肺癌手术后患者并发持续性肺漏气真实体验的质性研究

Patients with persistent lung leak after lung cancer surgery: a qualitative research based on real experience

目的探索非小细胞肺癌患者手术后继发持续性肺漏气的真实体验,为临床肺癌术后肺漏气的管理提供新的思路。方法采用目的抽样法,对14名肺癌术后并发持续性肺漏气的患者进行深度访谈,采用现象学分析法分析资料,整理提炼出主题。结果共提取出4个主题,分别是:自我形象改变;辅助治疗后疼痛感明显;错误观念加重、睡眠紊乱;负性情绪明显。结论护理人员应加强肺漏气管理,维护患者自我形象,增强舒适感;采用多种心理支持方式改善患者的负性情绪,促使患者早日回归家庭及社会。

Objective To explore the true experience of non-small cell lung cancer patients with persistent pulmonary leaks after surgery, and to provide new ideas for the management of pulmonary leak after clinical lung cancer surgery. Methods Objective sampling method were used to conduct in-depth interviews with 14 patients after lung cancer surgery who suffered from persistent air leak. Phenomenological analysis was used to analyze the data and sort out the topics. Results 4 themes were extracted: self-image changes;pain was severe after adjuvant treatment;misconceptions aggravated;sleep disturbances and negative emotions were obvious. Conclusion Nurses should strengthen the management of air leak, maintain the patient′s self-image, and enhance comfort. Various psychological support methods have been used to improve the patient′s negative emotions and make them return to society as soon as possible.