喉癌术后患者健康促进行为驱动力的质性研究

The Dynamic of Health Promotion Behavior in Patients with Laryngeal Cancer after Surgery: A Qualitative Study

目的探讨喉癌术后患者出院后健康促进行为驱动力因素。方法2016年9月至2017年1月,目的抽样法结合滚雪球抽样法选取在太原市某三级甲等医院确诊为喉癌且进行喉切除术并顺利出院的19名患者为研究对象,采用半结构式访谈法对其进行访谈,并应用内容分析法分析整理。结果喉癌术后患者出院后健康促进行为驱动力主要来源于外在的驱动力及内在的驱动力。外在驱动力主要有自然环境是治疗的动力来源、兴趣爱好使患者情绪上得到满足、家人关怀可缓解患者负性心理、病友鼓励会让患者产生归属感等亚主题;内在的驱动力主要有主动解决问题提升了患者的自我价值、创伤后成长使患者重新认识生活、控制不良情绪加速了患者的康复等亚主题。结论喉癌术后患者出院后健康促进的驱动力因素复杂多样。医护人员要及时掌握喉癌患者的健康状况及健康促进的方法,促进其实现患者的自我支持、家属的情感支持以及社会支持等。

Objective To explore the driving factors of health promotion behavior in patients with laryngeal cancer after discharge. Methods From September 2016 to January 2017,19 patients with laryngeal cancer who underwent lar yngectomy and were discharged from the hospital in Taiyuan City were selected by objective sampling and snowball sampling methods.Semi-structured interview was used to interview the patients,and content analysis was used to analyze the data. Results The driving factors of health promotion behavior of patients with laryngeal cancer after discharge mainly came from external and internal driving forces.The external driving forces mainly included the sub-themes of natural environment was the source of motivation for treatment,interests and hobbies made patients emotionally satisfied,family care could alleviate patients’ negative thoughts,encouragement from friends would make patients feel be longing .The internal driving forces included active problem-solving enhanced patients’ self-worth,post-traumatic growth made patients re-recognize life,controlling bad emotions accelerated the recovery of patients. Conclusions Al though the postoperative patients with laryngeal cancer after discharge driving force factors of health promotion is complicated.Medical staff should grasp the health status and health promotion methods of laryngeal cancer patients in time, and promote patients’ self-support,family members’ emotional support and social support.