乳腺癌患者治疗后并发上肢淋巴水肿的质性研究  

Qualitative research on breast cancer patients with upper limb lymphedema after surgery

作　　者：胡振娟[1] 朱桔[1] 李平[1] 薛嵋[1] 张晓菊[1] 

机构地区：[1]复旦大学附属肿瘤医院复旦大学医学院肿瘤学系,上海200032

出　　处：《上海护理》2011年第2期5-8,共4页Shanghai Nursing

基　　金：复旦大学护理科研基金资助项目(课题编号:200615)

摘　　要：目的了解乳腺癌患者术后发生上肢淋巴水肿的体验。方法 2010年4—10月,我们采用质性研究中现象学研究的方法,对10例乳腺癌患者术后上肢淋巴水肿进行深度半结构式访谈,对采集资料进行类属分析。结果淋巴水肿患者的主要体验:①对淋巴水肿认识不够;②对患肢保护重视不够;③生活质量下降;④渴望淋巴水肿的治疗康复信息;⑤随着淋巴水肿病程的延长逐渐失去康复信心;⑥自我应对,减轻症状。结论乳腺癌患者术后上肢淋巴水肿的状况不容乐观,护理人员应深入了解乳腺癌患者治疗后患淋巴水肿的内心感受,在术后及时提供预防淋巴水肿的指导原则,让患者了解淋巴水肿发生后的痛苦体验,使其重视预防,避免淋巴水肿的发生与发展。Objective To explore the experiences of breast cancer patients who suffered from upper limb lymphedema after surgery.Methods The phenomenological method was applied in this study.Semi-structured interview was used to collect data from 10 female breast cancer patients with upper limb lymphedema after surgery in our hospital from April to October 2010 for generic analysis.Results The experiences of these patients who suffered from lymphedema could be categorized into six predominant themes：1） limited knowledge of lymphedema;2） limited attention to limbs with lymphedema;3） decline in quality of life;4） thirst for information on reducing lymphedema;5） lost of confidence with the prolonged rehabilitation process of lymphedema;and 6） coping with lymphedema to relieve the symptoms.Conclusion The breast cancer patients with upper limb lymphedema after breast cancer surgery are not optimistic.The nursing staff should deeply understand their feelings.The guidance on how to prevent lymphedema may help avoid its occurrence and development in breast cancer patients after surgery.

关 键 词：乳腺癌 淋巴水肿 现象学方法 

分 类 号：R737.9[医药卫生—肿瘤]