Managing cancer pain at home: the decisions and ethical conflicts of patients, family caregivers, and homecare nurses.
Managing cancer pain at home: the decisions and ethical conflicts of patients, family caregivers, and homecare nurses.
复制标题
在家管理癌症疼痛：患者、家庭护理人员和家庭护理护士的决定和道德冲突。
作者：
E. Taylor;B. Ferrell;M. Grant;L. Cheyney
本文的目的是介绍一项探索性的描述性研究的结果，该研究从患者、主要家庭照顾者和家庭护理护士的角度调查了在家中管理疼痛的经验。特别是，研究了10个患者-护理者-护士三合会成员所面临的决策和伦理冲突。数据是通过深入的半结构化访谈收集的，转录的访谈由一个多学科研究团队进行内容分析。受试者报告说，药物的使用促使了大多数决定，并引发了大多数冲突；然而，也确定了与评估、未来和如何忍受疼痛有关的决定。受试者还确定了造成冲突的其他领域，如精神/神学问题、何时说真话以及人际关系。研究结果说明了理解影响个人决策和冲突的信念和价值观的重要性，因为患者、照顾者和护士对疼痛体验的不同看法可能会干扰对疼痛的满意管理。
The purpose of this paper is to present findings from an exploratory, descriptive study that investigated the experience of managing pain in the home from the perspectives of the patient, the primary family caregiver, and the homecare nurse. In particular, the decisions and ethical conflicts encountered by members of 10 patient-caregiver-nurse triads were studied. Data were collected through in-depth semistructured interviews, and the transcribed interviews were content-analyzed by a multidisciplinary research team. Subjects reported that the use of medications prompted the majority of the decisions and provoked most of the conflicts; however, decisions related to assessment, the future, and how to live with pain were identified as well. Subjects also identified other areas that created conflict, such as spiritual/theological issues, when to tell the truth, and interpersonal relationships. Findings illustrate the importance of understanding the beliefs and values that influence individuals' decisions and conflicts, because discrepant perceptions of the pain experience among patients, caregivers, and nurses can interfere with satisfactory management of pain.