Saltmarsh K, De Vries K
Specialist Medicine Group, Kings College Hospital NHS Trust, Denmark Hill, London, UK.
Eur J Cancer Care (Engl). 2008 Sep;17(5):500-8. doi: 10.1111/j.1365-2354.2007.00909.x. Epub 2008 Jul 9.
The paradoxical image of chemotherapy: a phenomenological description of nurses' experiences of administering chemotherapyA sample of nine nurses who were employed within a haematology ward, a bone marrow transplant unit and a chemotherapy outpatient department of a single hospital Trust in the UK, and who regularly administered cytotoxic chemotherapy were recruited to participate in the study. A qualitative phenomenological design was used with a semi-structured interview format. The findings revealed a 'Paradoxical image of chemotherapy' that was related to the overall damaging effects of chemotherapy where it both serves as a curative treatment and 'another chance of life' and also causes damage (morbidity) while it cures. The nurses administering chemotherapy were found to also experience 'damage' as a result of seeing the suffering of their patients and being involved in dilemmas regarding administering chemotherapy treatments. The patient experiences are described from the nurses' perspective.
对护士化疗给药经历的现象学描述
在英国一家医院信托机构的血液科病房、骨髓移植科和化疗门诊工作，且经常进行细胞毒性化疗给药的9名护士被招募参与该研究。采用定性现象学设计，采用半结构化访谈形式。研究结果揭示了一种“化疗的矛盾形象”，这与化疗的总体损害作用有关，即化疗既是一种治愈性治疗和“另一次生命机会”，同时在治愈的过程中也会造成损害（发病）。研究发现，进行化疗给药的护士由于目睹患者的痛苦以及在化疗给药治疗方面陷入两难境地，自身也会经历“损害”。患者的经历是从护士的角度进行描述的。
