老年肺癌患者开胸术后急性期疼痛信念的质性研究

Pain beliefs in acute phase in elderly patients with lung cancer undergoing thoracotomy： a qualitative study

目的运用质性分析探讨老年肺癌患者经开胸手术后急性期的疼痛信念状况。方法采用现象学研究方法，以目的采样法抽取2017年2—5月在吉林大学第一医院确诊为非小细胞肺癌行开胸术切除肿瘤的老年患者共15例，在开胸术后第5天进行半结构式深度访谈，了解其疼痛信念，并用Colaizzi分析法对资料进行分析。结果经过资料分析，归纳出4个主要主题：疼痛认知、负性情绪、可控性、社会和家庭支持。结论老年肺癌患者开胸术后急性期存在消极疼痛信念和负性情绪，这为制定老年肺癌患者开胸术后疼痛护理提供了理论依据。

Objective To explore the pain beliefs in acute phase in elderly patients with lung cancer undergoing thoracotomy using qualitative analysis. Methods Using the phenomenologieal research method, a total of 15 elderly patients with non-small cell lung cancer undergoing thoraeotomy from February to May 2017 in the First Hospital of Jilin University were recruited by purposive sampling method. On the 5th day after thoraeotomy, semi-structured in-depth interviews were eondueted to describe the pain beliefs and the data were analyzed by Colaizzi analysis. Results Through the analysis of the data, 4 main themes were summarized ： pain cognition, negative emotion, controllability, social and family support. Conclusions There are negative pain beliefs and negative emotion in the acute stage in lung cancer patients after thoraeotomy, which provides a theoretical basis for the development of pain care after thoraeotomy in elderly patients with lung cancer.