Liu Xiao, Zhang Qiran, Huang Liu, Zhuang Yuhuan, Gan Quanyong
School of Medicine, Xiangyang Polytechnic, No. 8, Tanxi Road, Xiangyang, 441021, Hubei Province, China.
College of Basic Medical Science, China Three Gorges University, Yichang, 443000, Hubei Province, China.
Support Care Cancer. 2025 Apr 3;33(4):348. doi: 10.1007/s00520-025-09398-6.
Healthcare professionals represent a major group among the patients diagnosed with lung cancer. The objective of this research is to explore the real experience of healthcare workers after being diagnosed with lung cancer to provide a reference for clinical intervention.
Patients were recruited at Xiangyang Central Hospital from February 2020 to October 2023 using purposive sampling to select the subjects. The data was analyzed using Colaizzi's seven-step analysis after conducting semi-structured interviews utilizing phenomenological methodologies.
Out of the 26 eligible patients, 24 received an invitation, and 21 consented to participate in the study. Finally, 18 patients completed the interview process. Four categories and nine themes were identified: (1) psychological experience(denial and doubt, anger and complaints, grief, and grievance); (2) therapeutic experience(difficulty in choosing treatment modalities and worry about the treatment); (3) coping experience(respond positively and poor role reversal); and (4) work experience (disease attributed to work and concerns about returning to work).
These findings significantly contribute to comprehending the emotions experienced by medical practitioners with lung cancer. Medical practitioners who have been diagnosed with lung cancer undergo intricate psychological experiences. To offer effective assistance, customized support can be provided by facilitating role changes, improving the shift system and the establishing a safe working environment in clinical work.
医疗保健专业人员是被诊断为肺癌的患者中的一个主要群体。本研究的目的是探讨医疗工作者被诊断为肺癌后的真实经历，为临床干预提供参考。
于2020年2月至2023年10月在襄阳市中心医院采用目的抽样法招募患者作为研究对象。采用现象学方法进行半结构式访谈后，运用Colaizzi七步分析法对数据进行分析。
26例符合条件的患者中，24例收到邀请，21例同意参与研究。最终，18例患者完成了访谈过程。共识别出四类九个主题：（1）心理体验（否认与怀疑、愤怒与抱怨、悲伤、委屈）；（2）治疗体验（选择治疗方式困难、担心治疗）；（3）应对体验（积极应对、角色转换不良）；（4）工作体验（将疾病归因于工作、担心重返工作岗位）。
这些发现对理解肺癌医疗从业者的情绪有重要意义。被诊断为肺癌的医疗从业者会经历复杂的心理体验。为提供有效的帮助，可通过促进角色转变、改善轮班制度以及在临床工作中建立安全的工作环境来提供个性化支持。
