Barriers and facilitators of disease notification in elderly cancer patients: a qualitative study
10.3760/cma.j.cn115682-20220210-00602
- VernacularTitle:老年癌症患者病情告知的阻碍与促进因素的质性研究
- Author:
Dou FU
1
;
Lili ZHANG
;
Yanqiong OUYANG
;
Juan ZHANG
;
Zhuohui ZHANG
;
Xu XU
;
Wenli ZENG
;
Yuan LU
;
Weiwei LI
Author Information
1. 武汉大学人民医院老年病科,武汉 430060
- Keywords:
Aged;
Neoplasms;
Disease notification;
Barriers;
Facilitators;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2022;28(33):4608-4613
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the barriers and facilitators for family members to inform elderly cancer patients of their condition.Methods:From August 2020 to September 2021, a total of family members of 16 elderly cancer patients admitted to the Renmin Hospital of Wuhan University were selected by convenient sampling. Semi-structured qualitative interview was conducted with the patients' family members. Colaizzi 7-step analysis method was used to analyze, sort out and refine the data.Results:A total of 8 themes were extracted. Barriers included integrating the patient's personality and experience to speculate the patient's acceptance, it was predicted that the sadness would be aggravated after being informed according to the current condition, lack of support and communication barriers. Facilitators included conjecture based on the patient's personality and willingness, there was a need to know the condition, maintaining family atmosphere and family culture and reference to relevant external information.Conclusions:There are many barriers and facilitators in the condition notification of elderly cancer patients. Medical and nursing staff and family members should not blindly conceal patients' condition. We should pay attention to patients' expression and respect their wishes, and provide personalized information and care strategies based on their past experience and current situation.