初诊乳腺癌患者综合治疗依从性阻碍的质性研究

Barriers to comprehensive treatment adherence for the patients newly diagnosed with breast cancer： a qualitative study

目的 深入了解初诊乳腺癌患者完成综合治疗的情况及阻碍坚持治疗的原因,为提高患者综合治疗依从性提供理论依据.方法 采用质性研究中的现象学研究方法,对22例未能完成综合治疗的初诊乳腺癌患者进行半结构式深入访谈,运用Colaizzi资料分析原则对资料进行整理分析,提炼主题.结果 22例未能完成综合治疗的受访者资料中提炼出8个主题：经济困难、家庭支持薄弱、治疗副作用大、扭曲的宗教信仰、错误的网络信息、不重视综合治疗、办理手续复杂和发生并发症.结论 经济困难等因素阻碍了初诊乳腺癌患者综合治疗的依从性,管理这些影响因素对提高乳腺癌患者综合治疗至关重要,医护人员应针对性地为乳腺癌患者提供经济、医疗信息及情感支持等,鼓励其积极完成综合治疗.

ObjectiveTo investigate comprehensive treatment and obstruction in adherence of the patients newly diagnosed with breast cancer,and to provide the theoretical basis for improving the comprehensive treatment adherence.Methods A total of 22 patients newly diagnosed with breast cancer received semi-structured interview by phenomenological research approach of qualitative research. Colaizzi′s data analysis method was performed to analyze and conclude the theme.Results Eight themes of the application were obtained from the experience of 22 patients：economic difficulties,weak family support,serious treatment side effects,tortile religious faith,incorrect internet information,indifference in combined treatment,complex formalities and complications. Conclusions The affecting factors,such as economic difficulties,are the most frequently endorsed barrier to combined treatment compliance. The management of affecting factors is critically significant to increase patients′ compliance to comprehensive treatment. Medical staff should offer individual economic and medical information as well as emotion supports,and encourage breast cancer patients to actively complete the comprehensive treatment.