晚期肺癌化疗患者叙事护理体验的质性研究

Qualitative Study of Narrative Nursing Experience in Patients with Advanced Lung Cancer Undergoing Chemotherapy

对2021年1月~10月15名接受过为期2个月叙事护理的晚期肺癌化疗患者进行半结构式深入访谈,采用内容分析法归纳提炼主题,共归纳出3个主题:疗愈身心(减轻心理痛苦、缓解身体症状);改变认知理念(对疾病的接纳、对自我意识的强化、自我反思);提升生命意义感(征服对死亡的恐惧、支持性关系、浸入式意义体验)。在晚期肺癌化疗患者中实施叙事护理,能够从身体-心理-社会-精神四个维度促进患者成长,为肿瘤末期患者生命意义感的提升提供了新视角。

From January to October 2021,15 patients with advanced lung cancer who received two month narrative nursing were interviewed through semi-structured in-depth interviews,and the content analysis method was used to identify and extract themes.Three themes were extracted:healing of body and mind(alleviating psychological pain and physical symptoms);cognitive paradigm shift(acceptance of illness,reinforcement of self-awareness,promotion of self-reflection);enhancement of life meaning(conquering fear of death,supportive relationships,immersive meaning experience).The implementation of narrative nursing in patients with advanced lung cancer undergoing chemotherapy can promote the growth of patients from four dimensions:physical,psychological,social,and spiritual.This approach provides a new perspective for enhancing the sense of life meaning in patients with terminal tumors.