肺癌患者病耻感体验的质性研究  

Qualitative research of health-related stigma experience in patients with lung cancer

作　　者：王黎[1] 于媛[1] 张娜[1] 杜艳华[1] 白颖[1] 班彩丹 

机构地区：[1]中国医学科学院肿瘤医院胸外科,北京100021

出　　处：《中华现代护理杂志》2016年第30期4358-4362,共5页Chinese Journal of Modern Nursing

基　　金：协和青年基金;中央高校基本科研业务费专项资金（33320140112）

摘　　要：目的：了解肺癌患者病耻感的真实感受、患者病耻感的来源、影响因素以及应对模式。方法采用现象学研究法，深入访谈14例肺癌住院患者，并采用Colaizzi 7步分析法分析资料。结果肺癌患者病耻感的主要来源：公众对肺癌患者的歧视心理、肺癌与自我行为密切相关、社交隔离。病耻感阻碍了肺癌的早期暴露、影响患者的医疗求助行为，患者负面情绪显著。肺癌患者的应对方式主要有：积极寻求社会支持，以改善自身悲观情绪；回避人际沟通，刻意隐瞒病情；选择性忽视。结论医护人员应增强医患沟通技巧，给患者营造放松的就医环境，改善控烟工作方式，建立专业的延续护理团队，提高社会对肺癌的关注。Objective To learn the real feelings, source, influencing factors and coping mode of lung cancer stigma in patients with lung cancer. Methods Phenomenological methodology was used in this study. 14 hospitalized patients with lung cancer were interviewed. Data were analyzed by Colaizzi′s seven-step analysis method.Results The main source of LCS included：the public discrimination against lung cancer patients, lung cancer was closely related to self behavior, social isolation. Lung cancer stigma can prevent early exposure of disease and influence patients′help-seeking behaviors, and bring negative emotion to the patients. Coping mode of patients includes actively seeking social support to deal with pessimism, avoiding interpersonal communication and concealing illness, selective inattention. Conclusions Better communication between medical workers and patients and comfortable treatment environment are important for patients. In order to avoid Lung cance stigma related to smoking, health care providers should improve tobacco control working mode, build professional team for cancer treatment continued nursing and promote social attention to lung cancer.

关 键 词：肺癌 病耻感 质性研究 

分 类 号：R473.73[医药卫生—护理学]