Department of Nursing, Changsha Central Hospital, China.
Minimally Invasive Surgery Center, The First Hospital of Changsha, China.
Asian Nurs Res (Korean Soc Nurs Sci). 2024 Aug;18(3):281-287. doi: 10.1016/j.anr.2024.07.007. Epub 2024 Jul 30.
The aim of this study was to understand the experience of social alienation in elderly lung cancer patients, to explore its causes, and to propose targeted intervention strategies.
From July to August 2023, 16 elderly lung cancer patients attending the respiratory department of a tertiary hospital in Changsha City, Hunan Province, were selected for semi-structured interviews using a purposive sampling method. The Colaizzi 7-step method was used to analyze the data.
A total of four themes were distilled: the experience of social alienation in elderly lung cancer patients (pessimistic feelings, inferiority complex, and heavy psychological burden), subjective causes (disease-included shame, avoidant social behavior, and stigmatized labels), objective causes (isolated social states, and reduced amount of socialization), and rehabilitation support.
The causes of social alienation in elderly lung cancer patients include multiple aspects of personal, family, and social support, and symptom management and psychological guidance should be strengthened for this population to construct a hospital-society-family triple-linkage care program to help patients recover.
本研究旨在了解老年肺癌患者的社会隔离体验,探讨其原因,并提出针对性的干预策略。
2023 年 7 月至 8 月,采用目的抽样法选取湖南省长沙市某三级医院呼吸科就诊的 16 例老年肺癌患者进行半结构式访谈。采用 Colaizzi 7 步分析法对资料进行分析。
共提炼出 4 个主题:老年肺癌患者的社会隔离体验(悲观情绪、自卑感、心理负担重)、主观原因(病耻感、回避社会行为、被污名化标签)、客观原因(孤立的社会状态、社交减少)和康复支持。
老年肺癌患者社会隔离的原因包括个人、家庭和社会支持的多个方面,应加强对这一人群的症状管理和心理疏导,构建医院-社会-家庭三联式关爱方案,帮助患者康复。