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基于定性研究的乳腺癌内分泌治疗患者体验:患者就医历程图

The Experience of Patients with Endocrine Therapy for Breast Cancer: A Patient Journey Map Based on Qualitative Research.

机构信息

School of Nursing, Jinan University, Guangzhou 510632, China.

Guangzhou Chest Hospital, Guangzhou 510095, China.

出版信息

Curr Oncol. 2024 Sep 30;31(10):5873-5888. doi: 10.3390/curroncol31100437.

Abstract

(1) Background: While there is extensive documentation on the medical experience of breast cancer, a thorough understanding of the various stages of endocrine therapy remains insufficient. The aim of this study was to map the experiences and coping styles of breast cancer patients during endocrine therapy. (2) Methods: Qualitative research was conducted to gather insights into the experiences of breast cancer patients undergoing endocrine therapy. The themes were organized through content analysis and induction. Subsequently, patients were invited for face-to-face interviews at a top-three hospital in Guangzhou to supplement and validate the findings from the literature review. The patient journey was then mapped based on both the literature review and the semi-structured interviews. (3) Results: A total of 24 studies were included that described patients' experiences and behaviors during the early, middle, and late stages of treatment, leading to the formation of a preliminary framework. Interviews were conducted with 20 patients, which confirmed and enriched the findings from the literature review. Based on these results, a stage trajectory for endocrine therapy in breast cancer was established. (4) Conclusions: The patient journey map developed in this study clearly and intuitively illustrates the thought and emotion matrix, as well as the behavior matrix, of breast cancer patients undergoing endocrine therapy. This provides a theoretical foundation for enhancing clinical services tailored to the needs of these patients.

摘要

(1) 背景:尽管有大量关于乳腺癌医学经验的文献,但对内分泌治疗各个阶段的全面理解仍显不足。本研究旨在绘制乳腺癌患者在内分泌治疗期间的体验和应对方式图。(2) 方法:为深入了解接受内分泌治疗的乳腺癌患者的体验,采用定性研究方法。通过内容分析和归纳对主题进行组织。随后,邀请患者在广州三甲医院进行面对面访谈,以补充和验证文献综述中的发现。根据文献综述和半结构化访谈结果,绘制患者的治疗旅程图。(3) 结果:共纳入 24 项研究,描述了患者在治疗早期、中期和晚期的体验和行为,从而形成了一个初步的框架。对 20 名患者进行了访谈,证实并丰富了文献综述的结果。基于这些结果,建立了乳腺癌内分泌治疗的阶段轨迹。(4) 结论:本研究绘制的患者治疗旅程图清晰直观地展示了乳腺癌患者在内分泌治疗过程中的思维和情感矩阵以及行为矩阵,为增强针对这些患者需求的临床服务提供了理论基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eeb/11506757/3848114f6862/curroncol-31-00437-g001.jpg

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