摘要
目的 了解康复期乳腺癌青年患者康复过程的心理体验与益处发现,为促进患者康复提供依据。方法 采用目的取样法,选取广东省某三级甲等医院接受治疗的12例乳腺癌康复期青年患者,进行半结构式深度访谈。访谈资料采用Colaizzi 7步分析法进行整理分析,整理主题。结果 康复过程的心理体验提炼出4个主题:诊断的冲击与勉强接受、治疗的痛苦与忍耐坚持、康复的照顾与鼓励需求、感恩与癌症创伤后成长。益处发现提炼出5个主题:性格改变、他人关系改变、生活改变、疾病意义、感恩奉献。结论 康复期乳腺癌青年患者在经历疾病带来的负性情绪与压力的同时,也在经历着从性格、关系、生活改变和感恩奉献等多方面的益处发现与积极成长。医护人员应关注患者积极心理体验,以促进患者身心康复,提高生活质量。
Objective To understand the psychological experience and benefit finding in young breast cancer patients during the convalescence.Methods Purposive sampling was used to recruit 12 young breast cancer patients from a tertiary grade-A hospital in Zhanjiang,Guangdong Province.Semi-structured interviews were conducted and Colaizzi 7-step analysis was used to sort out the data.Results Four themes were extracted from the psychological experience during the rehabilitation,including impact of diagnosis and reluctant acceptance,pain and patience of treatment,need for care and encouragement during rehabilitation,and gratitude and post-traumatic growth after cancer.Five themes were extracted from the benefit finding,including personality change,changes in the relationships,change in the life,the meaning of illness,and gratitude and dedication.Conclusion The young breast cancer patients are experiencing negative emotions and pressures brought by the disease,as well as benefit discovery and positive growth.To enhance the physical and mental well-being of young breast cancer patients,healthcare providers should prioritize fostering positive psychological experiences and facilitating the discovery of benefits.
作者
谭健烽
王永存
郑秀莹
王政烨
刘艳华
TAN Jian-feng;WANG Yong-cun;ZHENG Xiu-ying;WANG Zheng-ye;LIU yan-hua(Department of Psychology,School of Humanity and Management,Guangzhou Medical University,Zhanjiang 524023,China;Cancer Center,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524023,China;Dept.of Nursing Administration,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524023,China)
出处
《护理学报》
北大核心
2023年第23期73-78,共6页
Journal of Nursing(China)
基金
广东省哲学社会科学“十三五”规划项目(GD20XXL06)
广东医科大学博士科研启动项目(B2019034)
广东医科大学大学生创新实验项目(SZDR002)。
关键词
乳腺癌
康复期
心理体验
益处发现
质性研究
breast cancer
convalescence
psychological experience
benefit finding
qualitative study