PDF(Pubmed)
Abstract：
Family caregivers of terminally ill cancer patients prepare for a patient\'s death. Nursing-care for preparedness is effective for their psychological health. This study aims to structuralize nursing-care for preparedness and extract related factors while presenting the implications for improved quality of care. Data from a cross-sectional survey of general ward and palliative care unit nurses in designated cancer care hospitals (n=561) was analyzed with exploratory factor analysis and multiple regression analyses. The results of the analysis, the structure was classified into \"Nurse-centered support\" and \"Support through inter-professional work.\" Both supports were practiced significantly more frequently in palliative care units than general wards. Related factors in general wards were; communication skills, cooperation with doctors, the existence of certified nurse/certified nurse specialists as consultants, attitudes toward care of the dying, frequency of death conferences, and cooperation with specialist cancer counselors. Therefore, the results can help improve the quality of family care in palliative care, especially in general wards.
摘要：
身患绝症的癌症患者的家庭照顾者为患者的死亡做准备。做好准备的护理对他们的心理健康是有效的。这项研究旨在结构化护理准备工作并提取相关因素，同时提出改善护理质量的意义。通过探索性因素分析和多元回归分析，对指定癌症护理医院（n=561）的普通病房和姑息护理单元护士的横断面调查数据进行了分析。分析的结果,该结构分为“以护士为中心的支持”和“通过跨专业工作提供支持”。“这两种支持在姑息治疗病房中的使用频率明显高于普通病房。普通病房的相关因素是；沟通技巧，与医生合作,作为顾问的认证护士/认证护士专家的存在，对垂死者的照顾的态度，死亡会议的频率，并与癌症专家顾问合作。因此,结果可以帮助提高姑息治疗中家庭护理的质量，尤其是在普通病房。
