Kanser Hastalarının Bakış Açısından Hemşirelik Bakımı

Year 2024, Volume: 27 Issue: 2, 146 - 152, 25.06.2024

Hilal Pekmezci Purut , Burcu Genç Köse , Yağmur Akbal

https://doi.org/10.17049/jnursology.1443264

Abstract

Amaç: Bu araştırmanın amacı ayaktan kemoterapi tedavisi alan kanser hastalarının hemşirelik bakımı ile ilgili deneyim ve düşüncelerini belirlemektir.

Yöntemler: Fenomenolojik tipte nitel araştırma yöntemi kullanılarak tamamlanan bu araştırmada ayaktan kemoterapi ünitesinde tedavi alan 13 hasta yer aldı. Veriler Eylül-Kasım 2023 tarihleri arasında yarı yapılandırılmış görüşme formu ve ses kaydı yapılarak toplandı. Verilerin değerlendirilmesinde betimsel analiz yöntemi kullanıldı. Araştırmada gönüllülük esas alınarak katılımcılardan yazılı onam alındı.

Bulgular: Çalışmadaki hastaların %61.5’i kadın, ilkokul mezunu ve şehir merkezinde yaşamaktadır. %53.8’i üçüncü evre kanser hastası ve ortalama 36 aydır kemoterapi tedavisi almaktadır. Kemoterapi tedavisi alan hastalar; hemşirelerin kendilerine karşı ilgili olduklarını belirttiler. Hemşirelerin uyguladıkları bakımı iyi olarak değerlendirdiler. Hemşirelerden en büyük beklentilerinin sabır, anlayış ve güler yüz olduğunu ifade ettiler. Tedavi süresince hemşirelerle iletişimlerinde sorun yaşamadıklarını ancak fiziki şartların uygunsuzluğu, hasta yoğunluğu, hemşire sayısının yetersiz olması ve tedavide kullanılan cihazların seslerinden ötürü çoğu zaman iletişim problemleri yaşayabildiklerini dile getirdiler (P<,05).

Sonuç: Sonuç olarak, hemşirelik bakımının kalitesinin artması için kemoterapi ünitelerinin fiziki şartlarının iyileştirilmesi ve hemşire sayısının yeterli düzeye getirilmesini öneririz.

Keywords

kemoterapi, hemşirelik, hemşirelik bakımı, bakım algısı

Nursing Care from the Perspective of Cancer Patients

Abstract

Objective: This study aimed to determine the experiences and thoughts of cancer patients receiving outpatient chemotherapy about nursing care.

Methods: This study, completed using a phenomenological qualitative research method, included 13 patients receiving treatment in an outpatient chemotherapy unit. Data were collected between September and November 2023 using a semi-structured interview form and audio recording. The descriptive analysis method was used to evaluate the data. Written informed consent was obtained from the participants based on volunteerism.

Results: 53.8% had third-stage cancer and received chemotherapy treatment for an average of 36 months. Patients receiving chemotherapy treatment stated that the nurses were interested in them. They evaluated the care provided by the nurses as good. Their most significant expectations from nurses were patience, understanding, and a smiling face. They stated that they did not have any problems in their communication with nurses during treatment. However, they often experienced communication problems due to inappropriate physical conditions, patient density, insufficient number of nurses, and the noise of the devices used in treatment.

Conclusion: As a result, we recommend that the physical conditions of chemotherapy units be improved, and the number of nurses brought to an adequate level to increase the quality of nursing care.

