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目的探讨患者家属心理需求与护士主动提供帮助之间的差异,旨在为一线肿瘤临床护理人员提供信息,指导其在临床实践中如何开展癌症患者家属的心理护理,更有助于癌症患者的康复和家属这一群体健康状况的提高。方法本研究通过对肿瘤科收治的100例首次住院患者及该病房护士采用问卷调查,并对结果进行统计分析。结果家属心理需求排在前5位的与护士主动提供帮助的内容不完全相同,两者之间有显著差异。结论护士在为家属提供帮助时,首先要重视他们的心理需求,为首次住院患者的家属提供其最先想了解的问题,如患者的预后、主要治疗过程及根据其经济承受能力选择治疗方案等。 相似文献
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目的探讨患者家属心理需求与护士主动提供帮助之间的差异,旨在为一线肿瘤临床护理人员提供信息,指导其在临床实践中如何开展癌症患者家属的心理护理,更有助于癌症患者的康复和家属这一群体健康状况的提高。方法本研究通过对肿瘤科收治的100例首次住院患者及该病房护士采用问卷调查,并对结果进行统计分析。结果家属心理需求排在前5位的与护士主动提供帮助的内容不完全相同,两者之间有显著差异。结论护士在为家属提供帮助时,首先要重视他们的心理需求,为首次住院患者的家属提供其最先想了解的问题,如患者的预后、主要治疗过程及根据其经济承受能力选择治疗方案等。 相似文献
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临终癌症患者家属需求的研究进展 总被引:10,自引:0,他引:10
目的:临终关怀护理是护理学科发展中一项有待开发的领域,了解和满足临终癌症患家属的需求,是实施医院“人关怀”的良好切入点,同时已成为目前深入、持续提高满意度,减少医疗纠纷,增强医院竞争力的关键。通过综述以期更好地了解临终癌症患家属的需求并指导其在临床实践中与家属进行更有效的交流沟通。资料来源:应用计算机检索CNKI数据库,1994-01/2004-12相关临终关怀护理的章,检索词“临终关怀护理,癌症晚期,家属,需求”。限定章种类为中。资料选择:选择符合关键词的献,并查看每篇献后的引。纳入标准:章所述内容应为临终癌症患家属需求,所检章应为RCT类研究原,不要求排除是否盲法。资料提炼:检索到“临终关怀护理”献34篇,其中6篇涉及临终癌症患家属护理和需求,符合纳入标准。排除的28篇献中10篇讨论的是临终关怀护理的基本概念。15篇涉及晚期病患的护理常规。3篇介绍疾病死因,均不符合纳入标准。检索到“家属需求”献8篇,其中5篇涉及临终患家属的心理、信息、健康教育等方面的需求的献,符合纳入标准。排除的3篇为陪护护工相关内容的讨论,不符合纳入标准。另有8篇符合上述两项入选标准的献来自于检索献后引析出献,查到其原。资料综合:根据献按照临终癌症患家属的心理需求和信息需求,对护理行为的需求和濒死患家属对护理需求等4个方面进行综述。结论:应注意女性和离退休这些特殊家属群体的心理需求。按家属的理解程度,满足其健康知识需求欲望。做好基础护理,满足癌症患的基本需求。有效控制疼痛,提高生活质量。可以开设减轻临终患家属悲伤的房间,帮助家属度过痛苦时期。 相似文献
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癌症作为一种重要的负性生活事件,不仅给患者,同时也给家属造成极大生理、心理、经济方面的负担,家属是患者最重要的照护者和社会支持者,因此癌症患者家属的需求也是不容忽视的方面,满足家属疾病知识及医疗服务等方面的需求,对减轻患者家属的生理心理压力,同时对于癌症患者的病情和转归等具有重要意义。 相似文献
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[目的]了解SICU病人家属的心理需求以及SICU护士对病人家属心理需求的认知状况及差异.[方法]选取符合标准的病人家属50人、护士50人进行问卷调查,问卷包括一般资料问卷以及危重病人家属需求量表(CCFNI).[结果]SICU护士与病人家属在病人家属需求上存在认知差异(P<0.01),尤其在舒适及支持因子评分上,SICU病人家属与护士存在较大的认知差异.[结论]SICU护士应当加强对病人家属需求方面的了解,加强与病人家属的沟通,提高SICU护患关系. 相似文献
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目的:探讨严重外伤急救患者家属和护士心理需求的差异。方法对75名护士及70名患者家属进行问卷调查,调查内容包括患者家属及护士的一般资料,应用严重外伤急救患者家属需求量表( CCFNI)对护士及家属进行调查,内容包括支持、获取信息、自身舒适因子、接近病人和病人病情保证五个因子。结果在自身舒适、支持因子上,家属、护士评分无显著性差异;在获取信息、接近病人和病情保证因子上,两者评分有显著性差异( P<0.05)。家属在病情保证因子上得最高分,而护士在信息因子上得最高分,家属和护士在病情保证因子上得分差异最大。结论严重外伤急救患者护士与患者家属在抢救过程中心理需求有所不同,护士应及时与患者家属进行沟通,了解患者家属心理需求,减少医患纠纷。 相似文献
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晚期癌症患者家属需求的调查分析 总被引:4,自引:0,他引:4
目的 了解癌症晚期患者家属的需求及被满足状况,以便制定有效的护理措施,为晚期癌症患者开展优质护理提供可靠的临床依据。方法 采用问卷调查及面对面访谈形式,对125例晚期癌症患者家属进行需求调查。结果 家属需求最高的是医护人员对患者的精心治疗和护理以及降低患者的痛苦,忽视对自身的需求,总体被满足程度较低。结论 应重视晚期癌症患者家属的不同需求,采取相应护理措施予以满足,为晚期癌症患者提供家庭支持,提高生活质量。 相似文献
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癌症患者家属需求的调查分析 总被引:28,自引:0,他引:28
癌症是威胁人类生命的最严重的疾病之一,随着环境的恶化和生活方式的改变,癌症发病率逐年增加。然而,随着癌症治疗水平的提高,癌症病人的存活率和生存时间也有逐渐提高的趋势,许多家庭都笼罩在癌症的阴影之下。癌症的诊断与治疗,不仅对病人是一个重大的打击,他们的亲属也同样感受危机的存在。癌症患家属在身体上、精神上都承受着极大的压力,他们的需要与感受同样应该成为医护人员关注的焦点。 相似文献
