Luo Xinchu, Zhang Xi, Ke Xi, Yu Xinyuan, Wu Yuxuan, Du Huimin, Lv Danan, Liu Dun
School of Nursing, Fujian Medical University, University New Area, No. 1 Xuefu North Road, Fuzhou City, Fujian Province, 350122, China.
Fuzhou University Affiliated Provincial Hospital, Fu Jian Provincial Hospital, Fuzhou, China.
BMC Nurs. 2025 Apr 7;24(1):387. doi: 10.1186/s12912-025-03007-x.
Intermittent symptom management during colorectal cancer (CRC) chemotherapy entails challenges for both medical staff and patients. This study aims to explore the factors influencing and feelings associated with symptom management with the aim of providing a reference for clinical nursing practice.
The researchers used a descriptive phenomenological method to conduct semistructured interviews with 19 medical professionals working in the field of oncology as well as 18 patients in April to July 2024. The interview data obtained from both parties were transcribed, coded, analysed with the aim of identifying themes and categories, described and interpreted; furthermore, the challenges entailed by and visions of symptom management extracted from the data were analysed from different perspectives.
Four themes were obtained from the medical staff: the brilliance of the lighthouse, the fog in the dark night, the challenge of the helmsman, and the drafting of the chart. Three themes were extracted from the patients: the perception of the beacon, the symptom coping strategy, and the star map of the helmsman.
At present, intermittent symptom management during CRC chemotherapy does not meet patients' needs. In the process of symptom management, patients are more dependent on medical staff, and medical staff are more likely to advocate common decision-making with regard to patients. However, both parties believe that developing home symptom management schemes is highly important, and they highlight the needs to focus on the challenges encountered in the process of symptom management, to overcome information barriers, to enhance communication, to strengthen education and information provision, and to help the community jointly establish a vision for a home multiple support network.
结直肠癌（CRC）化疗期间的间歇性症状管理对医护人员和患者来说都面临挑战。本研究旨在探索影响症状管理的因素及与之相关的感受，为临床护理实践提供参考。
研究人员采用描述性现象学方法，于2024年4月至7月对19名肿瘤领域的医学专业人员和18名患者进行了半结构式访谈。对双方获得的访谈数据进行转录、编码、分析，以识别主题和类别，并进行描述和解释；此外，从不同角度分析了从数据中提取的症状管理所带来的挑战和愿景。
从医护人员中获得了四个主题：灯塔的光辉、暗夜中的迷雾、舵手的挑战以及图表的绘制。从患者中提取了三个主题：信标的感知、症状应对策略以及舵手的星图。
目前，CRC化疗期间的间歇性症状管理未满足患者需求。在症状管理过程中，患者更依赖医护人员，医护人员更倾向于倡导与患者共同决策。然而，双方都认为制定家庭症状管理方案非常重要，他们强调需要关注症状管理过程中遇到的挑战，克服信息障碍，加强沟通，强化教育和信息提供，并帮助社区共同建立家庭多重支持网络的愿景。
