Difficulties Nurses Report in Caring for Patients with Bone Metastases and Their Expectations after Participating in a Bone Metastasis Cancer Board: A Questionnaire Study.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Journal of Nippon Medical School Pub Date : 2024-05-21 Epub Date: 2024-03-02 DOI:10.1272/jnms.JNMS.2024_91-210
Tsunemi Kitagawa, Yasuyuki Kitagawa, Yoichiro Aoyagi, Tokifumi Majima
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Abstract

Background: Patients with bone metastases often face physical, mental, and social challenges that require multidisciplinary management. To improve treatment and practice, we conducted a questionnaire survey to assess nurses' opinions of problems related to caring for patients with bone metastases. In addition, we investigated nurses' perceptions of bone metastases after participating in a Bone Metastasis Cancer Board (BMCB).

Methods: An anonymous questionnaire survey on problems in bone metastasis treatment and the BMCB was conducted. The respondents were nurses with more than 1 year of clinical experience working in wards where patients with bone metastases were admitted.

Results: The number of valid responses was 224. Almost all the nurses felt anxiety about the risk of pathological fracture and paralysis while caring for patients with bone metastases. To reduce this anxiety, about 90% of the nurses supported the suggestion that "patients should be referred to an orthopedic surgeon in advance to obtain opinions on load restrictions". Nurses who had participated in the BMCB had higher expectations regarding treatment, multidisciplinary collaboration, and sharing and accumulating knowledge and experience.

Conclusion: To improve treatment and nursing care for patients with bone metastases, it is important to make regular BMCB meetings more functional and to actively consult with specialists.

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护士在护理骨转移患者时遇到的困难及其参加骨转移癌症委员会后的期望:一项问卷调查研究。
背景:骨转移患者通常面临身体、精神和社会方面的挑战,需要多学科的管理。为了改善治疗和实践,我们进行了一项问卷调查,以评估护士对护理骨转移患者相关问题的看法。此外,我们还调查了护士参加骨转移癌委员会(BMCB)后对骨转移的看法:方法:我们就骨转移治疗和骨转移癌委员会中存在的问题进行了匿名问卷调查。调查对象为在收治骨转移患者的病房工作一年以上、具有临床经验的护士:有效回答数为 224 个。几乎所有护士都对护理骨转移患者时发生病理性骨折和瘫痪的风险感到焦虑。为减轻这种焦虑,约 90% 的护士支持 "应提前将患者转诊至骨科医生处,以获得有关负荷限制的意见 "的建议。参加过 BMCB 的护士对治疗、多学科合作以及分享和积累知识和经验有更高的期望:结论:为改善骨转移患者的治疗和护理,必须使 BMCB 定期会议发挥更大作用,并积极向专家咨询。
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来源期刊
Journal of Nippon Medical School
Journal of Nippon Medical School MEDICINE, GENERAL & INTERNAL-
CiteScore
1.80
自引率
10.00%
发文量
118
期刊介绍: The international effort to understand, treat and control disease involve clinicians and researchers from many medical and biological science disciplines. The Journal of Nippon Medical School (JNMS) is the official journal of the Medical Association of Nippon Medical School and is dedicated to furthering international exchange of medical science experience and opinion. It provides an international forum for researchers in the fields of bascic and clinical medicine to introduce, discuss and exchange thier novel achievements in biomedical science and a platform for the worldwide dissemination and steering of biomedical knowledge for the benefit of human health and welfare. Properly reasoned discussions disciplined by appropriate references to existing bodies of knowledge or aimed at motivating the creation of such knowledge is the aim of the journal.
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