胃癌患者化疗期间营养支持体验的质性研究

Experience of nutrition support in patients with gastric cancer during chemotherapy: A qualitative study

目的 探讨胃癌(gastric cancer, GC)化疗患者营养支持现状,从患者角度找出营养支持的影响因素,为以后更好的开展营养支持提供参考.方法 采用目的抽样法抽取广西省某综合性三甲医院肿瘤内科的12例GC化疗患者,运用半结构式深入访谈法收集资料,采用Colaizzi内容分析法分析资料.结果 经分析,提取出3个主题:营养支持的认知、营养支持的现状、营养支持的需求.访谈显示,化疗期间的营养支持非常重要已成为大部分患者的共识,同时对营养知识了解偏少也是普遍现状.结论 GC化疗患者营养支持的认知良好,但营养支持的现状有待改善,对营养支持存在多方面的需求.医护人员应采取灵活多样的营养知识教育方法,满足患者的需求.

AIM To explore the current situation of nutritional support in patients with gastric cancer（GC） during chemotherapy, and find out the factors influencing nutritional support from the perspective of patients, so as to provide a reference for better nutrition support in the future.METHODS Twelve patients with GC during chemotherapy were selected from the Department of Medical Oncology of a grade III comprehensive hospital in Guangxi by the method of objective sampling. Data were collected by semi-structured in-depth interview and analyzed by the Colaizzi content analysis method.RESULTS After analysis, three themes were extracted： cognition of nutritional support, status quo of nutritional support, and requirement of nutritional support. Interviews showed that nutritional support was very important during chemotherapy and it had become a common understanding of most patients and knowledge of nutrition was also a common situation.CONCLUSION Patients with GC during chemotherapy have a good understanding of nutritional support, but the current situation of nutritional support remains to be improved, and there are many demands for nutritional support. Health care workers should adopt flexible and diversified nutrition knowledge education methods to meet the needs of patients.