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目的 调查ICU护士对家属需求的认知程度及相关因素,以便对护理人员进行有针对性的培养,从而提高ICU的护理质量.方法 采用方便抽样的方法对上海市2所三级甲等医院中的60名ICU护士进行问卷调查.结果 ICU护士对家属需求的认知程度最高的3项为:在第一次进入ICU时,能向家属主动介绍ICU的规章制度,能保证给患者最好的照顾,能用通俗易懂的话向家属解释有关患者的病情;在对探视需求的认识上比较不同学历和不同工作年限的护士均有统计学意义(P<0.05),其中本科及本科在读学历和4年以上的认识程度最高;在对于患者病情信息的需求的认识上不同学历和不同工作年限均有差异,本科及本科在读学历和4年以上的认识程度最高(P<0.05);在对于患者家属对ICU条件与环境需求认识程度上仅不同工作年限有统计学意义4年以上的认识程度最高(P<0.05).结论 提高了对不同年龄段及学历层次的ICU护士的针对性培养、完善相关的配套服务措施. 相似文献
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目的调查癌症患者家属对化疗安全需求,并探讨加强对癌症患者家属对化疗安全的健康指导,有效发挥患者家属的社会支持作用.方法对80名癌症患者家属进行问卷调查.结果不同化疗周期患者家属对化疗安全需求有差异.结论癌症患者家属迫切需要医护人员的指导.应加强预防化疗药物毒副反应的指导,健康指导要建立全程教育模式,个体化. 相似文献
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癌症患者家属对化疗安全需求的调查分析 总被引:2,自引:2,他引:2
目的调查癌症患者家属对化疗安全需求,并探讨加强对癌症患者家属对化疗安全的健康指导,有效发挥患者家属的社会支持作用。方法对80名癌症患者家属进行问卷调查。结果不同化疗周期患者家属对化疗安全需求有差异。结论癌症患者家属迫切需要医护人员的指导。应加强预防化疗药物毒副反应的指导,健康指导要建立全程教育模式,个体化。 相似文献
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Kimberly A. Christopher PhD RN OCN Assistant Professor Kathryn Hegedus DNS RN Associate Professor 《European Journal of Oncology Nursing》2000,4(4):35-204; discussion 205-6
Previous research on patients' and nurses' perceptions of nurse caring behaviours has documented significant differences in the ranking of important behaviours. However, these samples have included a variety of medical-surgical patients and nurses and different types of institutional settings, all of which may have affected the results. The present study sought to determine if patients and nurses from one subspecialty area and one institution would have more concordant perceptions of caring. Forty-four oncology patients and 49 oncology nurses completed the Respondents Perceptions of Caring Behaviour Scale (RPCBS). Results showed that overall mean patient rankings were highly correlated with mean nurse rankings (Spearman's correlations coefficient 0.94, P<0.0001). The Wilcoxon two-sample rank sum test was used to test the difference in rank of the 20 items between the patients and nurses. There was a significant difference in rank in only six of the 20 items. These data suggest that oncology patients and nurses have more concordant perceptions of caring than previously investigated groups. Implications for practice and further research are discussed. 相似文献
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阐述了评估家属需求的意义,介绍了几种常见晚期癌症病人家属需求评估工具,为我国开展晚期癌症病人家属需求评估的研究提供借鉴。 相似文献
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阐述了评估家属需求的意义,介绍了几种常见晚期癌症病人家属需求评估工具,为我国开展晚期癌症病人家属需求评估的研究提供借鉴。 相似文献
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Ann D. M. Davies BA PhD DipPsych FBPsS Maureen Peters BA 《Journal of advanced nursing》1983,8(2):99-105
