乳腺癌患者对化疗脱发症状认识和体验的研究

A qualitative research on the perception and experience of patients with breast cancer on chemotherapy-induced alopecia

目的:深入了解乳腺癌患者对化疗脱发症状的认识和体验,为今后设计针对性的干预方案提供参考。方法:对18名乳腺癌患者进行半结构访谈,并用Colaizzi的七步法进行资料分析。结果:通过分析得出4个主题:对化疗脱发的认识,心理和精神负担,应对脱发的方式及自我成长。结论:医护人员应加强对于化疗脱发症状的健康教育,加强脱发知识的普及与咨询,帮助患者有效应对突变,改善患者的身心困扰;此外开展化疗间歇期护患沟通,建立有效的有针对性的院外干预措施,值得今后进一步探究。

Objecetive： To investigate the perception and experience of patients with breast cancer on chemotherapy- induced alopecia. Methods： Totally 18 breast cancer patients were offered semi-structured and indepth interviews, repectively, and data collected was then analyzed using Colaizzi＇s methods. Results： Four themes were extracted, including a lack of the perception about alopecia, psychological and spiritual burden, coping strategies ofalopecia and personal growth. Conclusion： Medical staff should enhance patient educationon chemotherapy-induced alopecia, promote knowledge popularization and information acquisition among patients with alopecia so as to help with their effective responding to alopecia and relieve them both physically and mentally. In addition, communication between patients and nursing staff should also be conducted during intervals between chemotherapies, as well asestablishing impactful and targeted pre- and post-hospital interventions, which also deserves further exploration.