Những nhu cầu chưa được đáp ứng ở bệnh nhân ung thư: phát triển công cụ sàng lọc nhu cầu hỗ trợ (SNST)

Springer Science and Business Media LLC - Tập 17 - Trang 33-45 - 2008
Cathie Pigott1, Annabel Pollard1,2, Kathryn Thomson1, Sanchia Aranda1,3,4
1Supportive Care Research Group, Peter MacCallum Cancer Centre, Melbourne, Australia
2Department of Clinical Psychology, Peter MacCallum Cancer Centre, Melbourne, Australia
3Cancer Nursing Research, Peter MacCallum Cancer Centre, Melbourne, Australia
4School of Nursing, The University of Melbourne, Melbourne, Australia

Tóm tắt

Chẩn đoán ung thư có thể ảnh hưởng sâu sắc đến các lĩnh vực thể chất, cảm xúc, tâm lý, xã hội và tinh thần trong cuộc sống của một người. Các dịch vụ chăm sóc hỗ trợ được hướng tới toàn bộ các vấn đề liên quan đến ung thư. Việc xác định nhu cầu là bước đầu tiên trong việc đáp ứng các mối quan tâm về chăm sóc hỗ trợ, nhưng hiện tại thiếu các công cụ và quy trình thường được sử dụng trong thực hành lâm sàng. Bài báo này báo cáo những bước đầu tiên trong việc phát triển một công cụ sàng lọc nhu cầu hỗ trợ phù hợp cho việc sử dụng tại cơ sở điều trị ngoại trú ung thư. Một cuộc tổng quan tài liệu đã được thực hiện, và một công cụ thô đã được phát triển bằng cách sử dụng quy trình giảm bớt mục. Một bài kiểm tra nhỏ sau đó được tiến hành với 87 bệnh nhân tham dự Trung tâm Ung thư Peter MacCallum, Melbourne, Australia. Đánh giá nhằm xác định tính khả dụng và mức độ chấp nhận trong thực hành lâm sàng bao gồm thống kê mô tả để phân tích nhu cầu của bệnh nhân và số lượng giới thiệu được tạo ra bởi công cụ sàng lọc nhu cầu hỗ trợ (SNST), phỏng vấn một mẫu nhỏ người tham gia và khảo sát được hoàn thành bởi nhân viên. SNST đã được phát triển với 41 câu hỏi, hầu hết yêu cầu đáp ứng có hoặc không. Từ công cụ này, tổng cộng có 1,085 nhu cầu đã được xác định (trung bình = 12 nhu cầu/mỗi bệnh nhân). Tổng cộng có 264 lượt giới thiệu được tạo ra, với 72% bệnh nhân nhận ít nhất một lượt giới thiệu. Bệnh nhân và nhân viên báo cáo mức độ chấp nhận cao. SNST có tính hợp lệ bề mặt và cho thấy tính khả dụng trong môi trường chăm sóc ngoại trú ung thư, như những bước đầu tiên trong việc phát triển công cụ. Các thử nghiệm thêm về độ tin cậy và tính hợp lệ đang được thực hiện.

Từ khóa

#ung thư #nhu cầu chưa được đáp ứng #công cụ sàng lọc nhu cầu hỗ trợ #chăm sóc hỗ trợ #thực hành lâm sàng

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