基于诠释性现象学研究的卵巢癌患者创伤后成长经历模型的构建  

Construction of post-traumatic growth model of ovarian cancer patients based on interpretative phenomenological analysis

作　　者：耿玉芳 秦如梦 王慧[3] 张珊珊[4] 周利华[5] GENG Yu-fang;QIN Ru-meng;WANG Hui;ZHANG Shan-shan;ZHOU Li-hua(Dept.of Critical Care Medicine,the First Affiliated Hospital of Anhui Medical University,Hefeii 230022,China;Dept.of Urology,the First Affiliated Hospital of Anhui Medical University,Hefeii 230022,China;Dept.of Nursing Administration,the First Affiliated Hospital of Anhui Medical University,Hefeii 230022,China;Operating Room,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;School of Nursing,Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第一附属医院重症医学科,安徽合肥230022 [2]安徽医科大学第一附属医院泌尿外科,安徽合肥230022 [3]安徽医科大学第一附属医院护理部,安徽合肥230022 [4]安徽中医药大学第一附属医院手术室,安徽合肥230031 [5]安徽医科大学护理学院,安徽合肥230601

出　　处：《护理学报》2024年第18期73-78,共6页Journal of Nursing（China）

基　　金：安徽省教育厅示范基层教学组织(215)。

摘　　要：目的深入探索卵巢癌患者与疾病抗争过程中产生的创伤后成长体验,以期构建概念模型描述创伤后成长这一复杂经历。方法采用诠释性现象学方法,2021年2—12月,通过便利抽样法选取13例卵巢癌患者进行半结构式深度访谈。访谈数据采用Smith方法进行分析。结果卵巢癌患者创伤后成长经历共归纳为6个主题(谎言世界、现实世界、化疗世界、低谷耗竭、绝处逢生和自我成长)和18个副主题。寻找不同主题、副主题之间的关系和纽带,进一步诠释分析构建出卵巢癌患者创伤后成长经历的概念模型。结论创伤后成长经历的概念模型提供了一个更系统、全面的考虑,揭示了患有卵巢癌的女性如何一步一步应对疾病走向成长的全面图景。提示医护人员密切关注卵巢癌人群的心理变化需求,提供情感-信息-经济早期支持,重塑心态防线,加强心态-情绪-行为联动管理,降低或消除疾病等原因引起的负面情绪,激发患者复原力,促使其积极治疗,早日实现自我成长。Objective To explore the post-traumatic growth(PTG)of ovarian cancer patients during their struggle with the disease,and to construct a conceptual model to describe the PTG.Methods From February 2021 to December 2021,by convenience sampling,13 ovarian cancer patients were selected for semi-structured in-depth interviews using interpretive phenomenology method.The interview data were analyzed by Smith method.Results The PTG of ovarian cancer patients were grouped into six themes(the world of lies,the real world,the world of chemotherapy,depression and exhaustion,survival and self-growth)and 18 sub-themes.The relationship and ties between different themes and sub-themes were explored to further interpret and analyze the conceptual model of PTG of ovarian patients.Conclusion The conceptual model of PTG is more systematic and holistic,revealing a comprehensive picture of how women with ovarian cancer cope step by step with the disease toward growth.It is suggested that medical staff should pay close attention to the psychological change needs of ovarian cancer population.Early emotional-information-economic support is conducive to remodeling the mental defense line.The mental-emotion-behavior linkage management helps to reduce or eliminate negative emotions caused by the disease and other reasons,stimulate the resilience of patients,promote their active treatment,and realize self-growth as soon as possible.

关 键 词：诠释性现象学 卵巢癌 创伤后成长 模型 

分 类 号：R473.73[医药卫生—护理学]