乳腺癌患者对辅助内分泌治疗认知程度与相关知识需求的质性研究  

Qualitative research on cognitive level of patients with breast cancer adjuvant endocrine therapy and needs of related knowledge

作　　者：侯艳玲 颜琬华[2] 万绪明 

机构地区：[1]威海市中心医院心胸乳腺外科 [2]滨州医学院护理学院,256603 [3]威海市中心医院影像科

出　　处：《中国实用护理杂志》2018年第3期212-216,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨乳腺癌患者对辅助内分泌治疗的认知程度和相关知识需求情况，为制订提高服药依从性的干预措施提供依据。方法采用质性研究方法，对12例辅助内分泌治疗的患者进行深度访谈、现场录音和笔录，运用Colaizzi内容分析法对资料进行分析。结果对辅助内分泌治疗的认知程度参差不齐，相关的需求主要有：内分泌治疗的相关知识、服药过程中不良反应及应对措施；服药期间健康生活方式；服药期间的医护沟通；服药期间个人心理压力调适及服药费用问题。结论应进一步加强乳腺癌辅助内分泌治疗相关知识的宣教力度，建立有效随访体系，加强多学科合作和医患沟通，深入了解患者对辅助内分泌的认知水平和心理需求，有针对性地提供干预措施，增强服药信念，提高服药依从性。Objective To explore the cognitive level of patients with breast cancer who were undergoing adjuvant endocrine therapy and their needs for related knowledge, so as to provide powerful references for making effectively compliance interventions. Methods An in-depth interview was conducted on 12 breast cancer patients who were undergoing adjuvant endocrine therapy. Data were analyzed by Colaizzi analysis procedure. Results The views on adjuvant endocrine therapy were very disagree and the main needs were： the related knowledge of adjuvant endocrine therapy, side effects of adjuvant endocrine therapy and its cope measures, the needs about healthy lifestyle during taking medicine, the needs of communicating with doctors and nurses, the regulation methods on alleviating psychological stress and releasing worries of the drug costs. Conclusion More efforts should made to strengthen the health education on adjuvant endocrine therapy and create effectively follow-up system, strengthen multi-discipline cooperation and doctor-patient communication, also we need deeply recognize the cognitive level about endocrine therapy of the patients and meet their psychological needs, aim directly interventions to relieve or eliminate their concerns, thus reinforce their believes of drug administration and promote the adherence of adjuvant endocrine therapy.

关 键 词：乳腺肿瘤 辅助内分泌治疗 质性研究 

分 类 号：R473.73[医药卫生—护理学]