Considerations in Developing and Delivering a Nonpharmacological Intervention for Symptom Management in Lung Cancer: The Views of Patients and Informal Caregivers
Considerations in Developing and Delivering a Nonpharmacological Intervention for Symptom Management in Lung Cancer: The Views of Patients and Informal Caregivers
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DOI：
10.1016/j.jpainsymman.2011.12.274
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发表时间：
2012-12-01
影响因子：
4.7
通讯作者：
Molassiotis, Alexander
中科院分区：
文献类型：
--
作者：
Ellis, Jackie;Wagland, Richard;Molassiotis, Alexander
上下文。很少有研究在开发非药物干预措施时考虑到患者和护理者的偏好。为癌症患者开发可接受和可获得的非药物干预措施是很重要的。本研究的目的是确定肺癌患者及其非正式护理人员对治疗咳嗽、呼吸困难和疲劳等症状群的新型非药物干预措施的理想组成部分的看法，以及他们对接受和提供干预措施的需求和偏好。本研究以定性为导向，采用半结构化访谈和框架分析，以征求37名肺癌患者和23名护理人员对非药物干预开发和交付中被认为重要的问题的看法。确定了一些关键问题，这些问题对患者参与和坚持干预具有重要意义，包括潜在技术的感知相关性；短期内可获得可观收益；方便;患者偏好的变化；干预的时机；场地;护理干预;干预提供者，以及与其他患者的联系。本研究的数据提供了可能影响非药物干预的发展、吸收和传递的关键问题的见解，以帮助管理咳嗽、呼吸困难和疲劳等呼吸道症状群。在开发和模拟非药物症状管理干预措施时，考虑这些发现是至关重要的。[J]; journal of nurses training; 2012;44(4): 391 - 391。(C) 2012年美国癌症止痛委员会。Elsevier Inc.出版。版权所有。
Context. Few studies consider patient's and caregiver's preferences when developing nonpharmacological interventions. This is important to develop acceptable and accessible nonpharmacological interventions for patients with cancer.Objectives. The objective of this study was to identify the views of patients with lung cancer and their informal caregivers on the desirable components of a novel nonpharmacological intervention for the management of the symptom cluster of cough, breathlessness, and fatigue, and their needs and preferences regarding uptake and delivery of the intervention.Methods. This study was qualitative in orientation, using semistructured interviews and framework analysis to elicit the views of 37 patients with lung cancer and 23 caregivers regarding the issues that were perceived to be important regarding the development and delivery of a nonpharmacological intervention.Results. A number of key issues were identified that carried important implications for patient participation and adherence to the intervention, including the perceived relevance of potential techniques; appreciable benefits in the short term; convenience; variation in patient preferences; timing of the intervention; venue; caregiver involvement; the provider of the intervention, and contact with other patients.Conclusion. The data from this study have provided insight into the key issues that are likely to influence the development, uptake, and delivery of a nonpharmacological intervention to help manage the respiratory symptom cluster of cough, breathlessness, and fatigue. It is crucial that these findings are considered when developing and modeling a nonpharmacological symptom management intervention. J Pain Symptom Manage 2012;44:831e842. (C) 2012 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.