乳腺癌植入手臂输液港患者知信行现状的质性研究

Status of knowledge, belief and behavior of patients with breast cancer implanted infusion port in the arm:a qualitative study

目的 探讨植入手臂输液港的乳腺癌患者的知信行现状及护理需求。方法 采用目的性抽样法选取2021年1—3月在泰州市人民医院甲乳外科行手臂输液港植入的10例乳腺癌患者作为研究对象,以质性研究中的现象学方法为指导,分别于植入手臂输液港前和第2轮化疗前1 d对患者进行深入访谈,将访谈的文字资料进行整理、分析,归纳患者知信行现状并提出对策。结果 植入手臂输液港的乳腺癌患者的知信行现状包括:输液港相关知识缺失,对静脉通路选择茫然,经济压力大,担忧居家维护、日常活动受影响。结论 植入手臂输液港的乳腺癌患者在认知、态度、行为等方面存在困惑和需求,护理人员应了解并重视患者的需求,强化健康宣教以提升患者认知水平,加强信息传递以改变患者态度,优化服务流程以改变患者行为,进而提高患者的知信行水平,提升护理服务满意度,促进手臂输液港的推广和应用。

Objective To explore status of knowledge, belief and behavior of patients with breast cancer implanted infusion port in the arm and their nursing needs. Methods From January to March 2021, purposive sampling was used to select ten breast cancer patients who underwent arm infusion port implantation in the Department of Thyroid Gland and Mammary Gland Surgery of Taizhou People′s Hospital as research objects. Guided by the phenomenological method in qualitative research, in-depth interviews were conducted for chemotherapy patients implanted infusion port in arm before catheterization and one day before the second chemotherapy, and the text data of the interviews were sorted and analyzed to summarize the current situation of patients′ knowledge, belief and behavior and put forward countermeasures. Results The current situations of knowledge, attitude and behavior of breast cancer patients implanted with arm infusion port included lack of knowledge about infusion port, vague choice of venous access, great economic pressure, worries of home maintenance and affected daily activities. Conclusion Breast cancer patients implanted with arm infusion port have confusion and needs in cognition, attitude, behavior, etc. Nursing staff need to fully understand patients′needs, strengthen health education to improve cognitive level, strengthen information transmission to change the attitude of patients, optimize the service process to change the behavior of patients, thereby improving the knowledge, attitude and behavior level of patients, improving the satisfaction of nursing services, and promoting the promotion and application of arm infusion port.