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題名 | 從實證觀點談--緩解癌症病人家屬負荷之介入處置=Interventions to Reduce Strain on Caregivers of Cancer Patients: An Evidence-Based Approach |
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作者姓名(中文) | 柳秋芳; 徐書儀; 簡淑慧; | 書刊名 | 腫瘤護理雜誌 |
卷期 | 14:增刊 2014.12[民103.12] |
頁次 | 頁59-70 |
專輯 | 癌症病人家屬照顧者相關議題 |
分類號 | 419.77 |
關鍵詞 | 癌症病人; 照顧者負荷; 改善家屬負荷之介入處置; 實證護理; Cancer patient; Caregivers' burden; Intervention for improving caregivers' burden; Evidence-based practice; |
語文 | 中文(Chinese) |
中文摘要 | 在臺灣以家庭為中心的社會文化主流,家屬往往是癌症病人的主要照顧者。當癌症病人飽受因接受治療或疾病進展產生無法緩解之不適症狀所苦時,同時也導致家屬負荷而出現如:疲倦、焦慮或失望無助等負面反應,嚴重影響癌症病人及家屬調適及生活品質。如何有效評估癌症病人家屬負荷,並善用介入處置,例如:透過書面資料、網路或智慧型手機等提供家屬照護技能,以減少其照護壓力並降低負面情緒,是臨床腫瘤護理人員應重視之照護重點。本文蒐集常見之評估工具,針對量表內容、計分方式及信效度進行比較;再以系統性文獻回顧方式,分析17篇以改善癌症病人家屬負荷介入性處置之實證成效,希望能提供腫瘤護理人員之臨床應用,進而能適度評估家屬負荷,並採取適當介入性措施,以有效緩解家屬負荷及改善其生活品質。 |
英文摘要 | The mainstream culture in Taiwanese society is family-centered; hence, family members usually are the primary caregivers when anyone in the family is ill. Family caregivers often feel stain and sometimes develop negative responses, such as fatigue, anxiety, disappointment, and hopelessness, to patients’ distress from cancer progression and cancer-related treatments. Caregivers’ negative emotions may lead to difficulty in adaptations and especially the quality of life for both the cancer patients and caregiver themselves. To relieve caregivers’ burdens and to decrease their negative emotions, it is critical for oncology nurses to deliver an effective assessment and interventions, such as providing information on skills and knowledge through written material, Internet, and smartphones. This article was the first to review the most common tools for assessing caregivers’ burdens, particularly in comparing the contents, scoring methods, reliabilities and validities. Secondly, the authors systematically reviewed 17 interventional studies with regard to their effects on improving caregivers’ burden from the perspective of evidenced practice. The aim of this paper was to provide oncology nurses with appropriate assessment tools and interventions for effectively reliving caregivers’ burdens and improving their quality of life. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。