喉切除男性喉癌患者出院短期内心路历程的质性研究  

Short-term psychological experience after discharge for male patients after laryngectomy：a qualitative phenomenological study

作　　者：曾长娟[1] 席淑新[2] 吴沛霞[2] 邹敏[3] 

机构地区：[1]上海交通大学医学院附属瑞金医院护理部/复旦大学护理学院,200025 [2]复旦大学附属眼耳鼻喉科医院护理部,上海200031 [3]上海交通大学医学院附属新华医院护理部,200092

出　　处：《中华现代护理杂志》2015年第4期394-397,共4页Chinese Journal of Modern Nursing

摘　　要：目的：深入了解喉切除男性喉癌患者出院后3个月内的心路成长历程。方法运用质性研究中的现象学研究法，以目的抽样法抽取11例喉切除男性喉癌患者进行深度访谈，采用现场录音和笔录，并运用Giorgi现象学分析方法进行资料的处理与分析。结果通过资料分析得出心路历程的5个主题，即厌恶气管套管、急切早日发音、心理压力大、各种负性情绪涌现（如无助感、孤独感、自卑感、愧疚感）、面对现实与活在当下。结论喉切除男性喉癌患者出院短期内仍然存在诸多问题，临床医护人员应该予以重视并提供切实可行的支持和关心，帮助他们更好地回归社会。Objective The purpose of this study was to acquire a deeper understanding for the short-term psychological experience after discharge for male patients after laryngectomy. Methods Phenomenological method and in-depth interviews were used. Eleven patients were recruited. The data were analyzed by Giorgi′s phenomenological procedures. Results After analyzing the data, five main themes were extracted： rejecting tracheal tube, desiring to speak early, sense of uncertainty about the future, emerging various negative emotions, heavy pressure caused by disease treatment, facing reality and living in the moment. Conclusions Patients with laryngectomy discharged in short term faced major problems, so clinical staff should give timely support and care to help them return to society in a better condition.

关 键 词：喉切除术 喉癌 质性研究 

分 类 号：R473.73[医药卫生—护理学]