肝癌患者行肝动脉栓塞化疗术后自我感受负担的质性研究  

Qualitative Research of Self-Perceived Burden in Liver Cancer Patients Accepted Transcatheter Arterial Chemoebolization Treatment

作　　者：牛小霞[1] 孟园[1] 李亚[1] 王乔敏[1] 徐碧海 纪冬[1] 

机构地区：[1]解放军第302医院肝纤维化诊疗中心,北京100039

出　　处：《解放军护理杂志》2014年第11期16-18,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的描述肝癌患者行肝动脉栓塞化疗(transcatheter arterial chemoemoembolization,TACE)术后自我感受负担(self-perceived burden,SPB)的真实感受,分析患者SPB的影响因素。方法采用质性研究中的现象学研究方法,对某三级甲等传染病医院12例TACE术后肝癌患者进行深入访谈,采用以Colaizzi 7步分析法对资料进行分析、归纳、提炼。结果通过阅读、分析、思考和提炼,得出4个主题:(1)负担最重的是担心照顾者身心疲惫;(2)担心给家庭造成经济负担;(3)担心自己的疾病得不到预期治疗效果;(4)心理负担过重。结论 TACE术后患者都存在不同程度的自我感受负担,医护人员应重视患者因SPB而引起的一系列心理问题,提供心理护理,给予心理疏导。To describe the self-perceived burden（SPB）in liver cancer patients accepted transcatheter arterial Chemoemoembolization （TACE）treatment and analyze the influencing factors of SPB. Methods By using the qualitative phenomenological research methodology,12 patients were selected and the in-depth interview were also conducted.The results were analyzed,concluded and refined with Colaizzz’ s seven steps of phenomenological analysis.Results By means of reading,analysis,reflection and refining,4 themes were addressed：（1）fear of cargiver’s mental and physical exhaustion;（2）fear of heavy economy burden;（3）fear of treatment uncertainty;（4）heavy mental burden of themselves.Conclusion Various SPB in liver cancer patients who receive TACE treatment were obvious,and medical staff should pay more attention to the SPB in patients and provide them with personalized,high-quality mental nursing and psychological counseling.

关 键 词：肝癌 肝动脉栓塞化疗术 自我感受负担 质性研究 

分 类 号：R735.7[医药卫生—肿瘤] R453[医药卫生—临床医学]