育龄期宫颈癌子宫切除术后患者创伤后成长的质性研究

A qualitative research on posttraumatic growth in patients with cervical cancer who had a hysterec- tomy at the childbearing age

目的探讨育龄期宫颈癌子宫切除术后患者创伤后成长的心路历程。方法采用现象学研究方法，以目的抽样法抽取12名育龄期宫颈癌子宫切除患者进行深度访谈。结果在对原始资料的整理分析的基础上提炼出3个主题，分别是：“粉碎原有假定世界”“存在意义的搜寻”和“新的认知图式的构建”，患者的整个心路历程符合Tedeschi提出的PTG模型，其中“人际关系的改变”“个人力量的增强”“苦难衍生的利他”及“新的生活哲学”4个亚主题紧密契合了PTG理论的内涵。结论临床医务人员应及时更新心理护理理念，采纳积极心理学PTG理论的闪光点进行科学干预，帮助患者度过这段心理艰难时期。

Objective We aimed to explore the experience of posttraumatic growth in patients with cervical cancer who had a hysterectomy at the childbearing age. Methods The phenomenological methodology was used in the study. An in-depth interview was conducted among 12 patients chosen by pur- posive sampling method. Results Through careful analysis and collation,three themes were identified： smashing the original assumption,searching the meaning of existence and rebuilding the new cognitive schemata. The experience of patients＂ was conformed to the model which was put forward by Tedeschi, and the theme changes in personal relationships,personal strength,altruism born from sufferings and new phi- losophy of life were conformed to theoretical connotation of PTG. Conclusions Clinical medical staff should update psychological nursing concept timely and taking advantages of PTG to help patients pass through their difficult period.