癌症晚期住院病人照顾者的危机干预
发布时间：2018-10-14 12:52
【摘要】：本研究以肿瘤医院住院部为例,通过对住院部病人照顾者研究介入,了解癌症病人照顾者群体的现状及潜在危机,丰富相关文献;同时对住院期间产生危机的病人照顾者进行危机干预,帮助其减轻危机压力,恢复身心平衡状态,提升生命质量;其次,本次研究是医务社会工作领域的一次探索性研究,一定程度上完善医务社会工作领域相关方法和技巧体系。在前期对晚期癌症住院病人照顾者的现状进行群体性分析过程中采用定性研究的方法,通过文献分析、观察及访谈的方式进行资料收集。通过文献总结前人研究的领域及成果;在医院跟着医护人员熟悉了解医院环境及住院的群体,查房的过程中熟悉病人及其照顾者,观察他们的行为及生活状态,同时介绍自己的身份,与病人及其照顾者初步建立起关系,为后期正式访谈及干预奠定关系基础;通过与主治医生、护士及部分病人照顾者的简单访谈了解这个群体的普遍特征、发生的危机及可能存在潜在危机,在此基础上对于搜集到的信息进行整理并分析;对于产生危机的住院病人照顾者依据危机干预模式进行危机干预,主要的干预步骤分为收集资料、发现危机,危机的进一步评估,给予支持与帮助、稳定服务对象情绪,协助服务对象解除危机,评估与后期随访,遵循及时处理、限定目标、输入希望、提供支持、恢复自尊和培养自主能力的原则,帮助服务对象减轻危机,恢复身心平衡。经过对八名照顾者前期的资料搜集及整理分析可知,晚期癌症住院病人照顾者群体在住院期间因为病情治疗、就医环境及日常照顾病人等原因容易产生身体健康、心理压力、经济负担及家庭关系等方面的危机,亟需医务社会工作者的介入;其次,本次研究中对晚期癌症住院病人照顾者因为治疗不顺及沟通不畅等原因产生的身体及心理方面的危机进行及时的评估及介入,一定程度上缓和了危机状态。危机干预模式适用于晚期癌症病人及照顾者群体。
[Abstract]:This study takes the inpatient department of the tumor hospital as an example, through the inpatient care research intervention, to understand the current situation and potential crisis of cancer patient caregivers, enrich the relevant literature; At the same time, the crisis intervention is carried out to help patients who have crisis in hospital to relieve the pressure of crisis, restore their mental and physical balance, and improve the quality of life. Secondly, this study is an exploratory study in the field of medical social work. To a certain extent, improve the medical social work related methods and skills system. In the early stage of the group analysis of the present situation of inpatients with advanced cancer, the qualitative research method was adopted, and the data were collected through literature analysis, observation and interview. The field and achievements of previous studies were summarized by literature, and the hospital staff were familiar with the hospital environment and the group in hospital, and the patients and their caregivers were familiar with the patients and their caregivers during the rounds, and their behaviors and living conditions were observed. At the same time, he introduced his identity, established a preliminary relationship with patients and their caregivers, and laid the foundation for later formal interviews and interventions. Simple interviews with nurses and some patient caregivers to understand the general characteristics of this group, the occurrence of the crisis and possible potential crisis, on the basis of this collection of information to collate and analyze; The main intervention steps are to collect data, find the crisis, further evaluate the crisis, give support and help, and stabilize the mood of the clients, according to the crisis intervention model, the main intervention steps are: collecting data, finding the crisis, further evaluating the crisis, providing support and assistance, and stabilizing the mood of the clients. To assist the clients to relieve the crisis, evaluate and follow up, follow the principles of timely handling, limiting goals, input hope, provide support, restore self-esteem and develop autonomy, help the clients to alleviate the crisis and restore physical and mental balance. After collecting and analyzing the data of the early stage of the eight caregivers, we can see that the group of in-patients with advanced cancer tend to have physical health and psychological pressure due to the treatment of their condition, the medical environment and the daily care of the patients during their hospitalization. The crisis of financial burden and family relationship needs the intervention of medical social workers. Secondly, In this study, the timely evaluation and intervention of the physical and psychological crisis caused by the inpatients with advanced cancer due to poor treatment and poor communication, to a certain extent, alleviated the crisis state. The crisis intervention model is applicable to patients with advanced cancer and caregivers.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916
本文编号：2270508
[Abstract]:This study takes the inpatient department of the tumor hospital as an example, through the inpatient care research intervention, to understand the current situation and potential crisis of cancer patient caregivers, enrich the relevant literature; At the same time, the crisis intervention is carried out to help patients who have crisis in hospital to relieve the pressure of crisis, restore their mental and physical balance, and improve the quality of life. Secondly, this study is an exploratory study in the field of medical social work. To a certain extent, improve the medical social work related methods and skills system. In the early stage of the group analysis of the present situation of inpatients with advanced cancer, the qualitative research method was adopted, and the data were collected through literature analysis, observation and interview. The field and achievements of previous studies were summarized by literature, and the hospital staff were familiar with the hospital environment and the group in hospital, and the patients and their caregivers were familiar with the patients and their caregivers during the rounds, and their behaviors and living conditions were observed. At the same time, he introduced his identity, established a preliminary relationship with patients and their caregivers, and laid the foundation for later formal interviews and interventions. Simple interviews with nurses and some patient caregivers to understand the general characteristics of this group, the occurrence of the crisis and possible potential crisis, on the basis of this collection of information to collate and analyze; The main intervention steps are to collect data, find the crisis, further evaluate the crisis, give support and help, and stabilize the mood of the clients, according to the crisis intervention model, the main intervention steps are: collecting data, finding the crisis, further evaluating the crisis, providing support and assistance, and stabilizing the mood of the clients. To assist the clients to relieve the crisis, evaluate and follow up, follow the principles of timely handling, limiting goals, input hope, provide support, restore self-esteem and develop autonomy, help the clients to alleviate the crisis and restore physical and mental balance. After collecting and analyzing the data of the early stage of the eight caregivers, we can see that the group of in-patients with advanced cancer tend to have physical health and psychological pressure due to the treatment of their condition, the medical environment and the daily care of the patients during their hospitalization. The crisis of financial burden and family relationship needs the intervention of medical social workers. Secondly, In this study, the timely evaluation and intervention of the physical and psychological crisis caused by the inpatients with advanced cancer due to poor treatment and poor communication, to a certain extent, alleviated the crisis state. The crisis intervention model is applicable to patients with advanced cancer and caregivers.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916
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