基于McMaster家庭功能理论的育龄期宫颈癌患者家庭功能的质性研究  

Family function in childbearing period cervical cancer patients based on the McMaster Family Functioning Theory:a qualitative study

作　　者：王雪娇 蒋玲[2] 马倩[2] 吕亚[3] 顾景艳[3] Wang Xuejiao;Jiang Ling;Ma Qian;Lyu Ya;Gu Jingyan(School of Nursing,Medical College of Soochow University,Suzhou 215006,China;Department of Nursing,Suzhou Municipal Hospital,Suzhou 215006,China;Department of Gynaecology,Wuxi Maternal and Child Health Hospital,Wuxi 214000,China)

机构地区：[1]苏州大学医学部护理学院,苏州215006 [2]苏州市立医院护理部,苏州215006 [3]无锡市妇幼保健院妇科,无锡214000

出　　处：《中华现代护理杂志》2025年第11期1449-1456,共8页Chinese Journal of Modern Nursing

基　　金：苏州市医学重点扶持学科建设——临床护理学项目(SZFCXK202101)。

摘　　要：目的基于McMaster家庭功能理论,深入了解育龄期宫颈癌患者及其家庭照顾者在应对癌症过程中的家庭功能状况,为制订科学有效的家庭支持方案提供参考依据。方法本研究为质性研究。采用目的抽样法,于2024年3—4月选取无锡市妇幼保健院收治的15对育龄期宫颈癌患者及其照顾者作为研究对象进行面对面半结构式访谈。应用Colaizzi 7步分析法分析访谈资料并提炼主题。结果共提炼5个主题,分别为角色变迁与家庭结构的转变、家庭成员之间互动情境的改变、照护需求及困扰呈现阶段性变化、家庭成员对疾病体验的情感介入失衡、家庭行为隔离。结论癌症事件对育龄期宫颈癌患者家庭功能的6个维度(角色分工、问题解决、沟通、情感介入、情感反应、行为控制)均构成威胁,临床工作者需重视育龄期宫颈癌患者的家庭功能,制订以患者及照顾者为中心的家庭功能干预方案,使其能更好地面对疾病,改善临床结局。Objective To explore the family function of childbearing period cervical cancer patients and their caregivers based on the McMaster Family Functioning Theory,providing a reference for developing scientific and effective family support programs.Methods This qualitative study employed a purposive sampling method to recruit 15 pairs of childbearing period cervical cancer patients and their caregivers from Wuxi Maternity and Child Health Hospital between March and April 2024.Face-to-face semi-structured interviews were conducted,and data were analyzed using Colaizzi's seven-step method to extract themes.Results A total of five main themes were identified:role transitions and family structure changes;alterations in family interaction dynamics;evolving caregiving needs and distress;emotional disengagement in disease experiences among family members;family behavioral isolation.Conclusions The cancer diagnosis posed threats to all six dimensions of family function(role distribution,problem-solving,communication,emotional involvement,emotional responsiveness,and behavioral control).Clinical practitioners should pay close attention to the family functioning of childbearing period cervical cancer patients and develop patient-and caregiver-centered family function intervention programs to help them better cope with the disease and improve clinical outcomes.

关 键 词：宫颈癌 育龄期 家庭功能 家庭支持 质性研究 

分 类 号：R473.73[医药卫生—护理学]