肿瘤患者化疗间歇期居家康复运动心理体验的质性研究

Qualitative study on exercise mental experience of cancer patients during intermittent chemotherapy rehabilitation at home

目的探索肿瘤患者化疗间歇期居家康复运动心理体验及真实需求。方法收集2022年8月至2022年10月于南通市肿瘤医院进行过多次化疗的肿瘤患者采用现象学研究法进行质性研究,通过半结构式访谈对27例进行过多次化疗的肿瘤患者进行深度访谈,采用Colaizzi分析法对访谈内容进行分析、整理、归纳、总结出相应主题。结果肿瘤患者化疗间歇期居家康复运动主要总结出6个主题:居家康复运动中积极与消极情绪患者均存在、患者对康复运动存在错误认知、疾病症状阻碍居家康复运动、高肿瘤自我效能促进居家康复运动、社会支持程度对患者康复运动有影响、患者寻求支持的意愿强烈。结论肿瘤患者在化疗间歇期居家期间对于康复运动有着不同的认知,而目前医护人员对于患者居家期间的康复运动状况关注度较低,医护人员需加强相关健康教育,提高患者及家属康复运动认知水平。

Objective Analyze the psychological experience and real needs of cancer patients undergoing home rehabilitation exercise during chemotherapy intervals.Method Collect data from August 2022 to October 2022 at Nantong Cancer Hospital tumor patients who undergo multiple rounds of chemotherapy.Phenomenological research method was used to conduct qualitative research,and in-depth interviews were conducted on 27 cancer patients who had undergone multiple chemotherapy through semi-structured interviews.Colaizzi analysis method was used to analyze,sort out,summarize and summarize the interview contents.Result The results showed that the home rehabilitation exercise for cancer patients during the chemotherapy interval mainly summarized six themes:positive and negative emotions are present in patients with home rehabilitation exercises,patients'misconceptions about rehabilitation exercise,disease symptoms hindering home rehabilitation exercise,high self-efficacy promoting home rehabilitation exercise,the level of social support has an impact on the patient's rehabilitation exercise,and patients'strong willingness to seek support.Conclusion Cancer patients have different cognition of rehabilitation exercise during the interval of chemotherapy at home,and medical staffs pay little attention to the status of rehabilitation exercise during the interval of chemotherapy at home.Medical staff should strengthen related health education to improve the cognition level of rehabilitation exercise of patients and their families.