Faculty of Nursing, Thammasat University, Pathum Thani, Thailand.
Department of Nursing, National Cheng Kung University, Tainan, Taiwan.
Asian Pac J Cancer Prev. 2023 Feb 1;24(2):459-465. doi: 10.31557/APJCP.2023.24.2.459.
Breast cancer is the most common cancer in females worldwide, and a new era is prevalent in the early stage. A qualitative approach explores discomfort experienced during adjuvant chemotherapy among Thai breast cancer patients.
The participants were selected by purposive sampling with a variation of two comprehensive cancer centers. Individual in-depth interviews were conducted with fifteen patients who had completed the second cycle of adjuvant chemotherapy prior to the interview.
A qualitative content analysis of data revealed two themes, six categories, and 23 sub-categories. The themes defined discomfort characteristics and factors leading to discomfort. Among all the categories were described physical discomfort, environmental discomfort, psychological discomfort, needing to relieve discomfort, lack of socio-cultural support, and lack of mental support.
There is a need to alleviate discomfort, specifically due to Thai beliefs and culture related to patient self-management and nursing care. These findings may be extended to best practice nursing interventions to enhance comfort outcomes for breast cancer patients and elevate patient satisfaction.
乳腺癌是全球女性最常见的癌症,早期治疗已进入新时代。本研究采用定性方法,探讨了泰国乳腺癌患者在接受辅助化疗期间的不适体验。
采用目的抽样法,选取了来自两家综合性癌症中心的 15 名患者作为研究对象。在访谈前,所有患者均已完成第二轮辅助化疗。采用个体深入访谈法收集资料。
对资料进行定性内容分析后,共提炼出两个主题、六个类别和 23 个子类别。主题界定了不适的特征和导致不适的因素。所有类别的内容包括身体不适、环境不适、心理不适、需要缓解不适、缺乏社会文化支持以及缺乏心理支持。
需要减轻患者的不适,特别是减轻与泰国患者自我管理和护理相关的信仰和文化带来的不适。这些发现可能有助于制定最佳的护理干预措施,以改善乳腺癌患者的舒适度并提高患者的满意度。