中华现代护理杂志2024,Vol.30Issue(17) :2273-2279.DOI:10.3760/cma.j.cn115682-20231107-01929

保留生育功能的宫颈癌患者生育忧虑体验的质性研究

Fertility concerns of cervical cancer patients preserving fertility function:a qualitative study

王彬 江子芳 孔慧 王丽芬
中华现代护理杂志2024,Vol.30Issue(17) :2273-2279.DOI:10.3760/cma.j.cn115682-20231107-01929

保留生育功能的宫颈癌患者生育忧虑体验的质性研究

Fertility concerns of cervical cancer patients preserving fertility function:a qualitative study

王彬 1江子芳 2孔慧 1王丽芬1
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作者信息

  • 1. 浙江省肿瘤医院手术室,杭州 310022
  • 2. 浙江省肿瘤医院护理部,杭州 310022
  • 折叠

摘要

目的 通过挖掘保留生育功能宫颈癌患者生育忧虑的真实体验,为制订针对性护理措施提供依据.方法 本研究为描述性现象学质性研究.采用目的抽样方法,选取2018年6月—2021年6月于浙江省肿瘤医院行腹式根治性宫颈切除术或微创腹腔镜下根治性宫颈切除术的17例年轻宫颈癌患者为研究对象,对其进行面对面半结构式访谈,采用Colaizzi 7步分析法对资料进行分析和提炼主题.结果 共提炼出4个主题,分别为生育忧虑引起的多重表现、因疾病及生育问题导致的负罪感、需要更多的健康支持、积极应对生育忧虑引起心理问题的策略.结论 保留生育功能的宫颈癌患者普遍存在生育忧虑,对获得健康支持有迫切需求,需要医护人员、家庭以及社会各方面的支持,医护人员应重视该类患者的生育忧虑问题,尽早提供个性化心理干预,降低患者生育忧虑水平.

Abstract

Objective To explore the real experience of fertility concerns in cervical cancer patients with preserved fertility function,so as to provide a basis for developing targeted nursing measures.Methods This study was a qualitative study of descriptive phenomenology.From June 2018 to June 2021,purposive sampling was used to select 17 young cervical cancer patients who underwent radical abdominal trachelectomy or minimally invasive laparoscopic radical trachelectomy at Zhejiang Cancer Hospital as the study subjects.Face to face semi-structured interview was conducted with patients.Colaizzi 7-step analysis method was used to analyze data and extract themes.Results Four themes were extracted,namely the multiple manifestations caused by fertility concerns,the sense of guilt caused by diseases and fertility issues,the need for health support,and strategies to actively address psychological issues caused by fertility concerns.Conclusions Cervical cancer patients who preserve their fertility function generally have fertility concerns and an urgent need for health support,requiring support from medical and nursing staff,families,and society.Medical and nursing staff should pay attention to the fertility concerns of such patients,provide personalized psychological intervention as soon as possible to alleviate their fertility concerns.

关键词

宫颈癌/生育功能/生育忧虑/质性研究

Key words

Cervical cancer/Fertility function/Fertility concerns/Qualitative research

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基金项目

浙江省卫生健康科技计划项目(2022KY091)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量11
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