在纳米比亚奥沙纳地区奥沙卡蒂肿瘤诊所接受治疗的癌症患者所面临的挑战

Ester Mulenga, Elise Mutanga
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摘要

癌症患者会遇到不同的问题;有些与他们的诊断和治疗有关。该研究的目的是探索和描述在纳米比亚Oshakati肿瘤诊所接受治疗的癌症患者所经历的挑战。采用有目的抽样进行定性、探索性和描述性研究,采用非结构化个人深度访谈法对12名确诊为不同类型癌症的患者进行访谈。资料逐字抄录,用Tesch法进行分析。这项研究揭示了多方面的挑战,其中包括身体上的限制,如身体疾病、到保健设施的距离太远以及过度旅行;财政和资源限制以及其他挑战,如卫生工作者的消极态度、沟通不畅和向患者提供信息不足。该研究的结论是,了解这些挑战将有助于政府、私营部门、非政府组织和卫生工作者提出干预策略,有效地支持癌症患者。该研究建议有必要分散肿瘤学服务,并向与癌症患者一起工作的卫生工作者提供在职培训。
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Challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic, Oshana region, Namibia
People living with cancer encounter different problems; some are related to their diagnoses and treatment. The purpose of the study was to explore and describe the challenges experienced by cancer patients receiving treatment at Oshakati oncology clinic in Namibia. A qualitative, exploratory and descriptive study was conducted using purposive sampling and twelve patients diagnosed with different types of cancer were interviewed using unstructured individual in-depth interview. Data were transcribed verbatim and Tesch `s method was used to analyze the data.The study revealed multifaceted challenges which include physical constraints such as physical ailments, long distance to health facilities and excessive travelling; financial and resource constraints as well as other challenges such as negative attitudes of health workers, poor communication and inadequate provision of information to patients. The study concluded that understanding those challenges will assist the government, private sectors, non- governmental organization and health workers to come up with intervention strategies to support cancer patients effectively. The study recommends the need to decentralize oncology services and to provide in-service training to the health workers working with patients living with cancer.  
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