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
Illness experiences of cervical cancer patients undergoing radiotherapy and/or che-motherapy from a stakeholder perspective:a qualitative study
李宗璟 1丁小萍 2舒思容 1袁圆 1张松梅1
作者信息
- 1. 武汉大学人民医院肿瘤科(湖北 武汉,430060)
- 2. 华中科技大学同济医学院护理学院
- 折叠
摘要
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.
Abstract
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.
关键词
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Key words
cervical cancer/radiotherapy/chemotherapy/illness experiences/stakeholder/medical care services/physi-cal and psychological sufferings/qualitative study引用本文复制引用
出版年
2024
NETL
NSTL
万方数据