Yang Hui, Wu Bizhao, Hu Rong, Wang Ying
The School of Nursing, Fujian Medical University, Fuzhou, China.
Department of Hematology, Ningde Municipal Hospital Affilliated to Ningde Normal University, Ningde, China.
Asia Pac J Oncol Nurs. 2024 Jul 30;11(9):100563. doi: 10.1016/j.apjon.2024.100563. eCollection 2024 Sep.
To explore symptom experiences and self-management strategies from the haematological malignancy patient's perspective.
A qualitative descriptive approach was used to provide a direct and comprehensive understanding of the symptoms experienced and self-management strategies during treatment among patients with haematological malignancy. Fourteen patients with haematologic malignancies who received chemotherapy at a Chinese tertiary hospital were selected using purposeful sampling. Data were collected via semi-structured interviews and one-on-one patient sessions. The collected data were analysed using the content analysis methods. Reporting adhered to the COnsolidated criteria for REporting Qualitative research (COREQ) guidelines.
The data from this study were categorized into four themes and eight subthemes: (1) the dynamics and complexity of symptom experience (nonlinear, and overloaded symptom burden); (2) strategies for coping with symptomatic change (actively responding to challenges, and facing symptoms negatively); (3) symptom affects interaction (symptoms affect family interactions, and symptoms affect social interactions); and (4) benefit from symptom management (promoting family relationships, and regaining a new role in society).
Patients with haematological malignancy undergoing chemotherapy still face complex and variable symptoms, and there are still considerable challenges in symptom management. The findings underscore that health care providers should provide the necessary symptom assessment to enhance the well-being of patients based on the characteristics of the patient's symptom experience and symptom management needs at different stages of the disease.
从血液系统恶性肿瘤患者的角度探索症状体验和自我管理策略。
采用定性描述方法，以直接、全面地了解血液系统恶性肿瘤患者在治疗期间所经历的症状及自我管理策略。采用目的抽样法，选取了在中国一家三级医院接受化疗的14例血液系统恶性肿瘤患者。通过半结构化访谈和一对一患者访谈收集数据。采用内容分析法对收集到的数据进行分析。报告遵循定性研究报告统一标准（COREQ）指南。
本研究的数据分为四个主题和八个子主题：（1）症状体验的动态性和复杂性（非线性和症状负担过重）；（2）应对症状变化的策略（积极应对挑战和消极面对症状）；（3）症状对互动的影响（症状影响家庭互动和症状影响社会互动）；（4）症状管理的益处（促进家庭关系和在社会中重新获得新角色）。
接受化疗的血液系统恶性肿瘤患者仍面临复杂多变的症状，症状管理仍存在相当大的挑战。研究结果强调，医疗保健提供者应根据患者在疾病不同阶段的症状体验特点和症状管理需求，提供必要的症状评估，以提高患者的幸福感。