A study of stress in hospital is reported. Twenty-five patients (aged 70-93 years) and their nurses were interviewed about the patient's perceived stresses during the first and third weeks of hospitalization. The ward was modern in design and a 'patient allocation' system of nursing care was in operation in which one nurse had primary responsibility for each patient. Patients differed significantly from nurses in their use of a 16-item stress scale, using low scale values rather than high (stressful) values. Although as groups, patients and nurses showed significant correlations between stress ratings over the items, this was interpreted as their sharing common stereotypes about the hospital situation. There was no significant relation between nurses' and patients' ratings of the overall stress being experienced by the patients. An analysis of stress items showed there to be significant differences between type of stress. There was least discrepancy between nurses and patients concerning aspects of physical illness and most on the stressful impact of the hospital environment and routine. While patients rated items within this group (e.g. toiletting) to increase in stress during their stay in hospital, nurses rated the stress value as decreasing. 相似文献
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A comparison of nurses'' and patients'' perceptions of intensive care unit stressors 总被引:4,自引:0,他引:4
This study was designed to compare intensive care unit (ICU) nurses' and patients' perceptions of the stressfulness of items in the environment for patients in an ICU. The sample consisted of 20 ICU patients and 23 registered nurses employed in the medical and surgical ICUs at a large midwestern university hospital. The patients were contacted 1 to 2 days after transfer from an ICU and asked to complete the Intensive Care Unit Environmental Stressor Scale (ICUESS), a Likert-type questionnaire designed to measure the stressfulness of commonly occurring items in the ICU environment. The nurses were asked to complete the same questionnaire as they believed an ICU patient would complete it. They were asked to complete the questionnaire after the completion of a shift worked in an ICU. A series of one-way ANOVAs were done to compare the patients' and nurses' responses. In every comparison, nurses rated the items as being significantly more stressful than did the patients. Items with the highest mean ratings by patients were: (1) having tubes in your nose or mouth; (2) being stuck with needles; (3) being in pain; (4) not being able to sleep; and (5) being thirsty. Patients and nurses also were asked to list the three most stressful items from the ICUESS. These responses were compared using chi-square tests for homogeneity. Nurses mentioned 'being tied down by tubes' and 'not being in control of oneself' significantly more times than did patients. The items 'being in pain', 'having tubes in your nose or mouth', and 'not being able to sleep' were listed most often by both nurses and patients. 相似文献