首页|肿瘤患儿照护者对选择长期静脉导管置管决策体验的质性研究

肿瘤患儿照护者对选择长期静脉导管置管决策体验的质性研究

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目的 探讨肿瘤患儿照护者对选择中心静脉置管的决策体验,为制定决策辅助策略提供依据.方法 采用现象学质性研究方法,以目的抽样法选取肿瘤患儿照护者17人进行半结构式访谈,采用Colaizzi资料分析法对访谈资料进行分析.结果 共提炼出3个主题和6个亚主题,分别为决策前积极准备与消极应对共存(迷茫无助、积极应对)、决策中医生主导与共享决策共存(医生主导决策、共享决策)、决策后获益庆幸与反思后悔共存(获益庆幸、后悔担心).结论 肿瘤患儿照护者在选择静脉导管置入时的决策体验复杂、决策参与度不高;医护人员应关注其参与共享决策意愿及影响因素,并予以针对性干预,提升其共享决策参与意愿.
The experience of decision-making regarding placement of long-term central venous catheters:a qualitative study of caregivers of children with cancer
Objective To explore the experience of decision-making regarding placement of central venous catheter among caregivers of children with cancer,and to provide evidence for decision-making support.Methods Using phenomenological qualitative design,purposive sampling was utilized to select 17 caregivers of children with cancer for semi-structured interviews.Data were analyzed using conventional content analysis method.Results Three themes and six sub-themes emerged:coexistence of active preparation and passive coping before decision-making(confusion and helplessness,positive coping),coexistence of doctor-led and shared deci-sion-making(doctor-led decision-making,shared decision-making),coexistence of benefits and regrets after decision-making(be-nefits and gratitude,regrets and concerns).Conclusion Caregivers of children with cancer have complex decision-making experience and low participation in decision-making regarding placement of central venous catheter.Medical staff should pay attention to their willingness to and factors associated with participation in shared decision-making,and provide targeted interventions,aiming to en-hance caregivers'willingness to participate in shared decision-making.

children with cancercentral venous cathetercaregiversfathermotherdecision-makingshared decision-makingqualitative research

杨阳、刘美、冯丽娟、杜美晨、曾铁英

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华中科技大学同济医学院附属同济医院 肿瘤科(湖北武汉,430030)

华中科技大学同济医学院附属同济医院 护理部(湖北武汉,430030)

肿瘤患儿 中心静脉导管 照护者 父亲 母亲 决策 共享决策 质性研究

华中科技大学同济医学院附属同济医院科研项目中华护理杂志社静脉治疗护理专项科研项目(2023)

2022D11ZHHLZZS-202343

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(11)