晚期癌症患者居家姑息照护服务影响因素的质性研究

A qualitative research on the influencing factors of palliative home care service for advanced cancer patients

目的深入了解晚期癌症患者居家姑息照护服务现状及其影响因素,为规范发展居家姑息照护服务提供参考。方法采用现象学研究方法,对10名社区卫生服务中心的医护人员进行非结构访谈,用现象学分析法进行资料分析。结果社区卫生服务中心为晚期癌症患者开展定期随访、家庭病床、临时出诊等居家姑息照护服务,有待进一步拓展与完善;归纳影响居家姑息照护服务开展的3个主题为政策环境因素、服务供方因素、服务需方因素。结论居家姑息照护服务的开展需要政策支持,完善社区卫生服务和提高公众信任与理解。

Objective To further explore the status and influencing factors of palliative home care service for advanced cancer patients,and thus to provide guidance for the development of palliative home care.Methods Phenomenology method was used in the study.Ten palliative home care providers in five community health centers were interviewed by semi-structure interviews.Results The current palliative home care services for advanced cancer patients provided by community health centers focused on regular follow-up,hospital bed at home and temporary home visit,which still need to be broadened and improved.The influencing factors of developing community-based palliative home care were factors in the aspects of policy,service provider and receiver.Conclusion The development of palliative home care service is in need of policy support,good community health services and public＇s trust and understanding.