织设置不足是主要影响因素。结论:肿瘤科护士认知正面多于负面,安宁疗护实践较丰富,但影响因素明确,应增加资源配置、健全机制、加强培训,为更多的终末期肿瘤患者提供良好的安宁疗护。

    Abstract:

    To deeply understand nurses' experience in providing palliative care for cancer patients who transition from treatment to end-stage. Methods: A total of 12 oncology nurses were interviewed in a one-to-one in-depth interview. Colaizzi data analysis method was used to analyze the data and refine the theme. Results: Diverse nursing cognition, rich palliative care practice, talking about death and disease information disclosure were the main barriers, and lack of personal knowledge and organization were the main influencing factors. Conclusions: The positive cognition of oncology nurses is more than negative, and the palliative care practice is rich, but the influencing factors are clear. It is necessary to increase the allocation of resources, improve the mechanism, strengthen training, and provide good palliative care for more patients with end-stage cancer.

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杨玉丽,马进梅,田丽娟,穆桃花,王志霞.护士对过渡至终末期的肿瘤患者提供安宁疗护的体验[J].华人生死学,2023,(1):114-122

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  • 录用日期:2022-12-02
  • 在线发布日期: 2023-07-04
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  • 张永超