全喉切除患者食管语音训练体验的质性研究  

Experience on esophageal speech training among patients undergoing total laryngectomy:a qualitative study

作　　者：耿敬 席淑新[3] 周苹 吴沛霞[3] 季素娟 Geng Jing;Xi Shuxin;Zhou Ping;Wu Peixia;Ji Sujuan(Nursing and Medical Technology College,Yangtze University Health Science Center,Jingzhou 434023,China)

机构地区：[1]长江大学医学部护理与医学技术学院,湖北荆州434023 [2]复旦大学护理学院 [3]复旦大学附属眼耳鼻喉科医院护理部

出　　处：《护理学杂志》2020年第2期34-37,共4页Journal of Nursing Science

基　　金：复旦大学护理学院科研基金项目(FNF201316)。

摘　　要：目的深入探索全喉切除患者食管语音训练过程中真实心理体验,旨在为食管语音训练者开展针对性干预提供参考。方法采用现象学研究方法对15例全喉切除食管语音训练患者进行田野观察和深度访谈,并采用Colaizzi 7步分析法分析资料。结果资料分析提炼出5个主题:心理状态、行为应对方式、社会关系改变、食管语音训练所致的不适、对食管语音训练效果评价。结论食管语音训练使全喉切除患者的心理状态及社会关系发生了积极的改变,食管语音训练被越来越多患者接受,但食管语音效果仍具有一定的局限性。Objective To explore the true experience in esophageal speech training among patients undergoing total laryngectomy,so as to provide reference for conducting targeted intervention for patients receiving esophageal speech training.Methods Phenomenological method was used to study 15 patients receiving esophageal speech training after total laryngectomy utilizing the method of field observation and depth interview,and data were analyzed using Colaizzi′s 7 steps analysis method.Results Five themes were extracted:mental state,behavior coping styles,changes in social relationships,esophageal speech training induced discomfort and effect evaluation of esophageal speech training.Conclusion Esophageal speech training makes the psychological state and social relationship changed positively for patients undergoing total laryngectomy,so more and more patients accepted the training,while its effect has limitations.

关 键 词：喉癌 全喉切除术 食管语音训练 心理状态 应对方式 质性研究 

分 类 号：R473.76[医药卫生—护理学]