关键词: cancer end of life home care in-home needs nursing palliative care rural

来  源:   DOI:10.5737/2368807633146   PDF(Pubmed)

Abstract:
UNASSIGNED: Access to in-home palliative and end-of-life care (PELC), qualified professionals, and high-quality nursing care and services in rural areas is limited and unequal, thus leading to an increase in unmet needs across the care trajectory of cancer patients.
UNASSIGNED: A qualitative descriptive study was carried out to gain a better understanding of the needs of rural cancer patients receiving in-home PELC and to describe the nursing care and services available to them.
UNASSIGNED: Five rural cancer patients requiring PELC reported a variety of needs, especially those arising from limited information resources and multiple time- and energy-consuming back-and-forth trips to urban centres. Seven nurses who provide in-home care and services to rural inhabitants outlined the challenges they face in addressing these needs. These are related primarily to the long distances they are called upon to travel, the limited number of specialized professional resources available, transfers to emergency departments, the dearth of PELC training and the lack of a dedicated PELC team.
UNASSIGNED: These findings helped gain a better understanding of the specific needs of rural cancer patients requiring in-home PELC, as well as the challenges that nurses must confront to help their patients remain in their own homes.
摘要:
未经批准:获得家庭姑息治疗和临终关怀(PELC),合格的专业人员,农村地区的优质护理和服务有限且不平等,从而导致癌症患者在整个护理轨迹中未满足的需求增加。
UNASSIGNED:进行了一项定性描述性研究,以更好地了解接受家庭PELC的农村癌症患者的需求,并描述他们可获得的护理和服务。
未经批准:5名需要PELC的农村癌症患者报告了各种需求,特别是由于有限的信息资源以及多次往返于城市中心的耗时和耗能的往返旅行而产生的。为农村居民提供家庭护理和服务的七名护士概述了他们在满足这些需求方面面临的挑战。这些主要与他们被要求旅行的长距离有关,可用的专业专业资源数量有限,转移到急诊室,缺乏PELC培训和缺乏专门的PELC团队。
UNASSIGNED:这些发现有助于更好地了解需要家庭PELC的农村癌症患者的具体需求,以及护士必须面对的挑战,以帮助他们的病人留在自己的家里。
公众号