【摘要】：本研究以腫瘤醫(yī)院住院部為例,通過對住院部病人照顧者研究介入,了解癌癥病人照顧者群體的現(xiàn)狀及潛在危機,豐富相關(guān)文獻;同時對住院期間產(chǎn)生危機的病人照顧者進行危機干預,幫助其減輕危機壓力,恢復身心平衡狀態(tài),提升生命質(zhì)量;其次,本次研究是醫(yī)務社會工作領(lǐng)域的一次探索性研究,一定程度上完善醫(yī)務社會工作領(lǐng)域相關(guān)方法和技巧體系。在前期對晚期癌癥住院病人照顧者的現(xiàn)狀進行群體性分析過程中采用定性研究的方法,通過文獻分析、觀察及訪談的方式進行資料收集。通過文獻總結(jié)前人研究的領(lǐng)域及成果;在醫(yī)院跟著醫(yī)護人員熟悉了解醫(yī)院環(huán)境及住院的群體,查房的過程中熟悉病人及其照顧者,觀察他們的行為及生活狀態(tài),同時介紹自己的身份,與病人及其照顧者初步建立起關(guān)系,為后期正式訪談及干預奠定關(guān)系基礎;通過與主治醫(yī)生、護士及部分病人照顧者的簡單訪談了解這個群體的普遍特征、發(fā)生的危機及可能存在潛在危機,在此基礎上對于搜集到的信息進行整理并分析;對于產(chǎn)生危機的住院病人照顧者依據(jù)危機干預模式進行危機干預,主要的干預步驟分為收集資料、發(fā)現(xiàn)危機,危機的進一步評估,給予支持與幫助、穩(wěn)定服務對象情緒,協(xié)助服務對象解除危機,評估與后期隨訪,遵循及時處理、限定目標、輸入希望、提供支持、恢復自尊和培養(yǎng)自主能力的原則,幫助服務對象減輕危機,恢復身心平衡。經(jīng)過對八名照顧者前期的資料搜集及整理分析可知,晚期癌癥住院病人照顧者群體在住院期間因為病情治療、就醫(yī)環(huán)境及日常照顧病人等原因容易產(chǎn)生身體健康、心理壓力、經(jīng)濟負擔及家庭關(guān)系等方面的危機,亟需醫(yī)務社會工作者的介入;其次,本次研究中對晚期癌癥住院病人照顧者因為治療不順及溝通不暢等原因產(chǎn)生的身體及心理方面的危機進行及時的評估及介入,一定程度上緩和了危機狀態(tài)。危機干預模式適用于晚期癌癥病人及照顧者群體。
[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.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：C916

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