直肠癌Miles术结肠造口患者围手术期心理体验的质性研究  

Qualitative research of patient′s perioperative psychological experience after miles operation with colostomy

作　　者：鞠昊[1] Ju Hao(Department of Colorectal Surgery, Cancer Hospital of Harbin Medical University,Harbin 150040, China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院结直肠外科,150040

出　　处：《中华结直肠疾病电子杂志》2016年第1期89-91,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的探讨质性研究的方法在了解腹会阴联合直肠癌根治术(Miles术)围手术期心理体验中的作用。方法收集2014年3月至2014年9月在哈尔滨医科大学附属肿瘤医院结直肠外科确诊为低位直肠癌后预行直肠癌Miles术永久性结肠造口术患者,应用质性研究的方法了解病人对焦虑和恐惧的体验。结果本次质性研究显示,受访者在围手术期中除了表现为癌症患者共性心理体验外,还会出现由于直肠癌Miles术后产生的自身形态改变以及排便功能的变化而引起的患者内心的焦虑、恐惧和不安。结论质性研究的方法了解患者的心理体验,这对患者围手术期以及术后康复阶段能够树立信心是非常有帮助的,也对永久性造口患者日后的自我护理能力的提升是很有益处的。Objective To discuss the role of qualitative research in patient′s perioperativepsychological experience after miles operation. Methods Patients were enrolled from Cancer Hospitalof Harbin Medical University from March 2014 to September 2014, who were diagnosed with low rectalcancer and planed for miles surgery and permanent colostomy. Application of qualitative research method tounderstand the patient′s experience of anxiety and fear. Results This qualitative study shows that besidesperioperative common psychological experience, patients after miles operation also can appear inner anxiety,the fear and upset due to the changes of physique and defecation function. Conclusions Qualitative researchis very helpful for patients′ confidence established during perioperative stage and recover stage. Also is veryhelpful to improve self-care ability in the future for patients with permanent colostomy.

关 键 词：直肠肿瘤 结肠造口术 围手术期护理 

分 类 号：R473.73[医药卫生—护理学]