晚期肝癌介入术后患者安宁疗护需求的质性研究

A qualitative study on the palliative care needs of patients with advanced liver cancer after interventional surgery

目的 了解晚期肝癌介入术后患者的不适症状和内心需求,为实施安宁疗护提供参考依据。方法 采用半结构式深度访谈法对25例肝癌介入术后患者进行访谈,并对访谈资料进行整理、分析和主题提炼。结果 共提炼出4个主题和7个副主题:缓解生理症状,包括缓解恶心、呕吐的不适症状和缓解疼痛的症状;心理需求,包括得到情感支持的需求、满足内心愿望的需求和得到亲属照顾的需求;健康管理相关知识的需求,包括了解肝癌相关知识的需求和掌握经皮肝穿刺胆道引流管护理的需求;降低经济负担的需求。结论 安宁疗护需要关注晚期肝癌介入术后患者的生理舒适、情感支持、知识渴望和经济需求,使其在生命末期也可以拥有尊严和良好的生命质量。

ObjectiveTo understand the discomfort symptoms and the inner needs of patients with advanced liver cancer after interventional treatment so as to provide reference for the implementation of palliative care.MethodsBy using semi-structured in-depth interview method,25 patients with liver cancer after receiving interventional treatment were interviewed.The interview materials were organized and analyzed,and the themes were refined.ResultsA total of four themes and seven sub-themes were extracted,which included(1)relief of physical symptoms,including nausea,vomiting and pain;(2)psychological needs,including emotional support,inner desire and care of relatives;(3)need for health management knowledge,including the need to understand more about liver cancer and to master the care of percutaneous liver puncture biliary drainage tube;(4)need to reduce economic burden.ConclusionFor the palliative care of patients with advanced liver cancer after interventional treatment,close attention should be paid to the patient's physical comfort,emotional support,knowledge thirst and economic needs,so that the patients can have a good quality of life with dignity at his or her terminal of life.