Qualitative study on self-management experiences of cancer-related anorexia in pa-tients undergoing chemotherapy after gastric cancer surgery
Objective To understand the real experiences of self-management of cancer-related anorexia in patients undergoing chemo-therapy after gastric cancer surgery,and to provide a reference for developing standardized self-management programs for cancer-related anorexia.Methods A descriptive qualitative research method was employed to conduct semi-structured in-depth interviews with 20 patients undergoing chemotherapy after gastric cancer surgery.Thematic analysis was performed using Nvivo 12 Plus soft-ware for coding,analysis,and theme refinement.Results The self-management experiences of cancer-related anorexia in patients after gastric cancer surgery were summarized into three main themes and nine sub-themes:lack of self-management knowledge(in-sufficient understanding of dietary self-management,insufficient understanding of dynamic nutritional support),related barriers to self-management(poor medication adherence,poor dietary adherence,heavy burden of self-perception),and positive attitudes and motivational behaviors toward self-management(patients'expectations for appetite improvement,changes in dietary habits,sense of responsibility for personal health and family,enhanced self-efficacy).Conclusion Patients undergoing chemotherapy after gastric cancer surgery face numerous difficulties in self-managing cancer-related anorexia.Healthcare professionals should implement tar-geted nutritional education,pay attention to patients'psychological changes,and explore new models for self-management of cancer-related anorexia suitable for these patients to enhance their self-management capabilities.
gastric tumorchemotherapycancer-related anorexiaself-managementnutritional literacynutritional educa-tionnutritional carequalitative research
万方数据
维普
