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تأثير الرعاية التمريضية على تلبية احتياجات مريضات السرطان في المنازل
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مقدمة: يشكل تقديم رعاية صحية نوعية و مناسبة لمرضى السرطان أحد التحديات الهامة التي يجب على العاملين في القطاع الصحي مواجهتها خلال السنوات القادمة. الهدف: طبق البحث الحالي لتقييم تأثير الرعاية التمريضية على تلبية احتياجات مريضات سرطان الثدي في المنازل ضمن مدينة اللاذقية.الطرائق: باستخدام منهج شبه تجريبي تم اختيار 80 مريضة سرطان ثدي (40 تجريبية و 40 مقارنة) تخضع للمعالجة الكيماوية في مشفى تشرين الجامعي للأورام. قدمت لمريضات المجموعة التجريبية الرعاية التمريضية على شكل تداخلات تثقيفية - نفسية داعمة تضمنت التثقيف الصحي و الاسترخاء العضلي التدريجي بالإضافة إلى الدعم النفسي لمدة ثلاثة أشهر. بينما تلقت مريضات المجموعة المقارنة الرعاية التمريضية الروتينية من المشفى. تم تقييم النتائج بعد ثلاثة أشهر من تطبيق التداخلات باستخدام استبيان احتياجات الرعاية الداعمة و استمارة تقييم استجابة المريضات للتداخلات. كما تم مقارنة النتائج بين المجموعتين باستخدام اختبار T للعينات المستقلة و المتوسط مع الانحراف المعياري و الوسيط. النتائج: أظهرت النتائج وجود احتياجات رعاية داعمة غير محققة لدى أكثر من ثلثي مريضات العينة تمحور أولها حول الاحتياجات المعرفية و الاحتياجات النفسية و كانت الاحتياجات الجنسية أقلّها أهمية بالنسبة للمريضات. و قد نقصت نسبة الاحتياجات غير المحققة بعد تطبيق تداخلات الرعاية التمريضية الداعمة و تغير ترتيب أولوياتها لدى مريضات المجموعة التجريبية مقارنة مع مريضات مجموعة المقارنة التي ازدادت نسبة الاحتياجات غير المحققة لديها و قد أصبح الفرق في جميع فئات الاحتياجات ذو دلالة إحصائية. لكن التداخلات لم تساعد على تحقق الاحتياجات الجنسية. الاستنتاجات: تساعد تداخلات الرعاية التمريضية على تلبية احتياجات مرضى السرطان خلال مرحلة المعالجة الكيماوية. لذلك يوصى بتفعيل دور الرعاية الداعمة في المشفى و تقديمها خلال الزيارات المنزلية لمرضى السرطان الخارجيين.
Background :In spite of all the advances in health care and medical technology, provision of qualified health care to cancer patients remains one of the major challenges that health care professionals have to face in the next years. this study was conducted with the goal of assessing effect of nursing care on meeting cancer patient's needs at home Methods: by using quazi-experimental design, eighteen breast cancer patients receiving chemotherapy were selected (40 experimental, 40 compared). Experimental group patients received supportive psycho-educational interventions for three months, consisted of ( education, progressive muscle relaxation technique, and emotional support), while compared group patients received route nursing care in hospital. After three months the results were assessed by using supportive care needs survey (SCNS) and compared by using independent T test, mean, median. Results : the results show that more than tow third of study patients had unmet needs, first of it were about information needs and emotional needs. And after study interventions these needs were decreased for intervention group patients statistically significant compared with compared group and its priorities were changed after three months. But the interventions did not improve sexual needs meeting. Conclusion: supportive care needs can improve cancer patient needs meeting in home and hospital during chemotherapy. so we recommend ascertain supportive nursing care in hospital and homes.
