家属参与老年癌症患者住院护理的活动及影响因素

Family care for hospitalized elders with cancer in China:a qualitative study

目的 探讨中国文化背景下家属参与老年癌症患者住院护理的各种活动、意愿及影响因素。方法 运用描述性和定性的研究方法 ,通过访谈和观察的方式收集资料。收集到的资料采用定性分析方法分析。结果 ①家属参与老年癌症患者的住院护理活动表现在对患者的心理情绪支持、饮食营养护理、舒适护理、活动和安全护理、治疗相关的护理、经济及过渡期护理六个方面。②家属的参与使患者获得安全感和归属感 ,得到更细心、耐心和周到的照顾 ,并在一定程度上保护了自尊和隐私。家属在参与护理中表达自己的爱与关怀 ,满足了亲近患者的需要以及使患者获得舒适和安慰的需要。结论 ①家属参与住院护理是患者和家属的共同意愿 ,应重视家属在住院护理中的作用。②护理人员应该考虑患者及其家属的感受和期望 ,满足多元需求 。

Objective To study the wishes and effect factors about the participation of the family members of the elderly patients with cancer in the hospital care under the background of Chinese culture . Methods A descriptive, qualitative design was used to study family care for the hospitalized elders with cancer. Interview and participant's observation were used to study the elderly patients, their family members and nurses about their experiences and perceptions. Qualitative analysis based on Lofland and Lofland (1995) approach was used for data analysis. Results It revealed that six kinds of caregiving activities were performed by families. They were active participants in the care process. Both of patients and family members perceived their participation as a positive experience, which met their need not only for communicating with the patients, but also for providing comfort to the patients. Conclusions The participation of family members in hospital care and nursing is helpful and supportive to the elderly patients and nurses. We should think about family caregivers' experience and perception, and provide chance for them to participate in the care process.