周新华，康　璇，张翠萍

(1新疆乌鲁木齐市第四人民医院老年科，乌鲁木齐　830001；2新疆医科大学附属肿瘤医院护理部,乌鲁木齐　830011)

·护理园地·

乌鲁木齐三甲医院肿瘤科护士对姑息照护认知的质性研究

周新华1，康璇2，张翠萍2

(1新疆乌鲁木齐市第四人民医院老年科，乌鲁木齐830001；2新疆医科大学附属肿瘤医院护理部,乌鲁木齐830011)

摘要：目的了解乌鲁木齐市三甲专科医院肿瘤科护士对姑息照护的认知和态度。方法2017年9-11月，对乌鲁木齐市三甲专科医院肿瘤科18名护士以质性研究的现象学方法为指导，进行半结构式访谈并对访谈结果进行分析。结果提炼出5个主题：肿瘤科护士对姑息照护理念的认知；对患者姑息照护措施；对家属姑息照护措施；患者病情告知矛盾状态；姑息照护实施面临的问题。结论肿瘤科护士姑息照护理念的实施态度积极,能够告知患者的自身病情，应加强姑息照护理念的推广。

关键词：肿瘤科；护士；姑息照护；认知；质性研究

中图分类号：R473

文献标识码：A

文章编号：1009-5551(2018)05-0653-05

doi:10.3969/j.issn.1009-5551.2018.05.028

基金项目：新疆维吾尔自治区自然科学基金(2015211C129)

作者简介：周新华(1983-)，女，在读硕士，主管护师，研究方向：临床护理。

通信作者：张翠萍，女，本科，主任护师，硕士生导师，研究方向：临床护理，E-mail:1095312443@qq.com。

本文引用：周新华，康璇，张翠萍.乌鲁木齐三甲医院肿瘤科护士对姑息照护认知的质性研究[J].新疆医科大学学报,2018,41(5):653-657.doi:10.3969/j.issn.1009-5551.2018.05.028

Qualitativeresearchoncognitionofpalliativecareamongnursesinoncologydepartmentofa3-AGradehospitalinUrumqi

ZHOUXinhua1,KANGXuan2,ZHANGCuiping2

(1DepartmentofGeriatrics,UrumqiNo.4People′sHospital,Urumqi830001,China;2DepartmentofNursing,theAffiliatedTumorHospital,XinjiangMedicalUniversity,Urumqi830011,China)

Abstract:ObjectiveTo understand the cognition and attitude of oncology nurses to palliative care in a 3-A Grade specialized hospital in Urumqi.MethodsFrom September to November 2017,18 nurses in oncology department in a 3-A Grade specialized hospital in Urumqi,guided by the phenomenological method of qualitative research.Semi-structured interviews were conducted and interview results were analyzed.ResultsFive themes were extracted from the results:cognition of nurses in the department of oncology for palliative care;measures for palliative care of patients;measures for palliative care of family members;the state of contradiction in informing the state of disease to patients;problems faced by the implementation of palliative care.ConclusionNurses in oncology department have a positive attitude towards palliative care,are able to inform the patients of their own conditions of disease,so need to strengthen the promotion of the concept of palliative care.

Keywords:oncology department;nurses;palliative care;cognition;qualitative research

我国肿瘤发病率逐年上升,给其家庭及社会都带来沉重的负担[1]。对于大多数不可治愈的肿瘤患者来说，最大限度改善症状，提升生活质量已成为肿瘤患者治疗策略的共识。……