肺癌患者免疫治疗联合化疗期间居家休养体验的研究

Home recuperation experience of lung cancer patients with immunochemotherapy:a qualitative study

目的 :探讨使用免疫治疗联合化疗方案的肺癌患者居家休养期间体验,为患者提供全方位的照护提供参考。方法 :采用半结构式访谈,对12名行免疫治疗联合化疗的肺癌患者的症状体验和心理感受进行深入了解,采用Colaizzi七步分析法分析资料。结果 :共提炼出4个主题,即感知到的症状困扰,复杂的心理感触,产生的多元化影响,内心的期望与需求。结论 :使用免疫治疗联合化疗方案的肺癌患者在居家休养期间存在多方面的困扰,需要包括医务人员、家属及相关部门等多方的协作和支持,加强和完善患者居家休养期间的症状管理和延续性护理工作,提供个性化的积极心理干预,以加强患者的支持性照护,减少患者不良的疾病体验,更好地适应病后生活,提高生活质量。

Objective:To explore the experience of lung cancer patients adopting immunochemotherapy during home recuperation.Methods:A semi-structured interview was conducted among 12 lung cancer patients who received immunochemothrapy.Colaizzi's seven-step analysis method was used to analyze the data.Results:The patients'home recuperation experience was summarized into 4 themes:the perceived symptom distress;complex psychological feelings;the diversified effects;inner expectations and needs.Conclusion:Patients with lung cancer who use immunochemotherapy have various issues during home recuperation.It is necessary to cooperate and support from many parties,including medical staff,family members and relevant departments,to strengthen and improve the symptom management and continuous care of patients during home recuperation,providing personalized positive psychological intervention.It is expected to strengthen the supportive care of patients,reduce the adverse disease experience of patients,adapt to the life after the disease better,and improve the quality of life of patients.