前列腺癌内分泌治疗病人疾病适应性需求的质性研究  

Qualitative study on adaptive needs of prostate cancer patients undergoing endocrine therapy

作　　者：顾嘉 殷弘凡 朱涵菁 杨艳[2] GU Jia;YIN Hongfan;ZHU Hanjing;YANG Yan(Shanghai Jiao Tong University,School of Nursing,Shanghai 200025 China;Renji Hospital,Shanghai Jiao Tong University School of Medicine)

机构地区：[1]上海交通大学护理学院,上海200025 [2]上海交通大学医学院附属仁济医院

出　　处：《护理研究》2025年第8期1337-1342,共6页Chinese Nursing Research

基　　金：国家自然科学基金项目,编号:72174120。

摘　　要：目的:探讨前列腺癌内分泌治疗病人的适应性需求,为构建有针对性的干预方案提供依据。方法:采用现象学研究方法,于2022年12月—2023年4月对上海市某三级甲等医院就诊的17例接受内分泌治疗的前列腺癌病人和10名医护人员进行半结构化访谈。运用Colaizzi 7步分析法对资料进行整理和分析。结果:累计访谈836 min,转录151703文字,共提炼出3个主题和8个亚主题。3个主题分别为自我管理需求、心理支持需求、社会支持需求。结论:前列腺癌病人饱受症状困扰和心理负担的影响导致其疾病适应性存在一定挑战。医护人员需高度重视疾病适应性问题,深入探讨应对策略,借助慢性病领导力框架,促进医患协同合作,以提升病人的适应能力。Objective:To investigate the adaptive needs of prostate cancer patients undergoing endocrine therapy,and to provide evidence for the construction of targeted intervention programs.Methods:A phenomenological study method was used to conduct semi-structured interviews with 17 prostate cancer patients and 10 medical staff who received endocrine therapy in a tertiary grade A hospital in Shanghai from December 2022 to April 2023.Colaizzi 7 step analysis method was used to sort out and analyze the data.Results:Interviews with a total of 836 minutes duration were conducted,151703 texts were transcribed,and 3 themes and 8 sub-themes were extracted.The three themes were self-management needs,psychological support needs,and social support needs.Conclusions:Prostate cancer patients face significant challenges in disease adaptation due to the impact of symptom distress and psychological burden.Medical staff should attach great importance to disease adaptation,explore coping strategies in depth,and promote doctor-patient collaboration with the help of chronic disease leadership framework,so as to enhance the adaptability of patients.

关 键 词：前列腺癌 内分泌治疗 需求 医患视角 质性研究 

分 类 号：R473.73[医药卫生—护理学]