卵巢癌患者创伤后成长心路历程的质性研究

Mental Process During Post-traumatic Growth of Ovarian Cancer Patients:A Qualitative Study

目的探索卵巢癌患者创伤后成长(posttraumatic growth,PTG)心路历程,为制订有效的护理干预方案提供依据。方法采用诠释现象学分析方法,通过目的性抽样选取合肥市某三级甲等医院16例卵巢癌患者进行半结构式访谈;采用Smith资料分析法进行资料的整理分析和主题提炼。结果提取出卵巢癌患者PTG心路历程的5个主题:善意谎言阶段、现实世界阶段、低谷崩溃阶段、绝处逢生阶段和主动成长阶段。PTG五个阶段并不是缺一不可的,且阶段与阶段之间具有重叠性。结论卵巢癌患者PTG的发生是一个复杂、动态的过程。护理人员需要掌握卵巢癌患者PTG心理变化规律,根据PTG五个阶段构建“家庭-病友-医护”三位一体支持模式下的全方位干预策略,帮助患者更好、更快地走出低谷崩溃、实现自我成长。

Objective To explore the journey of post-traumatic growth of ovarian cancer patients,and to provide the basis for developing effective nursing interventions.Methods The hermeneutic phenomenological research analysis was conducted.Purposive sampling method were used to select 16 patients with ovarian cancer in a tertiary hospital in Hefei for semi-structured interviews.Smith data analysis method was used for data collation,analysis and theme extraction.Results Five themes of the mental process during PTG were extracted,including the stage of white lies,the stage of the real world,the stage of collapse,the stage of survival and the stage of active growth.These five stages were not indispensable and there were overlaps among them.Conclusions The occurrence of PTG in ovarian cancer patients is a complex and dynamic process.Nurses need to master the psychological changes of PTG of ovarian cancer patients and build a comprehensive intervention strategy under the trinity support model of“Family-Patient-Medical care”according to the five stages of PTG,so as to help patients get out of the trough and realize self-growth in a better and quicker way.