首页|利益相关者视角下放化疗宫颈癌患者病痛体验的质性研究

利益相关者视角下放化疗宫颈癌患者病痛体验的质性研究

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目的 基于利益相关者理论探讨放化疗宫颈癌患者的病痛体验.方法 采用描述性现象学研究方法对15例宫颈癌放化疗患者以及12名妇科肿瘤科医护人员进行叙事访谈以及半结构式访谈,运用Colaizzi七步分析法分析资料.结果 提炼出3个主题及10个亚主题:身体完整性遭破坏(消化系统损伤、泌尿生殖系统改变、皮肤改变),身份序列被打乱(社会角色转变、家庭角色调整、自我认同危机),新的康复断裂与冲击(医疗照护服务断裂、饮食习惯改变、社会再融入障碍、癌症复发恐惧).结论 放化疗宫颈癌患者病痛体验复杂多样,医护人员应及时评估患者病情和感受,制定针对性的干预措施,缓解患者身心痛苦.
Illness experiences of cervical cancer patients undergoing radiotherapy and/or che-motherapy from a stakeholder perspective:a qualitative study
Objective To explore the illness experiences of cervical cancer patients undergoing radiotherapy and/or chemotherapy based on stakeholder theory.Methods A descriptive phenomenological research method was employed to conduct narrative and semi-structured interviews with 15 cervical cancer patients undergoing radiotherapy and/or chemotherapy,as well as 12 gynecolo-gic oncology healthcare professionals.Data were analyzed using Colaizzi's seven-step analysis method.Results Three main themes and ten sub-themes were identified:disruption of bodily integrity(digestive system damage,changes in the genitourinary system,and skin alterations),disruption of identity sequence(changes in social roles,adjustments in family roles,and self-identity crisis),and new disruptions and impacts in rehabilitation(disruptions in medical care services,changes in dietary habits,difficulties in so-cial reintegration,and fear of cancer recurrence).Conclusion The illness experiences of cervical cancer patients undergoing radio-therapy and/or chemothe-rapy are complex and diverse.Therefore,healthcare professionals should promptly assess patients'condi-tions and feelings to develop targeted interventions to alleviate their physical and psychological sufferings.

cervical cancerradiotherapychemotherapyillness experiencesstakeholdermedical care servicesphysi-cal and psychological sufferingsqualitative study

李宗璟、丁小萍、舒思容、袁圆、张松梅

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武汉大学人民医院肿瘤科(湖北 武汉,430060)

华中科技大学同济医学院护理学院

宫颈癌 放疗 化疗 病痛体验 利益相关者 医疗照护服务 身心痛苦 质性研究

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(15)
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