Bergkvist Karin, Wengström Yvonne
Radiumhemmet, P52 Karolinska University Hospital, 171 76, Stockholm, Sweden.
Eur J Oncol Nurs. 2006 Feb;10(1):21-9. doi: 10.1016/j.ejon.2005.03.007.
Nausea and vomiting are common and well-studied symptoms in cancer care. Most previous studies have focused on the frequency and management of these symptoms. The aim of the study was to acquire a deeper understanding of cancer patients' symptom experiences with a focus on nausea and vomiting during chemotherapy treatment, and the consequences these have on their daily lives. Nine women with different types of cancer and chemotherapy treatments were admitted for chemotherapy treatment and participated in the study. Semi-structured interviews were conducted and analysed using content analysis inspired by Kvale's methods of clarifying and developing new meaning. Five main categories were identified as "before cancer diagnosis", "being ill--consequences on daily life", "going through chemotherapy treatment", "coping with treatment" and "after treatment--looking forward to a normal life". The present findings suggest that the individual experiences of nausea and vomiting during chemotherapy treatment may have a profound effect on how treatment is perceived and may influence future decisions concerning further treatment.
恶心和呕吐是癌症护理中常见且经过充分研究的症状。此前大多数研究都集中在这些症状的发生率和处理方法上。本研究的目的是更深入地了解癌症患者在化疗期间的症状体验，重点关注恶心和呕吐，以及这些症状对他们日常生活的影响。九名患有不同类型癌症且正在接受化疗的女性被收治进行化疗，并参与了该研究。采用受克瓦尔阐明和发展新意义方法启发的内容分析法，对访谈进行了半结构化访谈和分析。确定了五个主要类别，分别为“癌症诊断前”、“患病——对日常生活的影响”、“接受化疗治疗”、“应对治疗”以及“治疗后——期待正常生活”。目前的研究结果表明，化疗期间恶心和呕吐的个体体验可能会对治疗的认知产生深远影响，并可能影响未来关于进一步治疗的决策。
