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影响成年急性白血病化疗患者家庭恢复力的因素:一项定性研究。

Factors influencing family resilience in adult patients with acute leukemia undergoing chemotherapy: A qualitative study.

作者信息

Sun Xuhan, Wang Yuqing, Lu Xinyu, Zhang Shuyu, Zhang Yuxi

机构信息

School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.

Geriatric Hematology/Radiotherapy Ward, The First Affiliated Hospital with Nanjing Medical University (Jiangsu Province Hospital), Nanjing, China.

出版信息

Asia Pac J Oncol Nurs. 2024 Feb 1;11(4):100389. doi: 10.1016/j.apjon.2024.100389. eCollection 2024 Apr.

Abstract

OBJECTIVE

To explore the factors influencing family resilience in adult patients with acute leukemia undergoing chemotherapy, with the aim of providing a theoretical basis for the development of strategies to strengthen their family resilience.

METHODS

A descriptive phenomenological qualitative research method was used to select 11 adult acute leukemia chemotherapy patients for semi-structured interviews. Colaizzi 7-step analysis and NVivo 12.0 were used to summarize information and refine themes.

RESULTS

The main outcomes consisted of two themes and 11 sub-themes: protective factors for family resilience (positive traits, cognitive restructuring, positive family beliefs, organizational flexibility, clear communication, and social support) and risk factors for family resilience (symptom burden, self-concealment, role overload, economic distress, and social alienation).

CONCLUSIONS

Health care professionals should pay attention to screening protective and risk factors for family resilience in adult acute leukemia chemotherapy patients, affirming the positive role of internal and external resources available in the family in stressful situations, alleviating patients' negative experiences, and promoting the recovery of family function.

摘要

目的

探讨影响成年急性白血病化疗患者家庭恢复力的因素,旨在为制定增强其家庭恢复力的策略提供理论依据。

方法

采用描述性现象学质性研究方法,选取11例成年急性白血病化疗患者进行半结构式访谈。运用Colaizzi 7步分析法和NVivo 12.0软件对资料进行归纳总结并提炼主题。

结果

主要结果包括两个主题和11个子主题:家庭恢复力的保护因素(积极特质、认知重构、积极的家庭信念、组织灵活性、清晰沟通和社会支持)和家庭恢复力的风险因素(症状负担、自我隐瞒、角色过载、经济困境和社会疏离)。

结论

医护人员应关注筛查成年急性白血病化疗患者家庭恢复力的保护因素和风险因素,肯定家庭内外部资源在应激状态下的积极作用,减轻患者负面体验,促进家庭功能恢复。

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