The Level of Offering Nursing Cares for Family Members of Terminal Cancer Patients and the Related Variables in General Hospitals

The Level of Offering Nursing Cares for Family Members of Terminal Cancer Patients and the Related Variables in General Hospitals
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综合医院对晚期癌症患者家属的护理水平及相关变量

DOI:
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发表时间:
2004
期刊:
影响因子:
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通讯作者:
Y. Nekoda
Y. Nekoda
中科院分区:
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文献类型:
--
作者:
S. Fukui;Y. Nekoda

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本研究旨在探讨综合性医院对末期癌症病患家属提供护理服务之现况及相关变项。本研究针对护理人员的经验及照护单位的特性,探讨相关的影响因素。研究对象为东京都市区四家综合医院的二十七个护理单位的护理人员,他们被要求填写一份问卷,并以邮寄方式分别寄回。通过邮寄问卷的方式确认是否同意参与研究。护士回答了四种类型的临终癌症患者家属提供照顾的水平。调查的护理项目为(1)提供信息,(2)教育支持,以处理病人的身体和心理问题,(3)死亡相关的护理,和(4)家庭成员的心理支持。每项护理项目的提供水平为60-70%。对各护理项目水平的相关变量进行多元回归分析。病人的疾病相关照顾程度(1)~(3)与护士的教育经验(如参加大型教育课程及自学印刷资料)有显著相关。另一方面,家庭成员的心理支持(4)与来自老护士的个人教育支持显著相关。研究表明,教育课程与大型会议和印刷材料是有效的,使护士提供病人的疾病相关的护理,如信息提供和死亡相关的护理。本研究亦显示,发展个人教育支持系统对护士提供末期癌症病患家属心理照护有重要意义。
The objectives of this study were to examine the level of offering nursing cares for family members of terminal cancer patients and the related variables in general hospitals . We examined the related factors that focused on nurses' experiences and features of care units . Staff nurses in twenty-seven care units from four general hospitals in the Tokyo metropolitan area were asked to complete a questionnaire and return it by mail individually . Consent to participate was identified by return of the questionnaire by mail . The nurses answered the level of four types of offering care for family members of terminal cancer patients . The investigated care items were (1)provision of information, (2) educational support to deal with the patient' s physical and psychological problems, (3)death-related care, and (4) psychological support for family members . The levels of offering of each care items were 60-70% . The related variables of the level of each care items were analyzed using multiple regression analyses . The levels of disease-related cares of patients ((1)-(3) were significantly correlated with the nurses' educational experiences such as attendance at large-sized educational sessions and self-learning with printed materials . On the other hand, psychological support for family members (4) was significantly correlated with the individual educational support from veteran nurses . The study showed that educational courses with large-sized sessions and printed materials are effective in enabling nurses to offer the patient disease-related care such as information provision and death-related care. The study also indicated that developing individual educational support systems is important for nurses to provide psychological care for families of terminal cancer patients.
DOI: --
发表时间: 1998
期刊: Health psychology : official journal of the Division of Health Psychology, American Psychological Association.
影响因子: --
作者:
Schulz,R;Quittner,AL
通讯作者: Quittner,AL