肿瘤科护士对肿瘤患者死亡诉求认知及应对体验的质性研究
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女,硕士,护师

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Oncology nurses′ knowledge on "desire for death" among cancer patients:a qualitative study
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    目的 了解肿瘤科护士对肿瘤患者“死亡诉求”认知及应对体验。 方法 采用现象学研究方法,对15名肿瘤科护士进行半结构式深入访谈,采用Colaizzi 7步分析法对访谈资料进行分析。 结果 共提炼出4个主题12个亚主题:对患者“死亡诉求”的认知(能够识别有“死亡诉求”的患者;洞悉患者“死亡诉求”的真实涵义;存在认知疑惑)、“死亡诉求”的应对方式(鼓励为主的应对;安慰为主的应对;寄希望于心理卫生专业人员;努力尝试)、应对“死亡诉求”的阻碍因素(外部条件限制;护士自身因素)、应对“死亡诉求”的建议(进行针对性的培训;重视家属应对“死亡诉求”的重要作用;提倡多学科协作)。 结论 护士对肿瘤患者的“死亡诉求”有一定认知,但存在应对困惑,可从临终关怀相关知识培训着手,组织多学科团队与家属参与,共同应对肿瘤患者的“死亡诉求”。

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    Objective To understand oncology nurses′ knowledge and experience regarding "desire for death" among cancer patients. Methods With phenomenological approach, a total of 15 oncology nurses were enrolled for the semi-structured in-depth interviews and Colaizzi′s 7-step method was used to analyze the data. Results A total of 4 themes which branched into 12 subthemes were extracted: knowledge of cancer patients′ "desire for death" (being able to identify patients requesting hastened death; understanding the true meaning of patient′s "desire for death"; cognitive confusion), coping styles in responding to cancer patients′ "desire for death" (encourage-dominant coping;consolation-dominant coping;placing hope in the professionals;trying hard), barriers to responding to cancer patients′ "desire for death" (external barriers; barriers from nurses themselves); suggestions regarding handling of cancer patients′ "desire for death" (providing targeted training; taking family members as an important part of the response to "desire for death"; promoting multidisciplinary collaboration). Conclusion Oncology nurses have some knowledge on "desire for death" among cancer patients, though they do have some cognitive confusion. Such measures as providing training on hospice care, and rallying efforts from a multidisciplinary team and families of cancer patients, are recommended to cope with cancer patients′ "desire for death".

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郑晓玲,张世慧,陈希伟,魏清风.肿瘤科护士对肿瘤患者死亡诉求认知及应对体验的质性研究[J].护理学杂志,2021,36(15):5-9

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  • 收稿日期:2021-03-01
  • 最后修改日期:2021-04-20
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  • 在线发布日期: 2022-12-12