Keywords

Chemotherapy, nursing, nursing care, perception of care

References

• 1. World Health Organization. Cancer 2022. www.who.int/europe. Accessed November 16, 2023 https://www.who.int/health-topics/cancer#tab=tab_1
• 2. International Agency for Research on Cancer. © IARC 1965-2020. Cancer tomorrow. Accessed January 23, 2023. https://gco.iarc.fr/tomorrow/en
• 3. Barajas Galindo DE, Vidal-Casariego A, Calleja-Fernández A, et al. Appetite disorders in cancer patients: Impact on nutritional status and quality of life. Appetite. 2017;1(114): 23-27. http://dx.doi.org/10.1016/j.appet.2017.03.020.
• 4. The Ministry of Health of Turkey Health Statistics Yearbook 2019. Accessed January 23, 2023. https://sbsgm.saglik.gov.tr/Eklenti/40566/0/health-statistics-yearbook-2019pdf.pdf
• 5. Baykara O. Current modalities in treatment of cancer. BAUN Health Sci J. 2016;5(3):154-165. http://dx.doi.org/10.5505/bsbd.2016.93823
• 6. Cheevers K, Armes J, Harris J, Rafferty AM. Adaptation and preliminary testing of the registered nursing forecasting (RN4CAST) nurse survey for use in the ambulatory chemotherapy setting. Eur J Oncol Nurs. 2020;47:101794. http://dx.doi.org/10.1016/j.ejon.2020.101794.
• 7. Bahar A, Ovayolu Ö, Ovayolu N. Common symptoms of oncology patients and nursing management. Erciyes University Faculty of Health Sciences Journal. 2019; 6(1):42-58. https://dergipark.org.tr/en/pub/erusaglik/issue/47133/593190
• 8. Tuna Hİ, Ünver G, Molu B. Symptom clustering and nursing in end-stage cancer patients with palliative care. Ankara Journal of Health Sciences. 2018;(2):64-69. doi:10.1501/Asbd_0000000087
• 9. Doğan P, Tarhan M, Kürklü A. Patient-nurse collaboration: the relationship between the perception of nursing presence levels and self-care activity levels of ındividuals with cancer diagnosis. Journal of Inonu University Health Services Vocational School. 2023;11(2):1591-1602. http://dx.doi.org/10.33715/inonusaglik.1060701.
• 10. Kerr H, Donovan M, McSorley O. Evaluation of the role of the clinical Nurse Specialist in cancer care: an integrative literature review. Eur J Cancer Care. 2021;30:1-13. https://doi.org/10.1111/ecc.13415.
• 11. Güngör Tolasa A, Tokem Y. Investigation of the effectiveness of nursing practices in meeting the care needs of cancer patients. İKÇÜSBFD. 2022;7(2):215-221. https://dergipark.org.tr/tr/pub/ikcusbfd/issue/70141/1027827
• 12. Tuominen L, Leino-Kilpi H, Meretoja R. Expectations of patients with colorectal cancer towards nursing care- a thematic analysis. Eur J Oncol Nurs. 2020;(44):101699. http://dx.doi.org/10.1016/j.ejon.2019.101699.
• 13. Tuominen L, Stolt M, Meretoja R, Leino‐Kilpi H. Effectiveness of nursing interventions among patients with cancer: An overview of systematic reviews. J Clin Nurs. 2019;28:2401–2419. http://dx.doi.org/10.1111/jocn.14762.
• 14. Kim-Soon N, Abdulmaged AI, Mostafa SA. A framework for analyzing the relationships between cancer patient satisfaction, nurse care, patient attitude, and nurse attitude in healthcare systems. J Ambient Intell Humaniz Comput. 2022;13(3):87–104. http://dx.doi.org/10.1007/s12652-020-02888-x.
• 15. Alsaqri S. Patient satisfaction with quality of nursing care at governmental hospitals, Ha’il city, Saudi Arabia. Journal of Biology, Agriculture and Healthcare. 2016;10(6):128-142. https://core.ac.uk/download/pdf/234662014.pdf
• 16. Zarzycka D, Bartoń E, Mazur A, Turowski K. Socio-Demographic and medical factors associated with patients’ satisfaction with nursing care and their perception of pain. Ann Agric Environ Med. 2019; 26(2):298–303. http://dx.doi.org/10.26444/aaem/90385.
• 17. Webb ME, Murray E, Younger ZW, Goodfellow H, Ross J. The Supportive Care Needs of Cancer Patients: a Systematic Review. Journal of Cancer Education. 2021;36:899–908. https://doi.org/10.1007/s13187-020-01941-9.
