宫颈癌同步放化疗患者治疗后癌因性疲乏症状体验的质性研究

A Qualitative Research on Symptom Experience of Cancer-related Fatigue in Cervical Cancer Patients after Concurrent Chemoradiotherapy

目的深入了解行同步放化疗的宫颈癌患者治疗后癌因性疲乏(cancer-related fatigue,CRF)的真实体验,以期为医护人员有针对性地实施干预提供依据,为宫颈癌同步放化疗患者CRF症状的管理与控制提供研究基础。方法 2016年1-6月,采用现象学研究方法,通过目的抽样对12名行同步放化疗的宫颈癌患者进行半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果归纳出7个主题,即CRF在同步放化疗的宫颈癌患者中普遍存在且多维度、CRF有相关的伴随症状、CRF影响患者的心理状态、CRF影响患者的睡眠、患者存在对疲劳症状理解的误区、患者需要社会支持、患者有向医护人员寻求缓解疲乏症状的诉求。结论 CRF症状是主观且多维度的,医护人员应在宫颈癌患者同步放化疗的多个阶段进行疲乏及疲乏相关症状的评估与干预,以缓解患者的疲乏症状,提升其应对疾病的能力。

Objective To deeply understand the real experience of cancer-related fatigue（CRF）in patients with cervical cancer underwent concurrent chemoradiotherapy, in order to provide evidence for the medical staff to take targeted interventions and to provide research foundation for the management and control of CRF symptoms in patients with cervical cancer after concurrent chemoradiotherapy. Methods Semi- structured interviews were conducted among 12 cervical cancer patients with phenomenological research approach and Colaizzi analysis method was applied in the data analysis.Results Seven topics were obtained with analysis.CRF was common and multi-dimensions in those who had cervical cancer after concurrent chemoradiotherapy, CRF had accompanied symptoms, CRF affected patients＇ psychology, CRF affected sleep in patients, patients had misunderstanding on fatigue symptoms, patients needed social support, patients had the demand of easing the CRF symptoms.Conclusions CRF is subjective and multi-dimen- sional.Assessments and interventions of fatigue and fatigue related symptoms should be taken in multiple stages during concurrent chemoradiotherapy, in order to help the patients to reduce the fatigue symptoms and to improve their abilities to cope with disease.