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癌症手术患者及其配偶二元应对体验的质性研究

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目的 分析癌症手术患者及其配偶二元应对体验,为癌症患者及其配偶的心理护理提供依据.方法 采用目的抽样法,选取在河南省某三级甲等综合医院首诊为癌症并采取手术治疗的 16 例患者及其配偶作为研究对象,对其二元应对体验进行 3 个月个案纵向追踪访谈,运用Colaizzi 7 步分析法对访谈资料进行归纳并提炼主题.结果 共提炼出 8 个主题即:诊断期应激反应强烈、独自应对压力、一致的求医态度;围手术期应对能力不足、相处关系的改变;居家康复期疾病信息缺乏、沟通技巧欠缺、创伤后共同成长.结论 癌症手术患者及其配偶的二元应对体验呈现阶段性不同的特征,医护人员应根据不同阶段的二元应对体验给予针对性护理,以促进癌症患者及其配偶共同身心康复.
Dyadic coping experience of patients undergoing cancer surgery and their spouses:a qualitative study
Objective To investigate the dyadic coping experience of patients undergoing cancer surgery and their spouses.Methods Sixteen cancer patients who were initially diagnosed with cancer and underwent cancer surgery in a general hospital in Henan province as well as and their spouses were selected as the study subjects by objective sampling method.All the patients and their spouses were included in the postoperative follow-up for dyadic coping experiences though a 3 months interview.The acquired data were summarised and analysed by Colaizzi's phenomenological method to identify relevant themes.Results A total of eight themes were identified,including three themes over the phase of confirmed diagnosis,strong stress response,coping with stress alone and consistent attitude towards seeking medical treatment;two themes over the perioperative phase,lack of coping ability and change in relationship;and three themes over the phase of home recovery,lack of disease information,poor communication skills and post-trauma growth of both patient and spouse.Conclusions The dyadic coping experience of patients who undergo cancer surgery and their spouses varies with the stages across the treatment.Therefore,medical staff should offer targeted nursing care according to the dyadic coping experience at different stages,hence to improve the physical and mental health of the cancer patients and their spouses.

malignant tumourspousedyadic coping experiencequalitative study

张越洋、孙璐瑶、吕冬森、李静、王盎然、李琼

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新乡医学院护理学院,河南新乡,453003

新乡医学院三全学院,河南新乡,453003

恶性肿瘤 配偶 二元应对体验 质性研究

河南省高等教育教学改革研究与实践项目河南省高等学校重点科研项目

2021SJGLX007Y17A320027

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(2)
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