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肺癌患者癌痛体验及对癌痛管理期望的质性研究

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[目的]探讨肺癌患者癌痛体验及对癌痛管理的期望.[方法]选取2022年3月至10月在本院住院治疗的17例肺癌癌痛患者,对所有肺癌癌痛患者进行半结构式深入访谈,了解并记录其癌痛体验及对管理期望的需求;采用Giorgio六步法对资料进行分析和整理,提炼主题.[结果]肺癌患者癌痛体验可归纳为4个主题:患者存在不同程度的癌痛;癌痛对患者的影响较大;患者对癌痛认知和应对不足,包括忍痛、有愧疚感、对止痛治疗有认识误区及患者对癌痛的应对能力不足;患者期望得到更多的关注和支持,以更好地管理疼痛.[结论]肺癌患者癌痛体验现状不容乐观,关注肺癌患者的癌痛体验,重视癌痛处理,加强患者健康教育,提升癌痛管理能力,完善社会支持系统,增强居家照护能力,以最终提高患者的生活质量.
Qualitative Study on Cancer Pain Experience and Expectation of Cancer Pain Management of Patients with Lung Cancer
[Objective]To explore the cancer pain experience and expectations of cancer pain management in patients with lung cancer.[Methods]A total of 17 patients with lung cancer pain who were hospitalized in our hospital from March to October 2022 were selected and semi-structured in-depth interviews were conduc-ted.It was to understand and record the experience of cancer pain and expectations for cancer pain manage-ment.The Giorgio six step method was used to analyze and sort out the data for refining the theme.[Results]The experience of cancer pain in patients with lung cancer can be divided into four themes:Patients had var-ying degrees of cancer pain;Cancer pain had a great impact on patients;Patients had insufficient cognition and response to cancer pain,including pain tolerance,guilt,misunderstanding of pain relief treatment and lack of patients'ability to cope with cancer pain;Patients expected more attention and support to better manage pain.[Conclusion]The current situation of cancer pain experience in patients with lung cancer is not optimistic.We should pay attention to the experience of cancer pain in patients with lung cancer,pay attention to the treat-ment of cancer pain,strengthen patients'health education,improve the ability of cancer pain management,im-prove the social support system,and enhance the ability of home care.Finally,improve the quality of life of patients.

Lung Neoplasms/COCancer Pain/COQuality of Life

程洁、施如意、徐静静、刁淑贤、毛燕君

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同济大学医学院附属上海市肺科医院肿瘤科,上海 200433

肺肿瘤/并发症 癌性疼痛/并发症 生活质量

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(11)