乳腺癌患者术后早期信息需求的回顾性分析  

Retrospective analysis of early postoperative information needs in patients with breast cancer

作　　者：余慧 张世瑜[2] 徐莲英[2] 范丽丽 金艳[2] 陈允允 甘露[2] 刘新义 沈逸潇 方琼[1] YU Hui;ZHANG Shiyu;XU Lianying;FAN Lili;JIN Yan;CHEN Yunyun;GAN Lu;LIU Xinyi;SHEN Yixiao;FANG Qiong(School of Nursing,School of Medicine,Shanghai Jiaotong University,Shanghai 200025,China;Department of Surgery,Affiliated Ruijin Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院护理学院,200025 [2]上海交通大学医学院附属瑞金医院外科,200025

出　　处：《重庆医学》2021年第16期2735-2738,2743,共5页Chongqing medicine

基　　金：中华护理学会立项科研课题(ZHKY202003);上海市护理学会重点项目(2020SD-B01);上海交通大学医学院科技基金项目(Jyhz2005);上海交通大学医学院附属瑞金医院院级课题(RJHK-2020-7)。

摘　　要：目的调查乳腺癌患者术后半年内的信息需求内容及其特点。方法回顾性采集2019年6月至2020年1月处于乳腺癌术后半年内,在上海交通大学医学院附属瑞金医院乳腺诊治中心的全程管理平台进行线上咨询的247例患者发送的1586条咨询信息,运用质性研究中的Colaizzi内容分析法进行归类整理,提炼出主题,并分析影响信息需求的因素。结果运用质性研究方法提炼出信息需求内容的3个主题:术后阶段早期康复的信息需求、辅助治疗阶段诊疗流程与治疗相关问题处理的信息需求、随访阶段居家自护的信息需求。治疗阶段是影响乳腺癌患者信息需求量的重要因素(P=0.002),患者在化疗阶段的信息需求较大。结论乳腺癌患者不同治疗阶段信息需求量存在差异,化疗阶段的信息支持应突出个体化。Objective To investigate the content and characteristics of information needs in breast cancer patients within six months after operation.Methods A total of 1586 consultation messages sent by 247 patients within six months after breast cancer surgery were retrospectively collected through the whole-process management online platform of Breast Diagnosis and Treatment Center of Affiliated Ruijin Hospital,School of Medicine,Shanghai Jiaotong University from June 2019 to January 2020.The Colaizzi content analysis method in the qualitative research was used to classify and sort out the topics,and then analyzed the relevant factors affecting the information needs.Results The qualitative research method was used to extract the three themes of the information needs:the information needs for early rehabilitation in the postoperative stage,the information needs for diagnosis and treatment process related problems in the adjuvant treatment stage and the information needs for home self-care during the follow-up period.The treatment stage was an important factor affecting patients′information needs(P=0.002).The patients had greater information needs in the chemotherapy stage.Conclusion The differences in the information needs of breast cancer patients exist in different treatment stages.The individualization of information support during chemotherapy should be highlighted.

关 键 词：乳腺癌 术后早期 信息需求 信息支持 回顾性分析 

分 类 号：R737.9[医药卫生—肿瘤]