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诊断为直肠癌患者的治疗轨迹:解释性现象学研究。

Treatment trajectories of individuals diagnosed with rectal cancer: an interpretative phenomenological study.

机构信息

Colorectal and Stoma Care Nurse Specialist, Colorectal Service, Health & Community Services, St Helier, Jersey.

Assistant Professor in Health Systems, University College Dublin, Belfield, Dublin, Ireland.

出版信息

Br J Nurs. 2024 Jun 6;33(11):505-514. doi: 10.12968/bjon.2023.0250.

DOI:10.12968/bjon.2023.0250
PMID:38850134
Abstract

Rectal cancer affects almost every aspect of an individual's daily life. However, there are gaps in understanding the complete spectrum of experiences spanning from diagnosis to recovery. Therefore, the aim of this study was to explore the treatment trajectories of individuals diagnosed with rectal cancer. Adopting an interpretative phenomenological approach, seven participants were recruited using purposive sampling. Data were collected using semi-structured, in-depth interviews that were digitally recorded, transcribed and analysed using thematic analysis. Study rigour was established following the four-dimension criteria of credibility, dependability, transferability and confirmability. Four prominent themes emerged from the participants' experiences of undergoing rectal cancer treatment: uncovering the inner battles; navigating the physical challenges; anchors of support and conquering the summit. These findings contribute to knowledge and practice by highlighting the importance of providing a comprehensive and individualised treatment plan for individuals that takes account of the physical and psycho-emotional implications of rectal cancer treatment.

摘要

直肠癌几乎影响到个体日常生活的方方面面。然而,人们对于从诊断到康复这一全过程的体验认识仍存在空白。因此,本研究旨在探讨诊断为直肠癌患者的治疗轨迹。本研究采用解释性现象学方法,通过目的性抽样选取了 7 名参与者。使用半结构式深入访谈收集数据,访谈内容被数字记录下来,并使用主题分析进行转录和分析。研究严谨性遵循可信性、可靠性、可转移性和可确认性的四项标准。从参与者接受直肠癌治疗的经历中得出了四个突出的主题:揭示内心的斗争;应对身体的挑战;支持的锚点和克服难关。这些发现通过强调为个体提供全面和个性化的治疗计划的重要性,为知识和实践做出了贡献,该计划考虑了直肠癌治疗的身体和心理情感影响。

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World J Gastrointest Surg. 2025 Jun 27;17(6):103998. doi: 10.4240/wjgs.v17.i6.103998.
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Facilitators and barriers to survivorship support access: a qualitative study of rectal cancer survivors' experiences in Texas.促进和阻碍生存支持获取的因素:一项对德克萨斯州直肠癌幸存者经历的定性研究。
BMJ Open. 2024 Nov 20;14(11):e085597. doi: 10.1136/bmjopen-2024-085597.