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Impact of a person-centered intervention for patients with head and neck cancer: a qualitative exploration

机译:以人为本干预对头颈癌症患者的影响:一个定性探索

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摘要

Abstract Background People affected by head and neck cancer (HNC) experience a variety of multifaceted health-related problems during the treatment process, based on both the disease and side effects, several years after the treatment is complete. This study investigated a person-centred intervention using transition theory as a framework. Aim Thus, the aim of the present study was to explore patients’ experience of the transition and person centred care from diagnosis to the end of the treatment period. Methods Interviews were conducted with 12 persons included in the person-centred intervention group. The patients were recruited from a randomised controlled study. We used a directed deductive content analysis as an analysis method. Results There was a distinct transition between being a healthy person to being diagnosed with a serious disease. The majority of the participants felt that the diagnosis had put their lives in the balance; they felt both healthy and sick at the same time, and all participants described that their symptoms and side effects were the worst possible and totally unexpected. Of great importance was the health-care plan, comprising self-management goals which were formed in partnership between the patient and the nurse. The participants experienced that their interaction and engagement with lay persons and healthcare professionals supported a gradual acceptance of the situation and a sense of relief with a kind of awareness of the disease. Conclusion The intervention played a significant role in promoting a healthy transition. Person-centredness and transition theory can help healthcare professionals to be more confident and resourceful in supporting people affected by HNC.
机译:摘要背景人们受头部和颈部癌症(HNC)在治疗过程中经历各种多方面的健康相关问题,根据疾病和副作用,治疗结束后几年。本研究调查了使用过渡理论作为框架的以人为本的干预。因此,目前研究的目的是探讨患者的过渡和人员的经验,从诊断到治疗期结束。方法采访是以人为中心的干预组中包含的12人进行的。从随机对照研究中招募患者。我们使用了定向的演绎内容分析作为分析方法。结果是健康的人之间存在明显的过渡,以诊断出严重的疾病。大多数参与者认为诊断已将其生命置于平衡;他们同时感受到健康和生病,所有参与者都会描述了他们的症状和副作用是最糟糕的并且完全出乎意料。非常重要的是保健计划,包括在患者和护士之间的伙伴关系中形成的自我管理目标。与会者经历了与“家庭人和医疗保健专业人员的互动和参与”支持逐步接受这种情况和一种对疾病意识的救济感。结论干预在促进健康过渡方面发挥了重要作用。人居中和过渡理论可以帮助医疗保健专业人员更加自信,更灵通支持受国氢联社影响的人民。

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