妊娠期乳腺癌患者治疗期间心理体验及应对方式的质性研究

A qualitative investigation of psychological experience and coping styles of breast cancer patients during pregnancy

目的探讨乳腺癌患者在妊娠期治疗过程中的心理体验及应对方式,为临床护士制订针对性干预措施提供依据。方法 2015年8月至2016年8月采用现象学研究法访谈了10例妊娠期乳腺癌患者,了解患者治疗期间心理体验及应对方式。将获得的信息进行整理,分析并总结。结果共形成5个主题:焦虑、担心预后;获取信息的愿望强烈;渴望家庭、社会的支持;自责与愧疚;消极的应对方式。结论护理人员应根据妊娠期乳腺癌患者内心深处的真实感受与体验,提供信息支持,帮助建立有效的情感、社会支持,建立积极的应对方式,减轻患者愧疚感,以便改善患者不良心理,积极配合治疗。

Objective To explore the psychological experience and coping styles of breast cancer patients during pregnancy. Method A qualitative research was done by interviewing 10 patients hospitalized during August 2015 to August 2016 for the purpose of investigating their psychological experience and copying styles, with the required data treated and analyzed. Result Five themes were obtained anxiety and worry about the outcomes, longing for supports from families and society, guilty and sorrow, negative coping style. Conclusions Nurses should focus on psychological experience and coping styles of patients with breast cancer during pregnancy. They should help them with informational and social support to build effective emotion, make active coping style, aQeviate their pains and ultimately improve their negative mood for the purpose of their active compliance with medical treatment.