Wang Yiqiao, Zhang Yu, Zhu Yu, Wan Hongwei
Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, 201315, China.
Shanghai Key Laboratory of Radiation Oncology, Shanghai, 201315, China.
Support Care Cancer. 2025 Aug 30;33(9):824. doi: 10.1007/s00520-025-09891-y.
To explore the psychological experiences related to discharge readiness among head and neck cancer (HNC) patients undergoing particle radiotherapy, so as to provide nurses with guidance for personalized discharge education and continuous care programs.
A descriptive phenomenological research design was used. Face-to-face semi-structured interviews were conducted with 12 HNC patients who were about to be discharged from the Shanghai Proton Heavy Ion Hospital after completing particle radiotherapy. Patients were selected using maximum variation sampling. Data were analyzed using thematic analysis.
The psychological experiences of HNC patients regarding discharge readiness undergoing particle radiotherapy were summarized into four themes: disruption of survival order caused by radiotherapy side effects, medical uncertainty and conflict with discharge decision, social role reconstruction, and adaptive coping strategies.
HNC patients who received particle radiotherapy experienced complex and multifaceted psychological responses prior to discharge, with this study identifying four core experiences. These findings provide a basis for the development of a personalized transition care intervention integrating physiological, psychological, and social dimensions.
探讨接受粒子放疗的头颈癌（HNC）患者与出院准备相关的心理体验，以便为护士提供个性化出院教育和持续护理计划的指导。
采用描述性现象学研究设计。对12例在上海质子重离子医院完成粒子放疗后即将出院的HNC患者进行面对面半结构化访谈。采用最大差异抽样法选取患者。采用主题分析法对数据进行分析。
接受粒子放疗的HNC患者在出院准备方面的心理体验归纳为四个主题：放疗副作用导致生存秩序紊乱、医疗不确定性以及与出院决定的冲突、社会角色重建和适应性应对策略。
接受粒子放疗的HNC患者在出院前经历了复杂多面的心理反应，本研究确定了四种核心体验。这些发现为制定整合生理、心理和社会层面的个性化过渡护理干预措施提供了依据。
