日本家访护士及时识别癌症患者和需要临终讨论的家庭照顾者:一项定性描述性研究。

IF 2.2 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2023-01-01 DOI:10.1177/23333936221146048
Kurumi Asaumi, Masataka Oki, Yoshie Murakami
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摘要

癌症患者的生命末期(EOL)讨论是成功的EOL护理的关键因素;然而,在日本的家庭护理环境中,确定这些讨论的最佳时机是困难的。为了确定癌症患者及其护理人员需要讨论EOL的时间,我们探讨了家访护士何时开始讨论EOL。对23名家访护士进行访谈,采用定性内容分析法对数据进行分析。从分析中得出三个主题。参与者认为,讨论EOL的时机对患者不断变化的健康和护理需求(患者总疼痛增加)、家庭照顾者在日常护理中身体或精神状况的变化(家庭照顾者痛苦增加)以及患者遵循的EOL过程(疾病轨迹)很敏感。有必要开发一种工具或在职教育计划,使没有经验或刚毕业的家访护士能够在适当的时候实施EOL讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Timely Identification of Patients With Cancer and Family Caregivers in Need of End-of-Life Discussions by Home-Visit Nurses in Japan: A Qualitative Descriptive Study.

End-of-life (EOL) discussions for patients with cancer are a key factor of successful EOL care; however, identifying the optimal timing for these discussions in Japanese home-care settings is difficult. To identify the time at which patients with cancer and their caregivers need EOL discussions, we explored when home-visit nurses start EOL discussions. We interviewed 23 home-visit nurses and analyzed the data using qualitative content analysis. Three themes were derived from the analysis. Participants identified the timing of EOL discussions as being sensitive to patients' changing health and care needs (increases in patient's total pain), changes in the family caregiver's physical or mental condition through daily care (increases in family caregiver distress), and the EOL process that patients follow (trajectory of disease). Developing a tool or in-service educational program that will enable inexperienced or new graduate home-visit nurses to implement EOL discussions at appropriate times is necessary.

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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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