Information needs of elderly postsurgical cancer patients during the transition from hospital to home
Information needs of elderly postsurgical cancer patients during the transition from hospital to home
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DOI：
10.1111/j.1547-5069.2000.00025.x
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发表时间：
2000-01-01
影响因子：
3.4
通讯作者：
McCorkle, R
中科院分区：
文献类型：
--
作者：
Hughes, LC;Hodgson, NA;McCorkle, R
目的：描述老年癌症术后患者的信息需求。很少有报告描述癌症术后患者在住院后最初几周内的学习需求。响应居家过渡期间的信息需求对于帮助患者和家人适当管理疾病非常重要。设计：描述性，使用 1996 年完成的一项大型研究中分配到实验组的患者的记录。样本是 148 名因新诊断出的前列腺癌、乳腺癌、胃肠道癌、肺癌或头颈癌而接受手术治疗的美国患者。从高级执业护士在为期 4 周的家庭护理期间提出的主题中确定了信息需求。方法：对 3,280 份教学干预陈述进行内容分析。结果：教学主题是指导术后自我护理、就症状管理提供建议、澄清疾病经历、讨论心理反应以及为患者和家属协调后续护理做好准备。主题包括描述预期的病程、告知社区资源、识别需要医生通知的事件以及就疼痛管理提供建议。主题重点因癌症部位而异。结论：老年术后癌症患者从医院过渡到家庭期间的信息需求广泛。教学干预的范围从提供有关手术伤口护理的具体说明到解释有关癌症治疗方案的复杂信息。老年术后癌症患者在从医院到家的过渡期间需要信息支持。
Purpose: To describe information needs of elderly postsurgical cancer patients. Few reports have described learning needs of postsurgical cancer patients during the initial weeks after hospitalization. Responding to information needs during the transition to home is important for helping patients and families to appropriately manage illness.Design: Descriptive, using records Kept for patients assigned to the experimental group in a larger study completed in 1996. The sample was 148 American patients surgically treated for a new diagnosis of prostate, breast, gastrointestinal, lung, or head and neck cancer. Information needs were identified from topics addressed by advanced practice nurses during 4-week episodes of home care.Methods: Content analysis of 3,280 statements of teaching interventions.Findings: Teaching themes were instructing on postoperative self-care, advising on symptom management, clarifying the illness experience, discussing psychological responses, and preparing patients and families to coordinate follow-up care. Topics included describing the expected course of illness, informing about community resources, identifying events that require physician notification, and advising on pain management. Topic emphasis varied by site of cancer.Conclusions: Information needs of elderly postsurgical cancer patients during transition from hospital to home are extensive. Teaching interventions ranged from giving concrete instructions about care of a surgical wound to interpreting complex information about options for cancer treatment. Elderly postsurgical cancer patients need informational support during the transition from hospital to home.