胃肠癌根治术后化疗初期患者对化疗的认知应对体验  

Coping Experience of the Cognition of Chemotherapy of Patients in the Early Stage of Adjuvant Chemotherapy after Gastrointestinal Cancer Radical Operation

作　　者：高健慧 商丽艳[2] 徐燕[3] 

机构地区：[1]第二军医大学护理学院,上海200433 [2]同济大学附属肺科医院护理部,上海200433 [3]上海杉达学院国际医学技术学院,上海201209

出　　处：《解放军护理杂志》2016年第6期39-43,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市教育委员会科研创新项目(14ZS166)

摘　　要：目的了解胃肠癌根治术后化疗初期(化疗≤4次)患者对化疗的认知应对体验。方法采用目的抽样法选取2015年7-9月在上海市某三级甲等医院肿瘤科住院及急诊化疗输液室治疗的15例胃肠癌根治术后化疗初期患者为研究对象,对其进行半结构访谈,运用Colaizzi分析程序对访谈资料进行整理分析。结果通过整理归纳,析出4个主题:(1)化疗作用的认知不足;(2)化疗症状的不适与克服;(3)化疗情绪的担忧与从容;(4)化疗应对方式的不同。结论医护人员应帮助胃肠癌根治术后化疗初期患者减少化疗相关知识的认知误区,并进行针对性的心理干预,以帮助其建立有效的应对方式。Objective To explore the coping experience of the cognition of chemotherapy of patients in the early stage of adjuvant chemotherapy after gastrointestinal cancer surgery.Methods By purposive sampling method,15 cases that received chemotherapy in the early stage after gastrointestinal cancer radical operation from Jul to Sep,2015 were selected and had semi-structured interviews,the data were analyzed by Colaizzi method.Results Four themes were extracted：lack of cognition of chemotherapy,uncomfortable experience and control,emotion adjusting,different coping strategies.Conclusions Medical staffs should provide correct knowledge about chemotherapy for patients,implement psychological interventions,and help patients to build rational cognition and effective coping style.

关 键 词：胃肠肿瘤 根治术 化疗 认知 应对 

分 类 号：R735.2[医药卫生—肿瘤] R735.3[医药卫生—临床医学]