Experience and needs of perioperative symptom management in lung cancer patients: a qualitative study
毛莹颖 1丁君蓉 2胡颖燕 3石敏 4陈巍
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作者信息
1. 同济大学医学院，上海 200331;2上海市第一人民医院胃肠外科，上海 200080
2. 同济大学附属上海市肺科医院术后监护室，上海 200433
3. 上海市第一人民医院监护室，上海 200080
4. 上海市第一人民医院（南院）门诊，上海 200080
折叠
摘要
目的 了解肺癌患者围手术期症状管理的体验及需求，为进一步制订肺癌患者症状群自我管理干预措施提供参考。 方法 本研究为描述性质性研究。采用目的抽样法，选取2023年2—3月于同济大学附属上海市肺科医院接受手术治疗的18例肺癌患者作为研究对象，对其进行半结构式访谈。采用主题分析法进行资料分析。 结果 共提炼出4个主题，包括围手术期症状负担重、症状群对患者的负面影响、症状管理的阻碍因素、对症状自我管理的需求。 结论 肺癌患者在围手术期存在多种负担，对患者产生严重困扰，患者在症状自我管理方面存在阻碍因素和不同需求，医护人员应采取针对性的干预措施及改善策略，以提高患者症状自我管理能力、减轻症状负担并改善生活质量。 Objective To explore the experience and needs of perioperative symptom management in lung cancer patients, so as to provide reference for further developing self-management interventions for symptom clusters in lung cancer patients. Methods This study was descriptive and qualitative. From February to March 2023, purposive sampling was used to select 18 lung cancer patients who underwent surgery at the Shanghai Pulmonary Hospital Affiliated to Tongji University as the research subject, and semi-structured interviews were conducted on them. The thematic analysis method was used for data analysis. Results Four themes were extracted, including the heavy burden of perioperative symptoms, the negative impact of symptom clusters on patients, obstacles to symptom management, and the need for symptom self-management. Conclusions Lung cancer patients face various burdens during the perioperative period, causing serious distress to the patients. Patients have obstacles and different needs in symptom self-management. Medical and nursing staff should adopt targeted interventions and improvement strategies to enhance patient symptom self-management ability, reduce symptom burden, and improve quality of life.
Abstract
Objective To explore the experience and needs of perioperative symptom management in lung cancer patients, so as to provide reference for further developing self-management interventions for symptom clusters in lung cancer patients. Methods This study was descriptive and qualitative. From February to March 2023, purposive sampling was used to select 18 lung cancer patients who underwent surgery at the Shanghai Pulmonary Hospital Affiliated to Tongji University as the research subject, and semi-structured interviews were conducted on them. The thematic analysis method was used for data analysis. Results Four themes were extracted, including the heavy burden of perioperative symptoms, the negative impact of symptom clusters on patients, obstacles to symptom management, and the need for symptom self-management. Conclusions Lung cancer patients face various burdens during the perioperative period, causing serious distress to the patients. Patients have obstacles and different needs in symptom self-management. Medical and nursing staff should adopt targeted interventions and improvement strategies to enhance patient symptom self-management ability, reduce symptom burden, and improve quality of life.
关键词
肺肿瘤/症状体验/症状管理/质性研究
Key words
Lung neoplasms/Symptom experience/Symptom management/Qualitative Study
万方数据