直肠癌围手术期治疗性沟通的现象学研究  

The phenomenology research of perioperative therapeutic communication for rectal cancer patients

作　　者：王菊霞[1] 洪雪梅[1] 孙会芹[1] 

机构地区：[1]安徽省巢湖市第一人民医院护理部,238000

出　　处：《中国实用护理杂志》2011年第19期5-7,共3页Chinese Journal of Practical Nursing

基　　金：安徽省高等学校省级自然科学研究项目（KJ2010A195）

摘　　要：目的探索直肠癌围手术期治疗性沟通的临床实践和患者体验，为治疗性沟通更进一步的临床应用提供理论参考依据。方法采用质性研究中现象学研究法，以直接参与、观察和半结构式深入访谈等方法收集资料，建立编码，提炼主题。结果经归纳整理，提炼出直肠癌围手术期治疗性沟通患者体验4个主题：情感适应，积极应对手术，术中配合，术后康复与自理。结论治疗性沟通系统的应用有效地干预了患者的认知行为，提高了护士的沟通能力，延伸了护理服务的内涵。Objective To explore the clinical practice and patient experience of perioperative therapeutic communication in rectal cancer patients, in order to provide theoretical basis for the further clinical application of therapeutic communication. Methods To adopt phenomenology method of qualitative research, collecting data by the direct participation, observation, half structural formula thorough interview and other methods. To establish coding and refine theme. Results Four themes of the rectal cancer patients experienee of perioperative therapeutic communieation were generalized： emotional adaptation, actively coping with surgery, intraoperative eooperation, postoperative rehabilitation and serf-eare. Conclusions Applieation of therapeutic eommunication system ean effectively interfere with patients＂ eognitive behavior, improve eommunieation ability of nurses and extended the nursing service connotation.

关 键 词：治疗性沟通 直肠癌 围手术期 现象学研究 

分 类 号：R47[医药卫生—护理学]