南非科瓦祖鲁纳塔尔省乌姆贡贝禄福和埃特克维尼卫生区肿瘤学患者的实施中的精神关怀:一项定性研究。
Spiritual Care in Action for Oncology Patients in the uMgungundlovu and eThekwini Health Districts, KwaZulu-Natal, South Africa: A Qualitative Study.
发表日期:2023
作者:
Vashni Sewkarran, Emelda Zandile Gumede
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
全球范围内,将精神活动纳入护理中已经得到广泛采用。在南非的背景下,特别是在肿瘤科的护理中,关于将精神活动纳入护理中的实证研究相对稀缺。被诊断出患有癌症可能让人不安,因为患者需要忍受严重而艰苦的治疗。在精神困扰时,精神活动可以作为癌症患者应对策略之一。通过将精神活动纳入日常护理中来加强精神护理,对患者和机构都有益处。本研究旨在探讨可以强化肿瘤科护理实践中精神护理的精神活动。研究采用现象学定性描写设计。研究人口包括在肿瘤科工作超过6个月的专业护士。四个医疗机构被有目的地选择。数据通过个别深入访谈和野外记录收集。当数据饱和点招募了十位专业护士。数据分析采用了从Elo和Kyngas入手的内容分析的归纳法。研究发现护士愿意将精神护理转化为行动并纳入日常护理中。三个子主题:握住患者的手,对患者探望的医院政策和音乐疗法概述了护士如何通过提供关怀来安慰患者。护士在癌症患者从诊断到生命的最后阶段的精神护理中起着至关重要的作用。精神活动的实质给患者带来了分散注意力和摆脱痛苦和困境的方式,从而提高了他们的生活质量。研究结果向政策制定者表明,患者在护理计划中不仅需要医疗和物理护理,还需要精神护理。© 作者 2023。
Globally the inclusion of spiritual activities has been well adopted into nursing care. Empirical work related to the inclusion of spiritual activities in nursing within the South African context particularly within the oncology setting is sparse. Being diagnosed with cancer can be unsettling because of the severity and vigorous treatment that one has to endure. Spiritual activities could be used as one of the coping strategies for cancer patients in times of spiritual distress. Strengthening spiritual care by including spiritual activities into daily nursing care could be beneficial to the patient and the institution.This study aimed to explore spiritual activities that could strengthen spiritual care in oncology nursing practice.The research study followed a phenomenological qualitative descriptive design. The study population consisted of professional nurses working in the oncology units for more than 6 months. Four health care institutions were purposively selected. Data was collected through individual in-depth interviews and field notes. Ten professional nurses were recruited at the point of data saturation. Data analysis followed inductively using content analysis enrolling steps from Elo and Kyngas.The findings revealed the nurse's willingness to embrace spiritual care in action into their daily nursing care. Three subthemes: holding patient's hands, hospital policy for patient visits, and music therapy outline how patients are comforted by nurses.Nurses are integral in the provision of spiritual care for cancer patients from diagnosis up until the end of life. The essence of spiritual activities gives patients a distraction and an escape from their pain and predicament thus improving their quality of life. The findings provide policy makers with an indication that patients do not only need medical and physical care but spiritual care in their nursing care plan.© The Author(s) 2023.