Qualitative study of self-nutrition management in patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy based on HAPA model
陈小爱 1梁聪 2徐丽丽 3廖姿艺 4王蓉 2何月
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作者信息
1. 南华大学护理学院，衡阳 421001;2南华大学附属第二医院肿瘤中心二区，衡阳 421001
2. 南华大学护理学院，衡阳 421001
3. 南华大学附属第二医院肿瘤中心二区，衡阳 421001
4. 南华大学附属第一医院心血管内科，衡阳 421001
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摘要
目的 以健康行动过程取向（HAPA）模型为理论基础，探讨鼻咽癌放化疗患者自我营养管理的体验与内心感受。 方法 本研究为质性研究。采用目的抽样法，于2023年3—4月对南华大学附属第二医院肿瘤中心二区的15例鼻咽癌放化疗患者进行半结构式访谈，采用Colaizzi 7步分析法对原始资料进行分析。 结果 根据HAPA模型的2个阶段，共提炼出3个主题，分别为自我营养管理正向认知、自我营养管理困难多、自我营养管理能力不足。 结论 医护人员应分析患者的个体差异，了解患者自我营养管理的主观感受、困惑及需求，为其提供个体化的营养教育与支持，改善其自我营养管理体验，提升其自我营养管理能力。 Objective To explore the experience and inner feeling of self-nutrition management in patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy based on health action process approach (HAPA) model as the theoretical foundation. Methods This study was a qualitative sutdy. Using the purposive sampling method, the semi-structured interview was conducted on 15 nasopharyngeal carcinoma patients with radiotherapy and chemotherapy in Department of Tumor Center Area 2 in the Second Affiliated Hospital of University of South China. Colaizzi 7-step analysis method was used to analyze the original data. Results According to the two stages of HAPA model, three themes were extracted, namely, positive cognition of self-nutrition management, difficulty in self-nutrition management and lack of self-nutrition management ability. Conclusions Medical staff should analyze individual differences among patients, understand their subjective feelings, confusion and needs for self nutrition management, provide personalized nutrition education and support, improve their self nutrition management experience and enhance their self nutrition management abilities.
Abstract
Objective To explore the experience and inner feeling of self-nutrition management in patients with nasopharyngeal carcinoma undergoing radiotherapy and chemotherapy based on health action process approach (HAPA) model as the theoretical foundation. Methods This study was a qualitative sutdy. Using the purposive sampling method, the semi-structured interview was conducted on 15 nasopharyngeal carcinoma patients with radiotherapy and chemotherapy in Department of Tumor Center Area 2 in the Second Affiliated Hospital of University of South China. Colaizzi 7-step analysis method was used to analyze the original data. Results According to the two stages of HAPA model, three themes were extracted, namely, positive cognition of self-nutrition management, difficulty in self-nutrition management and lack of self-nutrition management ability. Conclusions Medical staff should analyze individual differences among patients, understand their subjective feelings, confusion and needs for self nutrition management, provide personalized nutrition education and support, improve their self nutrition management experience and enhance their self nutrition management abilities.
关键词
鼻咽癌/健康行动过程取向模型/放化疗/自我营养管理/质性研究
Key words
Nasopharyngeal carcinoma/Health action process approach model/Radiotherapy and chemotherapy/Self-nutrition management/Qualitative study
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