• 18. Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nurs Open. 2019;6:535–55. 10.1002/nop2.237.
• 19. Koçan S, Demirci NG, Demir A, Üstün Ç. Immigrant problem from a group of health professionals’ point of view: a qualitative study. Turkish Studies. 2017;12(3);361-378. http://dx.doi.org/10.7827/TurkishStudies.
• 20. Özakgül AA, Acaroğlu R, Şendir M, Atar YN, Eskimez Z. Evaluating the Individualized Care Perceptions of Patients and Nurses. JAREN. 2022;8(1):20-28. https://doi.org/10.55646/jaren.2022.55376.
• 21. Kol E, Geçkil E, Arıkan C, et al. Examination of nursing care perception in Turkey ACU Sağlık Bil Derg. 2017;(3):163-172. http://journal.acibadem.edu.tr/tr/pub/issue/61317/914508
• 22. Toru F. Key point of nursing practices: individualized care. Adnan Menderes University Faculty of Health Sciences Journal. 2020;4(1):46-59. https://dergipark.org.tr/tr/pub/amusbfd/issue/52200/505152
• 23. Edis EK. Determination of care-oriented nurse patient interaction levels and affecting factors of women who had cesarean introduction. Journal of Nursing Science 2023;6(2):78–87. https://doi.org/10.54189/hbd.1214961.
• 24. Süzen H, Çevik K. Relationship between nurses’ professional values and compassion and patience levels. Turkiye Klinikleri J Nurs Sci. 2020;12(4):528-35. https://doi.org/10.5336/nurses.2020-74896.
• 25. Yapici D, Yürümezoğlu HA. Evaluation of working environment by clinical nurses according to healthy working environment standards. DEUHFED. 2021;14(3): 240-252. https://doi.org/10.46483/deuhfed.809757.
• 26. Özkan Ş, Uydacı M. Determining nurse workforce requirement based on workload in the public hospitals. Health and Nursing Management Journal. 2020;7(3):339-351. https://doi.org/10.5222/SHYD.2020.52244.
• 27. Van Dusseldorp L, Groot M, Adriaansen M, Van Vught A, Vissers K, Peters J. What does the nurse practitioner mean to you? A patient-oriented qualitative study in oncological/palliative care. J Clin Nurs. 2019;(3-4):589-602. https://doi.org/10.1111/jocn.14653.
• 28. Lemonde M, Payman N. Perceived roles of oncology nursing. Canadian Oncology Nursing Journal. 2015;25(4):422-431. https://doi.org/10.5737/23688076254422431.
• 29. Costa DS, Mercieca‐Bebber R, Rutherford C, Gabb L, King MT. The impact of cancer on psychological and social outcomes. Australian Psychologist. 2016;51(2):89-99. https://doi.org/10.1111/ap.12165.
• 30. Başkale HA, Serçekuş P, Günüşen NP. Investigation of cancer patients’ information sources, information needs and expectations of health professionals. J Psychiatr Nurs. 2015;6(2):65-70. https://doi.org/10.5505/phd.2015.49091.
• 31. Alshammari M, Duff J, Guilhermino M. Adult patient communication experiences with nurses in cancer care settings: a qualitative study. BMC Nurs. 2022;21(1):201. https://doi.org/10.1186/s12912-022-00981-4.
• 32. Lamé G, Jouini O, Stal-Le Cardinal J. Outpatient chemotherapy planning: A literature review with insights from a case study. IIE Trans Healthc Syst Eng. 2016; 6(3):127-139. https://doi.org/10.1080/19488300.2016.1189469.
• 33. Huang YL, Bryce AH, Culbertson T, et al. Alternative outpatient chemotherapy scheduling method to improve patient service quality and nurse satisfaction. J Oncol Pract. 2018;14(2):82-91. https://doi.org/10.1200/JOP.2017.025510.
• 34. Banerjee SC, Manna R, Coyle N, et al. Oncology nurses' communication challenges with patients and families: a qualitative study. Nurse Educ Pract. 2016;16(1):193-201. https://doi.org/10.1016/j.nepr.2015.07.007.
• 35. Tuna R, Baykal U. The job stress of the oncology nurses and infl uential factors. Florence Nightingale J Nurs. 2013;21(2):92-10.