晚期癌痛患者照顾者不同诊疗阶段照护需求的质性研究  

Qualitative study of caregivers′ care needs for patients with advanced cancer pain at different diagnosis and treatment stages

作　　者：李佳祺 田畅 宋颖 Li Jiaqi;Tian Chang;Song Ying(Pain Treatment Department,National Cancer Clinical Research Center,Tianjin Medical University Cancer Hospital,Tianjin Key Laboratory of Cancer Prevention and Treatment,Tianjin Cancer Clinical Medical Research Center,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院/国家恶性肿瘤临床医学研究中心疼痛治疗科,天津市肿瘤防治重点实验室,天津市恶性肿瘤临床医学研究中心,天津300060

出　　处：《护理学杂志》2024年第4期17-20,共4页Journal of Nursing Science

基　　金：天津市医学重点学科(专科)建设资助(TJYXZDXK-011A);天津医科大学肿瘤医院护理专项基金(TJMUCH-H-2021-08)。

摘　　要：目的深入了解晚期癌痛患者照顾者不同阶段的照护需求,为照顾者制定阶段性导向式健康指导提供参考。方法采用目的抽样法,选取天津市某三级甲等医院14例癌痛患者的照顾者为访谈对象。采用描述性质性研究方法分别在患者入院当天、出院前1d、出院1~2周、出院1个月、出院3个月,进行为期3个月的个案纵向追踪,运用内容分析法分析资料和提炼主题。结果共提炼出4个主题:首次疼痛治疗科住院阶段,镇痛及相关信息的需求;出院准备阶段,居家癌痛应对与不良反应处理的需求;出院1~2周,医护人员监督随访及上门服务的需求;出院1~3个月,照顾者身心社灵的健康需求。结论照顾者照护需求具有多样化特点,医护人员应根据患者诊疗的不同阶段,为照顾者提供针对性的个性化照护支持,通过满足照顾者照护需求,进而提高患者照护质量。Objective To provide evidence support for caregivers to develop phased oriented health guidance by deeply understanding the diverse care needs of caregivers for late stage cancer pain patients at different stages.Methods A purposive sampling method was used to select caregivers of 14 cancer pain patients from a tertiary grade A hospital in Tianjin as the interview subjects.A descriptive qualitative research method was used to longitudinally follow-up the cases on the day of admission,1 day before discharge,1-2 weeks after discharge,1 month after discharge,and 3 months after discharge.Content analysis method was used to analyze the data and refine the themes.Results Four themes were extracted.The stage of first-time hospitalization in the pain management department:the need for pain relief and related information;discharge preparation stage:the need for home based cancer pain handling and adverse reaction management;1-2 weeks after discharge:demand for supervision,follow-up,and on-site service of medical staff;1-3 months after discharge:caregiver′s physical,mental,and spiritual health needs.Conclusion Caregivers′care needs have diverse characteristics.Medical staff should provide targeted personalized care support for caregivers at different stages of patient diagnosis and treatment,and improve their care quality by meeting their care needs.

关 键 词：肿瘤 癌痛 照顾者 照护需求 灵性照护 纵向研究 肿瘤护理 质性研究 

分 类 号：R473.73[医药卫生—护理学]