肝癌介入治疗患者心理韧性发展过程的质性研究

A qualitative study of the process of resilience development in patients undergoing transarterial chemoembolization for hepatocellular carcinoma

目的探讨肝癌介入治疗过程中患者心理韧性的发生及发展过程。方法采用质性研究中的现象学研究方法,对16例肝癌介入治疗患者进行半结构式访谈,根据Colaizzi 7步分析法以及Nvivo10辅助分析资料。结果共提炼出经历心理韧性危机、加强韧性调控和适应状况3个主题。结论肝癌介入治疗患者通过认知、精神、心态调节和行为控制来应对心理韧性危机,逐渐适应现状;缺乏自我管理知识是阻碍心理韧性发展的主要因素,需要医护人员加强健康教育与相关支持。

Objective To explore the process of resilience development in patients undergoing transarterial chemoembolization（TACE）for hepatocellular carcinoma（HCC）.Methods Semi-structured interviews were conducted among 16 HCC patients treated with TACE.The interview data were analyzed using Colaizzi′s phenomenological method and the Nvivo10 software.Results Three themes were identified：resilience crisis,adjustment and adaptation.Conclusion Patients use cognition,spirit,mental adjustment and behavioral control to cope with resilience crisis and then adapt.Lack of self-management knowledge was a barrier to resilience development,indicating education and support should be provided.