射波刀治疗脊柱肿瘤食道黏膜炎患者症状体验和需求的质性研究  

Symptom experience and needs of spinal tumor patients with esophagus mucositis treated by Cyberknife： a qualitative study

作　　者：王攀峰[1] 张睦毅 张鹤立 庄洪卿[1] 李葆华[2] Wang PF;Zhang MY;Zhuang HQ;Zhang HL;Li BH(Department of Radiotherapy, Peking University Third Hospital, Beijing100191, China;School of Nursing, Peking University, Beijing100191, Chin;Nursing Department, Peking University Third Hospital, Beijing 100191, Chin)

机构地区：[1]北京大学第三医院肿瘤放疗科,北京100191 [2]北京大学第三医院护理部,北京100191 [3]北京大学护理学院,100191

出　　处：《中华现代护理杂志》2018年第7期772-774,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨行射波刀治疗的脊柱肿瘤患者食道黏膜炎的相关症状体验及护理需求.方法 采用便利抽样法,选择2017年5 —11月在北京大学第三医院进行射波刀治疗脊柱肿瘤的患者9例为研究对象.采用电话对患者进行访谈,采用质性研究中的现象学方法 进行资料分析.结果 提炼出4个主题：患者射波刀治疗期间发生食道黏膜炎的相关症状明显;射波刀治疗期间发生食道黏膜炎反应会对患者心理及治疗进度产生影响;射波刀治疗期间发生食道黏膜炎会对患者的进食情况、体重及营养状况产生影响;患者认为在射波刀治疗期间及治疗后医护人员有必要对其进行食道黏膜炎相关专业指导和后期随访.结论 放射性食道黏膜炎对患者生理、心理等方面的影响显著,医务人员应在患者治疗期间及结束后,加强对患者的相关指导和随访.Objective To explore the symptom experience and nursing needs of spinal tumor patients with esophagus mucositis treated by Cyberknife. Methods From May to November 2017, we selected 9 spinal tumor patients treated by Cyberknife of Peking University Third Hospital as subjects by convenience sampling. All of the patients were interviewed by telephone. These data were analyzed with the phenomenological approach of the qualitative study. Results A total of four themes were refined including the esophagus mucositis-correlated symptoms were obvious during Cyberknife therapy, the esophagus mucositis during Cyberknife therapy affected the patients＇ psychology and treatment progress, the esophagus mucositis during Cyberknife therapy affected taking food, weight and nutrition of patients, patients thought that it was necessary for health care providers to provide patients the esophagus mucositis-correlated professional guidance and late follow-up during and after Cyberknife therapy. Conclusions The radioactive esophagus mucositis has a great influence on patients＇ physiology and psychology. Health care providersshould strengthen the related guidance and follow-up for patients during and after Cyberknife therapy.

关 键 词：脊柱 射波刀 食道黏膜炎 质性研究 

分 类 号：R473.73[医药卫生—护理学]