Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan
Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan
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DOI：
10.1191/0269216303pm802oa
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发表时间：
2003-01-01
影响因子：
4.4
通讯作者：
Kazuma, K
中科院分区：
文献类型：
--
作者：
Sasahara, T;Miyashita, M;Kazuma, K
本研究的目的是调查综合医院护理晚期癌症患者的护士遇到的困难。为了收集数据，我们进行了一项自我管理的问卷调查。受访护士为 375 名，回应率为 70.2%。对与护理癌症末期患者遇到的困难相关的80个项目进行因子分析，以合理减少项目并探索更好的领域。排除了两个项目，结果揭示了八个潜在领域：“与患者和家属的沟通”、“护士的知识和技能”、“治疗和知情同意（IC）”、“个人问题”、“包括患者和家属在内的团队协作”、“环境和系统”、“护士之间的协作”和“濒死问题”。每个域的 Cronbach α 系数范围为 0.77 到 0.93。结果显示，综合医院的护士在照顾临终者时总体上遇到了很大的困难，特别是在与患者和家属的沟通方面。结论是，这项研究有助于确定护理教育和研究应重点关注的具体领域。
The aim of this study was to investigate the difficulties encountered by nurses who have cared for terminally ill cancer patients at general hospitals. To collect data, a survey by questionnaire was self-administered. The respondents were 375 nurses and the response rate was 70.2%. Factor analysis was conducted on 80 items related to the difficulties encountered by nurses who have cared for terminally ill cancer patients to allow reasonable item reduction and to explore better domains. Two items were excluded and the results revealed eight underlying domains: 'Communication with patients and families`, 'Knowledge and skill of nurses`, 'Treatment and informed consent (IC)`, 'Personal issues`, 'Collaboration as a team including patients and families`, 'Environment and system`, 'Collaboration among nurses`, and 'Near-death issues`. Cronbach`s alpha coefficients for each domain ranged from 0.77 to 0.93. The results showed that nurses working at general hospitals have experienced a high degree of difficulty overall while caring for the dying, particularly with communication with patients and families. It was concluded that this study was useful in determining the specific areas where nursing education and research should be focused.