达芬奇机器人辅助宫颈癌根治术患者围术期心理体验的质性研究

Qualitative research on the psychological experience of the patients during perioperative period in the treatment of cervical cancer by applying radical operation assisted with Da Vinci robot

目的:探讨达芬奇机器人辅助宫颈癌根治术患者围术期的真实心理体验,为宫颈癌患者心理支持提供依据。方法:采用质性研究中的现象学研究方法,通过半结构式深入访谈,了解17例宫颈癌患者进行达芬奇机器人辅助宫颈癌根治术期间的心理体验。结果:宫颈癌患者进行达芬奇机器人辅助宫颈癌根治术围术期的心理状态包括术前震惊、愤怒、自责、期待和矛盾、陌生感和不确定感,术中恐惧、焦虑、紧张、无助感,术后无力感和担忧;支持体系包括家庭成员的关爱和支持、医护人员的帮助和照护。结论:达芬奇机器人辅助宫颈癌根治术患者围术期的心理问题存在主观特异性,临床上并未引起足够重视,医护人员应对其采取针对性心理支持,帮助患者有效应对手术。

Objective： To explore the real psychological experience of the patients during perioperative period in the treatment of cervical cancer by applying radical operation assisted with Da Vinci robot so as to provide evidence for psychological support of the patients. Methods： The real psychological experiences of 17 patients with cervical cancer after radical operation were investigated by semi- structured in- depth interviews of qualitative research method. Results： The psychological experiences of the patients included preoperative shock,anger,remorse,expectation and contradiction,and intraoperative fear,anxiety,tension,a sense of helplessness and postoperative powerlessness and concerns; the support system included care and support of the families and medical help and care of medical staff. Conclusion： The subjective specificity exists in the surgical patients during perioperative period,but it was not paid much attention to in clinical practice,so medical personnel should take proper psychological support to help patients effectively respond to surgery.