恶性肿瘤伤口患者支持性照顾需求的质性研究  

A qualitative study on supportive care needs of patients with malignant fungating wounds

作　　者：刘春凤 邓爱辉 陈长蓉[3] 朱小妹[4] 韦迪[4] LIU Chunfeng;DENG Aihui;CHEN Changrong;ZHU Xiaomei;WEI Di(School of Nursing University of South China,Hengyang,Hunan,421001;Department of Discipline Inspection and Supervision,The Second Hospital Affiliated to University of South China,Hengyang,Hunan,421001;Deparment of Nursing,Fuling Center Hospital of Chongqing City,Chongqing,408000;Ostomy and Wound Care Center,Hunan Cancer Hospital,Changsha,Hunan,421001)

机构地区：[1]南华大学护理学院,湖南衡阳421001 [2]南华大学附属第二医院纪检监察室,湖南衡阳421001 [3]重庆市涪陵中心医院护理部,重庆408000 [4]湖南省肿瘤医院伤口造口中心,湖南长沙410013

出　　处：《中西医结合护理（中英文）》2019年第12期53-57,共5页Journal of Clinical Nursing in Practice

基　　金：重庆市技术创新与应用发展专项面上项目(cstc2019jscx-msxmX0082)

摘　　要：目的探讨恶性肿瘤伤口患者的支持性照顾需求,为制定针对性照护方案提供理论依据。方法运用现象学研究方法,选取10名恶性肿瘤伤口患者进行深度访谈,并运用类属分析法对访谈资料进行分析、总结、归纳。结果提炼出恶性肿瘤伤口患者支持性照顾需求的4个主题:生理的需求、伤口规范化护理的需求、支持和照顾需求、心理的需求。结论医务人员应提供专业的伤口护理,家属应给予患者身心支持和照顾,社会应尽可能提供晚期癌症患者便利的就医条件,重视晚期癌症患者的综合需求,及时满足患者的生活需要。Objective To explore the supportive care needs of patients with malignant fungating wounds, and to provide theoretical basis for the development of malignant fungating wounds-related care plans. Methods The phenomenological research method was used to conduct in-depth interviews with 10 patients with malignant fungating wounds. The interview data were analyzed, summarized and summarized by using the classification analysis method. Results Four themes of supportive care needs of patients with malignant fungating wounds were extracted: physiological needs, wound standardized care needs, support and care needs, and psychological needs. Conclusion Medical staff should provide professional wound care, and family members should provide physical and mental support and care for patients. Additional accesses to medical service should be provided for advanced cancer patients, and more efforts should be made to fulfill the comprehensive needs of advanced cancer patients.

关 键 词：恶性肿瘤伤口 支持性照顾需求 质性研究 心理需求 姑息治疗 

分 类 号：R473.73[医药卫生—护理学]