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探究根治性肺叶切除术后肺癌康复患者的症状和心理体验:一项定性研究。

Exploring the symptoms and psychological experiences among lung cancer convalescence patients after radical lobectomy: A qualitative study.

机构信息

Department of Thoracic Surgery, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China.

Shenzhen Clinical Research Centre for Geriatrics, Shenzhen People's Hospital, Shenzhen, Guangdong, China.

出版信息

Cancer Med. 2024 Aug;13(15):e70048. doi: 10.1002/cam4.70048.

Abstract

OBJECTIVE

This study aims to explore the symptom experiences and psychological feelings of lung cancer patients after radical lobectomy in China.

METHODS

A qualitative study was conducted using face-to-face semistructured interviews with lung cancer patients who had a radical lobectomy for treatment of their cancer during the convalescence period. Participants (n = 18) were recruited from a general hospital in China, and patients were selected using purposive sampling from September 2021 to February 2022. Interviews were recorded and transcribed verbatim, and Colaizzi's seven-step method of phenomenology was used. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was conducted to report the study.

RESULTS

Four themes were extracted from the interview data: physiological dimensions (fatigue, cough or sputum, chest tightness and shortness of breath, daily activities affected, sleep disturbance, lack of appetite); psychological dimensions (negative emotion, fear of cancer recurrence, learning to accept reality, strengthened faith and hope); family dimensions (heavy economic burden, perceived family care, improved health management behavior); and social dimensions (perceived support of medical staff, decreased sense of social value and self-identity, changes in social and working style).

CONCLUSION

Lung cancer patients are still troubled by many problems during the postoperative recovery period. Medical staff should design and implement effective evaluations and targeted interventions for patients' physical and mental health as soon as possible to improve patients' physical and mental health, as well as their quality of life.

摘要

目的

本研究旨在探讨中国肺癌根治性肺叶切除术后患者的症状体验和心理感受。

方法

采用定性研究方法,对 2021 年 9 月至 2022 年 2 月期间在一家中国综合医院接受根治性肺叶切除术治疗的癌症康复期肺癌患者进行面对面半结构式访谈。采用目的抽样法选取参与者(n=18)。采用 Colaizzi 的七步现象学方法对访谈进行记录和逐字转录。采用 Consolidated Criteria for Reporting Qualitative Research (COREQ) 清单报告研究。

结果

从访谈数据中提取出四个主题:生理维度(疲劳、咳嗽或咳痰、胸闷和呼吸急促、日常活动受影响、睡眠障碍、食欲不振);心理维度(负性情绪、害怕癌症复发、学会接受现实、增强信念和希望);家庭维度(沉重的经济负担、感知到的家庭关怀、改善健康管理行为);社会维度(感知到医务人员的支持、社会价值和自我认同感下降、社会和工作方式的改变)。

结论

肺癌患者在术后康复期间仍受到许多问题的困扰。医护人员应尽快为患者的身心健康设计和实施有效的评估和针对性干预,以提高患者的身心健康和生活质量。

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