Artificial intelligence review:
Research summary
تتناول الدراسة تأثير الرعاية التمريضية على تلبية احتياجات مريضات سرطان الثدي في المنازل بمدينة اللاذقية. تم استخدام منهج شبه تجريبي شمل 80 مريضة (40 تجريبية و40 مقارنة) يتلقين العلاج الكيميائي. قدمت للمجموعة التجريبية تدخلات تثقيفية-نفسية داعمة لمدة ثلاثة أشهر، بينما تلقت المجموعة المقارنة الرعاية الروتينية. أظهرت النتائج أن أكثر من ثلثي المريضات لديهن احتياجات غير محققة، خاصة المعرفية والنفسية. بعد التدخلات، نقصت الاحتياجات غير المحققة لدى المجموعة التجريبية بشكل ملحوظ مقارنة بالمجموعة المقارنة، باستثناء الاحتياجات الجنسية التي لم تتحسن. توصي الدراسة بتفعيل دور الرعاية الداعمة في المشافي وتقديمها خلال الزيارات المنزلية لمرضى السرطان.
Critical review
تقدم الدراسة نظرة شاملة ومهمة حول تأثير الرعاية التمريضية على تلبية احتياجات مريضات سرطان الثدي، وتظهر النتائج بوضوح الفوائد الكبيرة للتدخلات التمريضية التثقيفية والنفسية. ومع ذلك، يمكن توجيه بعض النقد البناء للدراسة. أولاً، كان من الأفضل استخدام عينة أكبر وأكثر تنوعاً لضمان تعميم النتائج بشكل أفضل. ثانياً، لم يتم تناول الاحتياجات الجنسية بشكل كافٍ، وهو جانب مهم يجب معالجته بعمق أكبر في الأبحاث المستقبلية. أخيراً، كان من الممكن تحسين منهجية جمع البيانات لتشمل مقابلات نوعية مع المريضات لفهم تجاربهن بشكل أعمق.
Questions related to the research
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ما هو الهدف الرئيسي من الدراسة؟
الهدف الرئيسي من الدراسة هو تقييم تأثير الرعاية التمريضية على تلبية احتياجات مريضات سرطان الثدي في المنازل بمدينة اللاذقية.
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ما هي المنهجية المستخدمة في الدراسة؟
استخدمت الدراسة منهج شبه تجريبي شمل 80 مريضة (40 تجريبية و40 مقارنة) يتلقين العلاج الكيميائي، حيث قدمت للمجموعة التجريبية تدخلات تثقيفية-نفسية داعمة لمدة ثلاثة أشهر.
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ما هي النتائج الرئيسية التي توصلت إليها الدراسة؟
أظهرت النتائج أن أكثر من ثلثي المريضات لديهن احتياجات غير محققة، خاصة المعرفية والنفسية، وأن التدخلات التمريضية أدت إلى تقليل هذه الاحتياجات بشكل ملحوظ في المجموعة التجريبية مقارنة بالمجموعة المقارنة.
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ما هي التوصيات التي قدمتها الدراسة؟
توصي الدراسة بتفعيل دور الرعاية الداعمة في المشافي وتقديمها خلال الزيارات المنزلية لمرضى السرطان الخارجيين.
References used
AMERCAN CANCER SOCIETY. What are the key statistics for breast cancer (2014b)From .http://www.cancer.org/docroot/CRI/content/CRI_2_4_1
CUZICK J: Breast cancer prevention in the developing world. Breast Cancer Research (2010),12(Suppl4):http://breast-cancer-research.com/ supplements
ELSAYED S, MALCOL A M, Al-LAWATI J AL-SAYYAD J ,BAWAZIR A. Cancer Epidemiology and Control in the Arab World Past ,Present and Future. Asian Pacific Journal of Cancer Prevention(2009), Vol 10, 2009
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this study was conducted to
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breast cancer patients quality of life at homes.
by using quazi-experimental design 80 breast cancer patients were
selected (40 experimental group ,40 control group) receiving
chemotherapy recently. Experimental group patients received
supportive psycho-educational interventions consisted of education,
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of motion exercises in addition to emotional support for three
months. While control group patients received routine nursing care
in hospital. The results were assessed for both groups by using
European organization for cancer research and treatment quality of
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Exercise, Mendelsohn maneuver, [Shaker Exercise, and Mendelsohn maneuver] and
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than the dimensions of the work environment impact in raising the rate of
depersonalization, as it was after the / adequacy of resources and nurses/ more than the
dimensions of the work environment impact in reducing the proportion of personal
achievement.
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