Factors Influencing Communication Between the Patients with Cancer and their Nurses in Oncology Wards.
Factors Influencing Communication Between the Patients with Cancer and their Nurses in Oncology Wards.
复制标题
影响癌症患者及其护士在肿瘤病房中的沟通的因素。
DOI：
10.4103/0973-1075.125549
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发表时间：
2014-01
影响因子：
1.1
通讯作者：
Ghahramanian A
中科院分区：
文献类型：
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作者：
Zamanzadeh V;Rassouli M;Abbaszadeh A;Nikanfar A;Alavi-Majd H;Ghahramanian A
本研究的目的是论证影响伊朗癌症护理中护患沟通的因素。这项研究是在大不里士医院的肿瘤病房采用定性常规内容分析方法进行的。通过对九名患者、三名家庭成员和五名护士进行半结构化深度访谈的有目的抽样来收集数据，并同时进行分析。数据分析的稳健性由参与者和外部控制进行评估。研究的主题是“三因素效应”，展示了与患者、护士和组织相关的所有因素，包括“患者作为沟通中心”、“护士作为人的因素”和“组织结构”三大类。第一类由“疾病引起的变化”和“患者的特殊特征”两个子类组成。第二类包括“脆弱感”和“职业自我认知：以患者为中心的沟通的先决条件”子类。第三类包括“工作量和时间不平衡”、“缺乏监督”和“忽视护患需求而强加职责”等子类。患者、护士和护理环境的特征似乎是影响沟通的因素。为了与癌症患者有效沟通，护理环境的理念和文化的改变至关重要。护士必须接受适当的培训，以满足他们的需求，并注重整体和以患者为中心的方法。
The purpose of this study was to demonstrate the factors influencing nurse-patient communication in cancer care in Iran. This study was conducted with a qualitative conventional content analysis approach in oncology wards of hospitals in Tabriz. Data was collected through purposive sampling by semi-structured deep interviews with nine patients, three family members and five nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. The main theme of the research emerged as “three-factor effects” that demonstrates all the factors related to the patient, nurse, and the organization and includes three categories of “Patient as the center of communication”, “Nurse as a human factor”, and “Organizational structures”. The first category consists of two sub-categories of “Imposed changes by the disease” and the “patient's particular characteristics”. The second category includes sub-categories of “sense of vulnerability” and “perception of professional self: Pre-requisite of patient-centered communication”. The third category consists of the sub-categories of “workload and time imbalance”, “lack of supervision”, and “impose duties in context of neglecting nurse and patient needs”. Characteristics of the patients, nurses, and care environment seemed to be the influential factors on the communication. In order to communicate with cancer patients effectively, changes in philosophy and culture of the care environment are essential. Nurses must receive proper trainings which meet their needs and which focus on holistic and patient-centered approach.