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反映危机反应:食管癌患者关于诊断和手术后最初6个月的叙述。

Reflecting a crisis reaction: Narratives from patients with oesophageal cancer about the first 6 months after diagnosis and surgery.

作者信息

Hellstadius Ylva, Malmström Marlene, Lagergren Pernilla, Sundbom Magnus, Wikman Anna

机构信息

Regional Cancer Centre Stockholm Sweden.

Department of Clinical Sciences Skåne University Hospital, Lund University Lund Sweden.

出版信息

Nurs Open. 2019 Aug 2;6(4):1471-1480. doi: 10.1002/nop2.348. eCollection 2019 Oct.

Abstract

AIM

The aim of the study was to describe patients' experiences of emotional adaption following treatment for oesophageal cancer from diagnosis to 6 months after surgery.

DESIGN

A qualitative interview study using an inductive approach was carried out.

METHODS

Participants were recruited from two university hospitals in Sweden. Ten patients who had been operated for oesophageal cancer with curative intent 6 months earlier and consented to participate in the study were included. Patients who had a disease recurrence were not eligible for inclusion. Participants were interviewed with a semi-structured interview approach. Data were analysed using qualitative content analysis.

RESULTS

One overarching theme was identified; , which comprised three key categories; (a) ; (b) ; and (c) , derived from 14 distinct sub-categories.

CONCLUSION

This study highlights the process of emotional adaptation following oesophageal cancer surgery that patients describe when reflecting back on the first 6 months postoperatively pointing to a crisis reaction in this early postoperative period.

摘要

目的

本研究旨在描述食管癌患者从诊断到术后6个月治疗期间的情绪适应经历。

设计

采用归纳法进行定性访谈研究。

方法

从瑞典的两家大学医院招募参与者。纳入10名6个月前接受了食管癌根治性手术且同意参与研究的患者。疾病复发的患者不符合纳入标准。采用半结构化访谈方法对参与者进行访谈。使用定性内容分析法对数据进行分析。

结果

确定了一个总体主题,该主题包含三个关键类别:(a) ;(b) ;和(c) ,这些类别源自14个不同的子类别。

结论

本研究突出了食管癌手术后患者情绪适应的过程,患者在回顾术后前6个月时描述了这一过程,表明术后早期存在危机反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aacf/6805708/b5e30f6627ff/NOP2-6-1471-g001.jpg

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本文引用的文献

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Risk factors for oesophageal cancer.食管癌的危险因素。
Best Pract Res Clin Gastroenterol. 2018 Oct-Dec;36-37:3-8. doi: 10.1016/j.bpg.2018.11.008. Epub 2018 Nov 22.
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A longitudinal assessment of psychological distress after oesophageal cancer surgery.食管癌手术后心理困扰的纵向评估。
Acta Oncol. 2017 May;56(5):746-752. doi: 10.1080/0284186X.2017.1287945. Epub 2017 Feb 17.
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Esophageal cancer recurrence patterns and implications for surveillance.食管癌复发模式及其对监测的意义。
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