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非小细胞肺癌化疗的患者观点与副作用体验:一项定性研究

Patient Perspectives and Side-Effects Experience on Chemotherapy of Non-Small Cell Lung Cancer: A Qualitative Study.

作者信息

Zubair Hafiz Muhammad, Khan Muhammad Arslan, Gulzar Faisal, Alkholief Musaed, Malik Abdul, Akhtar Suhail, Sharif Ali, Akhtar Muhammad Furqan, Abbas Muhammad

机构信息

Faculty of Pharmacy, The University of Lahore, Lahore, Pakistan.

Department of Pharmacy Services, The University of Lahore Teaching Hospital, Lahore, Pakistan.

出版信息

Cancer Manag Res. 2023 May 25;15:449-460. doi: 10.2147/CMAR.S396751. eCollection 2023.

Abstract

PURPOSE

This study aimed to explore patients' experiences of palliative chemotherapy for non-small cell lung cancer (NSCLC), how patients adapt to their new and challenging life after chemotherapy, their beliefs, and their quality of life.

PATIENTS AND METHODS

The study used an exploratory descriptive qualitative approach that was designed to explore the experiences and side effects of NSCLC patients on chemotherapy in Pakistan. The study was designed to obtain a deeper understanding of 22 NSCLC patients' experiences, using a face-to-face approach and interviews were conducted. Patients who have completed chemotherapy agreed to participate in semi-structured interviews.

RESULTS

The data were arranged into five themes: hospital facilities and environment, patient's beliefs in alternative treatments, presenting a positive/negative face, life is for living, and health insurance coverage. The major complaints related to bad experiences of chemotherapy-induced side effects, but these patients still managed to complete the full course of their respective chemotherapy. Additionally, the current study revealed the real experience of patients with NSCLC which had been less studied. The patient's experience was summarized into four themes and several subthemes.

CONCLUSION

This study aid healthcare providers when deciding on treatment options that will improve shared decision-making between clinicians and treatment outcomes.

摘要

目的

本研究旨在探索非小细胞肺癌(NSCLC)患者接受姑息化疗的经历、患者在化疗后如何适应新的且具有挑战性的生活、他们的信念以及生活质量。

患者与方法

本研究采用探索性描述性定性研究方法,旨在探究巴基斯坦NSCLC患者化疗的经历及副作用。该研究旨在通过面对面的方式,对22例NSCLC患者的经历进行更深入的了解,并开展访谈。已完成化疗的患者同意参与半结构化访谈。

结果

数据归纳为五个主题:医院设施与环境、患者对替代疗法的信念、呈现正面/负面形象、生活在于生活以及医疗保险覆盖情况。主要抱怨与化疗引起的副作用的不良经历有关,但这些患者仍设法完成了各自化疗的全过程。此外,本研究揭示了此前较少研究的NSCLC患者的真实经历。患者的经历归纳为四个主题和若干子主题。

结论

本研究有助于医疗服务提供者在决定治疗方案时,改善临床医生与治疗结果之间的共同决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/995f/10226488/18caab07a6d0/CMAR-15-449-g0001.jpg

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