恶性肿瘤患者对保护性医疗真实体验的质性研究

The qualitative research of real experience of protecting medical treatment among patients with malignant tumor

目的 了解恶性肿瘤患者对保护性医疗实施后的真实感受,以便为肿瘤患者提供更人性化的服务,提高患者对护理工作的满意度.方法 采用质性研究中的现象学方法,对12例身患恶性肿瘤的患者进行深度访谈,并对资料进行整理和分析.结果 归纳出患者在实施保护性医疗的三个阶段中心理体验的主题如下.（1）明确诊断前：将信将疑和焦虑.（2）明确诊断时：侥幸与回避;接受与面对.（3）明确诊断后：渴求信息;自我价值感的降低;自我动力的提升.结论 对于恶性肿瘤患者不要一味坚持对其隐瞒诊断,医务人员和家属应采取个性化、有针对性的措施,使患者能更好地应对疾病诊断,提高生活质量.

Objeelive To understand true feelings of patients with malignant tumor after implementing the protective medical treatment. In order to provide more humanized service for clinical nursing and to improve the job satisfaction of nurses. Methods The phenomenologieal methods of qualitative research was applied to carry out interviews with 12 patients to collected data. Then the data were analyzed. Results After reading, analysis, reflection, classification and refining the theme, we drew the following themes：（ 1 ）Before know- ing diagnosis： half-believe and anxiety. （2） At the time of knowing diagnosis： luck, avoidance, acceptance and facing; （3） After knowing diagnosis： thirsting for information, low self-worth, improving self motiva- tion. Conclusions We should not insist on hiding malignant tumor patients. Individualized and targeted measures should be taken to make patients cope with diagnosis better and improve the quality of their life.