化疗期乳腺癌患者PICC相关性静脉血栓确诊早期体验的质性研究  

Experiences of breast cancer patients diagnosed with the early stage of peripherally inserted central catheter related venous thrombosis during chemotherapy:a qualitative study

作　　者：顾成佳 甘露[1] 陈允允 张男[1] GU Cheng-jia;GAN Lu;CHEN Yun-yun;ZHANG Nan(Center of Diagnosis and Treatment for Breast Disease, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, CHINA)

机构地区：[1]上海交通大学医学院附属瑞金医院乳腺疾病诊治中心,上海200025

出　　处：《海南医学》2019年第5期588-590,共3页Hainan Medical Journal

基　　金：上海交通大学医学院附属瑞金医院护理科研基金项目(编号:RJHK-2017-4);上海交通大学医学院科技基金项目(编号:JYH1714);上海市教委护理高原学科项目(编号:Hlgy1844qnhb)

摘　　要：目的了解化疗期乳腺癌患者确诊为PICC相关静脉血栓早期的体验,为制定相关干预措施提供依据。方法采用现象学研究方法,对2017年6月至2018年1月上海交通大学医学院附属瑞金医院10例确诊为PICC相关性静脉血栓的化疗期乳腺癌的患者进行半结构式访谈,并根据Colaizzi七步分析法对资料进行整理分析。结果共提炼出4个主题:确诊后的负性情绪、舒适感降低、功能障碍以及对获得PICC相关性静脉血栓相关信息的迫切希望与需求。结论护理人员应在PICC置管前充分告知相关风险,规范置管前评估内容,加强预防PICC相关性静脉血栓的健康教育,对于确诊患有PICC相关静脉血栓的患者应及时提供专业指导及信息支持,减少患者的焦虑、恐惧等负性情绪,以提高患者的生活质量。Objective To understand the experience of patients with breast cancer diagnosed with the early stage of peripherally inserted central catheter(PICC) related venous thrombosis during chemotherapy, in order to provide a basis for developing relevant interventions. Methods Using a phenomenological research method, a semi-structured interview was conducted with 10 breast cancer patients diagnosed with PICC-related venous thrombosis during chemotherapy at the Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine from June 2017 to January 2018. Then data was sorted and analyzed according to the 7 steps Colaizzi method. Results A total of four themes were extracted: negative emotions after diagnosis, reduced comfort, function disorder, and urgent hope and demand for information on PICC-related venous thrombosis. Conclusion The nursing staff should fully inform patients about the relevant risks before the PICC is placed, standardize the assessment content before catheterization, and strengthen the health education to prevent PICC-related venous thrombosis. For patients diagnosed with PICC-related venous thrombosis, professional guidance and information support should be timely offered to reduce the anxiety, fear and other negative emotions, so as to improve the patients’ quality of life.

关 键 词：乳腺癌 PICC PICC相关性静脉血栓 体验 质性研究 

分 类 号：R737.9[医药卫生—肿瘤]