PDF(Pubmed)
Abstract：
BACKGROUND: The unique life situations of older patients with cancer and their family members requires that health care professionals take a holistic approach to achieve quality care. The aim of this study was to assess the perceptions of older patients with cancer and family members about the quality of care received and evaluate differences between their perceptions. A further aim was to examine which factors explain patients\' and family members\' levels of satisfaction with the care received.
METHODS: The study was descriptive and cross-sectional in design. Data were collected from patients (n = 81) and their family members (n = 65) on four wards in a cancer hospital, using the Revised Humane Caring Scale (RHCS). Data were analysed using descriptive statistics, crosstabulation, Wilcoxon signed rank test, and multivariable Analysis of Covariance (ANCOVA).
RESULTS: Family members had more negative perceptions of the quality of care than patients did. Dissatisfaction was related to professional practice (p < 0.001), interaction between patient and health care professionals (p < 0.001), cognition of physical needs (p = 0.024), and human resources (p < 0.001). Satisfaction with overall care was significantly lower among those patients and family members who perceived that they had not been involved in setting clear goals for the patient\'s care with staff (p = 0.002).
CONCLUSIONS: It is important that older patients with cancer and family members receive friendly, respectful, individual care based on their needs and hopes, and that they can rely on professionals. Health care professionals need more resources and education about caring for older cancer patients to provide quality care.
METHODS: The study was descriptive and cross-sectional in design. Data were collected from patients (n = 81) and their family members (n = 65) on four wards in a cancer hospital, using the Revised Humane Caring Scale (RHCS). Data were analysed using descriptive statistics, crosstabulation, Wilcoxon signed rank test, and multivariable Analysis of Covariance (ANCOVA).
RESULTS: Family members had more negative perceptions of the quality of care than patients did. Dissatisfaction was related to professional practice (p < 0.001), interaction between patient and health care professionals (p < 0.001), cognition of physical needs (p = 0.024), and human resources (p < 0.001). Satisfaction with overall care was significantly lower among those patients and family members who perceived that they had not been involved in setting clear goals for the patient\'s care with staff (p = 0.002).
CONCLUSIONS: It is important that older patients with cancer and family members receive friendly, respectful, individual care based on their needs and hopes, and that they can rely on professionals. Health care professionals need more resources and education about caring for older cancer patients to provide quality care.
摘要：
背景：老年癌症患者及其家庭成员的独特生活状况要求医疗保健专业人员采取整体方法来实现优质护理。这项研究的目的是评估老年癌症患者和家庭成员对所接受护理质量的看法，并评估他们看法之间的差异。进一步的目的是检查哪些因素可以解释患者和家庭成员对所接受护理的满意度。
方法：本研究是描述性和横断面设计。数据来自癌症医院四个病房的患者（n=81）及其家庭成员（n=65），使用修订的人道关怀量表(RHCS)。数据采用描述性统计分析，交叉，Wilcoxon符号秩检验,和多变量协方差分析(ANCOVA)。
结果：家庭成员对护理质量的负面看法比患者更多。不满意与专业实践有关(p<0.001)，患者和医疗保健专业人员之间的互动(p<0.001)，对身体需求的认知(p=0.024)，和人力资源(p<0.001)。对整体护理的满意度在那些患者和家庭成员中明显较低，他们认为他们没有参与为患者的护理制定明确的目标（p=0.002）。
结论：重要的是，老年癌症患者和家庭成员接受友好的治疗，尊敬的,基于他们的需求和希望的个人护理，他们可以依靠专业人士。医疗保健专业人员需要更多的资源和教育来照顾老年癌症患者，以提供优质的护理。
方法：本研究是描述性和横断面设计。数据来自癌症医院四个病房的患者（n=81）及其家庭成员（n=65），使用修订的人道关怀量表(RHCS)。数据采用描述性统计分析，交叉，Wilcoxon符号秩检验,和多变量协方差分析(ANCOVA)。
结果：家庭成员对护理质量的负面看法比患者更多。不满意与专业实践有关(p<0.001)，患者和医疗保健专业人员之间的互动(p<0.001)，对身体需求的认知(p=0.024)，和人力资源(p<0.001)。对整体护理的满意度在那些患者和家庭成员中明显较低，他们认为他们没有参与为患者的护理制定明确的目标（p=0.002）。
结论：重要的是，老年癌症患者和家庭成员接受友好的治疗，尊敬的,基于他们的需求和希望的个人护理，他们可以依靠专业人士。医疗保健专业人员需要更多的资源和教育来照顾老年癌症患者，以提供优质的护理。
