This study aimed to gather healthcare professionals’expectations and reluctance toward peer support in a cancer center.Semistructured interviews were conducted among 12 professionals,recruited in different profession...This study aimed to gather healthcare professionals’expectations and reluctance toward peer support in a cancer center.Semistructured interviews were conducted among 12 professionals,recruited in different professions.The interviews were fully transcribed,and a thematic analysis was then conducted.Of the data analysis,three main themes about professionals’expectations emerged:the need for the strongest support of the patients,to break the isolation in the sickness,and to enhance the care system.Three main themes also emerged from the data analysis about professionals’reluctances:the limitations related to the intervention of the peer-workers,the psychological issues of the relationship,and institutional barriers to the implementation of peer-support interventions.Our study shows that peer support could be a response to the expectations of healthcare professionals’,but its implementation should consider their reluctance.展开更多
目的 探讨同伴支持小组模式干预对肝门部胆管癌手术患者术后自我管理效能、社会支持及心理复原力的影响。方法 选取2022年6月—2023年10月解放军总医院第一医学中心肝胆胰外科收治的126例行肝门部胆管癌手术患者为研究对象,按照随机数...目的 探讨同伴支持小组模式干预对肝门部胆管癌手术患者术后自我管理效能、社会支持及心理复原力的影响。方法 选取2022年6月—2023年10月解放军总医院第一医学中心肝胆胰外科收治的126例行肝门部胆管癌手术患者为研究对象,按照随机数字表法分为观察组和对照组,每组63例。对照组进行常规护理,观察组实施同伴支持小组协同护理模式护理。记录患者手术相关指标;比较2组患者干预前及干预3个月后的自我管理效能[自我管理效能量表(Chinese Version of Strategies Used by People to Promote Health,C-SUPPH)]、社会支持[领悟社会支持量表(Perceived Social Support Scale,PSSS)]评分、心理复原力[心理复原力量表(Connor Davidson Resilience Scale,CD-RISC-10)]、健康生活方式[健康促进生活方式(Health Promoting Life style Prolife-Ⅱ,HPLP-Ⅱ)量表]和生活质量[癌症患者生活质量测定量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire,EORTC QLQ-C30)]评分情况。结果 观察组肛门排气时间、卧床时间、住院时间均低于对照组(t=7.096、4.688、6.943,P均<0.001);干预后,患者在C-SUPPH、PSSS、CD-RISC-10、HPLP-Ⅱ和EORTCQLQ-C30评分均较干预前提升(t=4.636~31.805,P均<0.001),且观察组提升幅度均高于对照组(t=12.130~25.911,P均<0.001)。结论 在肝门部胆管癌手术患者应用同伴支持小组模式进行干预,可缩短患者康复进程,让患者感知到更多社会支持,增强患者自我管理效能及心理复原力,促进生活方式的转变,提高其生活质量。展开更多
文摘This study aimed to gather healthcare professionals’expectations and reluctance toward peer support in a cancer center.Semistructured interviews were conducted among 12 professionals,recruited in different professions.The interviews were fully transcribed,and a thematic analysis was then conducted.Of the data analysis,three main themes about professionals’expectations emerged:the need for the strongest support of the patients,to break the isolation in the sickness,and to enhance the care system.Three main themes also emerged from the data analysis about professionals’reluctances:the limitations related to the intervention of the peer-workers,the psychological issues of the relationship,and institutional barriers to the implementation of peer-support interventions.Our study shows that peer support could be a response to the expectations of healthcare professionals’,but its implementation should consider their reluctance.
文摘目的 探讨同伴支持小组模式干预对肝门部胆管癌手术患者术后自我管理效能、社会支持及心理复原力的影响。方法 选取2022年6月—2023年10月解放军总医院第一医学中心肝胆胰外科收治的126例行肝门部胆管癌手术患者为研究对象,按照随机数字表法分为观察组和对照组,每组63例。对照组进行常规护理,观察组实施同伴支持小组协同护理模式护理。记录患者手术相关指标;比较2组患者干预前及干预3个月后的自我管理效能[自我管理效能量表(Chinese Version of Strategies Used by People to Promote Health,C-SUPPH)]、社会支持[领悟社会支持量表(Perceived Social Support Scale,PSSS)]评分、心理复原力[心理复原力量表(Connor Davidson Resilience Scale,CD-RISC-10)]、健康生活方式[健康促进生活方式(Health Promoting Life style Prolife-Ⅱ,HPLP-Ⅱ)量表]和生活质量[癌症患者生活质量测定量表(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire,EORTC QLQ-C30)]评分情况。结果 观察组肛门排气时间、卧床时间、住院时间均低于对照组(t=7.096、4.688、6.943,P均<0.001);干预后,患者在C-SUPPH、PSSS、CD-RISC-10、HPLP-Ⅱ和EORTCQLQ-C30评分均较干预前提升(t=4.636~31.805,P均<0.001),且观察组提升幅度均高于对照组(t=12.130~25.911,P均<0.001)。结论 在肝门部胆管癌手术患者应用同伴支持小组模式进行干预,可缩短患者康复进程,让患者感知到更多社会支持,增强患者自我管理效能及心理复原力,促进生活方式的转变,提高其生活质量。
