Nurses' experiences caring for patients and families dealing with malignant bowel obstruction

被引：12

作者：

Daines, Patricia ^{[1
]}

Stilos, Kalli ^{[1
]}

Moura, Shari ^{[5
]}

Fitch, Margaret ^{[2
]}

McAndrew, Alison ^{[3
]}

Gill, Ashlinder ^{[6
]}

Wright, Frances ^{[4
]}

机构：

[1] Sunnybrook Hlth Sci Ctr, Palliat Care Consult Team, 2075 Bayview Ave, Toronto, ON, Canada

[2] Sunnybrook Hlth Sci Ctr, Nursing Canc Program, Toronto, ON, Canada

[3] Sunnybrook Hlth Sci Ctr, Canc Program, Toronto, ON, Canada

[4] Sunnybrook Hlth Sci Ctr, Canc Program, Toronto, ON, Canada

[5] Womens Coll Hosp, Canc Treatment Transit Clin, Toronto, ON, Canada

[6] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

来源：

INTERNATIONAL JOURNAL OF PALLIATIVE NURSING | 2013年 / 19卷 / 12期

关键词：

Malignant bowel obstruction; Symptom management; Palliative care; Emotional issues; Oncologic emergency;

D O I：

10.12968/ijpn.2013.19.12.593

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Malignant bowel obstruction (MBO) is a well-recognised complication of advanced abdominal and pelvic cancers. Often surgical intervention is not feasible, resulting in complex symptoms and an unpredictable course. Although symptom management is a crucial part of nursing care, psychosocial and emotional issues frequently emerge for patients and families. This qualitative study explored the perspectives of nurses from a palliative care unit, in-patient acute care oncology units, ambulatory cancer setting, and the community on their experiences of caring for patients with MBO and their families. Six individual interviews and two focus groups were conducted. Eight overarching messages were identified related to nurses' experiences. Highlights include aspects of patients' and families' emotional distress, and the nurse-patient relationship in relieving suffering. Nurses have an important and privileged role that involves identifying MBO signs and symptoms, having knowledge of treatment and symptom management options, and helping patients transition from a curative to a palliative philosophy of care.

引用

页码：593 / 598

页数：6

共 18 条

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