头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究
Study on promoting and hindering factors of tube feeding in head and neck cancer patients with radiotherapy
张力川 1路潜 1庞冬 1张彤 2沈傲梅 1王玉洁 3张亚茹4
作者信息
- 1. 100191 北京市 北京大学护理学院
- 2. 首都医科大学附属友谊医院
- 3. 河南省人民医院
- 4. 北京大学肿瘤医院
- 折叠
摘要
目的 了解头颈部恶性肿瘤放疗患者接受管饲的促进和障碍因素,为医护人员制订提高患者管饲接受度的干预措施提供参考.方法 通过目的抽样纳入患者、家属及医务人员进行半结构化访谈,采用定向内容分析法结合健康信念模式进行资料提取与分析.结果 共20名受访者,提取出3个促进因素(感知到未来症状严重、获知管饲的益处、获得提示因素)和4个障碍因素(感知到的威胁较小、感知到障碍、缺乏自我效能、缺乏相关知识).结论 未来医护人员应指导患者和家属树立正确的健康信念、加强相关知识培训,增强其自我效能,提高患者管饲意愿.
Abstract
Objective To identify the promoting and hindering factors of enteral feeding in patients with head and neck cancer receiving radiotherapy,and provide evidence for increasing the rate of enteral feeding.Methods We used purposive sampling to select patients,caregivers,and healthcare providers who were relevant to the study objectives for semi-structured interviews.Directed content analysis was used,combined with the Health Belief Model,to extract data.Results Twenty participates included in the study.Three promoting factors(perception of severe symptoms in the future,knowledge of the benefits of enteral feeding,and receiving prompting factors)and four hindering factors(perception of low threat,perception of barriers,lack of self-efficacy,and lack of relevant knowledge)were identified.Conclusion To increase patients'willingness to accept enteral feeding,it is necessary to establish their correct health beliefs,strengthen relevant knowledge training,and enhance their self-efficacy.
关键词
头颈部恶性肿瘤/放射治疗/管饲/健康信念模式/促进与障碍因素Key words
Head and neck cancer/Radiotherapy/Tube feeding/Health Belief Model/Promoting and hindering factors引用本文复制引用
基金项目
中华国际医学交流基金会医学营养临床科研基金(Z-2017-24-2110)
出版年
2024
NETL
NSTL
万方数据