肿瘤患儿照护者对选择长期静脉导管置管决策体验的质性研究
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女,硕士,主管护师

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华中科技大学同济医学院附属同济医院科研基金项目(2022D11);中华护理杂志社2023年静脉治疗护理专项科研项目(ZHHLZZS-202343)


The experience of decision-making regarding placement of long-term central venous catheters:a qualitative study of caregivers of children with cancer
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    目的 探讨肿瘤患儿照护者对选择中心静脉置管的决策体验,为制定决策辅助策略提供依据。方法 采用现象学质性研究方法,以目的抽样法选取肿瘤患儿照护者17人进行半结构式访谈,采用Colaizzi资料分析法对访谈资料进行分析。结果 共提炼出3个主题和6个亚主题,分别为决策前积极准备与消极应对共存(迷茫无助、积极应对)、决策中医生主导与共享决策共存(医生主导决策、共享决策)、决策后获益庆幸与反思后悔共存(获益庆幸、后悔担心)。结论 肿瘤患儿照护者在选择静脉导管置入时的决策体验复杂、决策参与度不高;医护人员应关注其参与共享决策意愿及影响因素,并予以针对性干预,提升其共享决策参与意愿。

    Abstract:

    Objective To explore the experience of decision-making regarding placement of central venous catheter among caregivers of children with cancer, and to provide evidence for decision-making support. Methods Using phenomenological qualitative design, purposive sampling was utilized to select 17 caregivers of children with cancer for semi-structured interviews.Data were analyzed using conventional content analysis method.Results Three themes and six sub-themes emerged: coexistence of active preparation and passive coping before decision-making (confusion and helplessness, positive coping), coexistence of doctor-led and shared decision-making (doctor-led decision-making, shared decision-making), coexistence of benefits and regrets after decision-making (be-nefits and gratitude, regrets and concerns). Conclusion Caregivers of children with cancer have complex decision-making experience and low participation in decision-making regarding placement of central venous catheter.Medical staff should pay attention to their willingness to and factors associated with participation in shared decision-making, and provide targeted interventions, aiming to enhance caregivers′ willingness to participate in shared decision-making.

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杨阳,刘美,冯丽娟,杜美晨,曾铁英.肿瘤患儿照护者对选择长期静脉导管置管决策体验的质性研究[J].护理学杂志,2024,39(11):50-54

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  • 收稿日期:2023-12-10
  • 最后修改日期:2024-02-04
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  • 在线发布日期: 2024-08-11