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结直肠癌临时肠造口患者的生活体验及患者对造口护士教育干预的感知。

The lived experience of colorectal cancer patients with a temporary ileostomy and the patient's perception of the ostomy nurses' educational interventions.

机构信息

School of Nursing, University of Hong Kong, Hong Kong, Hong Kong SAR.

Department of Nursing, Severance Hospital Yonsei University, Seoul, Republic of Korea.

出版信息

Support Care Cancer. 2023 Apr 18;31(5):276. doi: 10.1007/s00520-023-07748-w.

Abstract

PURPOSE

This study is aimed at exploring the lived experiences of colorectal cancer patients regarding temporary ileostomy and the educational interventions of ostomy nurses.

METHODS

This study is conducted using Heideggerian phenomenological focus group. Focus group interviews were conducted from November 2021 to February 2022 using a semi-structured guide with nine colorectal cancer patients having a temporary ileostomy. The interview data were analyzed using latent content analysis RESULTS: Four main categories and 13 sub-categories are identified as the result of data analysis. Main categories were "colorectal cancer and ileostomy: patient's adaptation," "supporting resources for the patient with ileostomy," "ileostomy closure: hope and concerns," and "ostomy nurse's professionalism." The main categories reflect the shared experiences and perceptions of colorectal cancer patients, across the timeline from colorectal cancer diagnosis to ileostomy closure.

CONCLUSION

This study provides a timely response to a pilot project for recognizing ostomy nurse's education for patients with stomas. Also, the findings of this study contribute to nursing knowledge by providing patients' perspectives on the education provided to them by the ostomy nurse. Lastly, this study inspires future studies to evaluate and recognize ostomy nurse's practice by using various methodological approaches.

摘要

目的

本研究旨在探讨结直肠癌患者对暂时性肠造口的生活体验以及造口护士的教育干预措施。

方法

本研究采用海德格尔现象学焦点小组方法进行。2021 年 11 月至 2022 年 2 月,使用半结构化指南对 9 名有暂时性肠造口的结直肠癌患者进行了焦点小组访谈。使用潜在内容分析法对访谈数据进行分析。

结果

数据分析结果确定了四个主要类别和 13 个子类别。主要类别为“结直肠癌和肠造口:患者的适应”、“肠造口患者的支持资源”、“肠造口关闭:希望和担忧”和“造口护士的专业精神”。这些主要类别反映了结直肠癌患者从结直肠癌诊断到肠造口关闭的整个时间线上的共同经历和看法。

结论

本研究及时回应了为造口患者提供造口护士教育的试点项目,并通过提供患者对造口护士提供的教育的看法,为护理知识做出了贡献。最后,本研究通过使用各种方法学方法,激发了未来评估和认可造口护士实践的研究。

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