宫颈癌术后化疗期患者心理痛苦和创伤后成长体验的质性研究

Psychological distress and post-traumatic growth experience of patients with cervical cancer after chemotherapy: a qualitative study

目的了解宫颈癌术后化疗期患者心理痛苦和创伤后成长相关的心理体验,为临床制订更加全面、科学的心理干预计划提供实证依据。方法采用质性研究中现象学研究的方法,对12例宫颈癌术后化疗期患者进行深度半结构式访谈,应用Colaizzi七步内容分析法对收集到的资料进行主题归纳。结果以心理痛苦为主题进行分析后,共得出4个亚主题:实际问题,交往问题,情绪问题和身体问题;以创伤后成长为主题进行分析,共得出3个亚主题:人际关系、人生感悟和,个人力量、精神改变和新的可能性。结论宫颈癌术后化疗期患者存在心理痛苦与创伤后成长共存的事实,医护工作者应结合患者正、负情绪两个方面进行心理状况的考量,为患者制订切实可行的整体性心理干预计划,以提升患者心理健康水平。

Objective To investigate the psychological experience of psychological pain and post-traumatic growth of cervical cancer patients with postoperative chemotherapy,and provide evidence for a more comprehensive and scientific psychological intervention plan.Methods In this qualitative study,the phenomenological study method was used to conduct deep semi-structured interviews with 12 cervical cancer patients treated with postoperative chemotherapy.The collected data were summarized by Colaizzi’s seven-step content analysis method.Results The analysis based on the main theme of psychological pain reached four sub-themes:practical problems,communication problems,emotional problems,physical problems and the analysis based on the main theme of posttraumatic growth reached three sub-themes:interpersonal relationships,life perceptions and personal strength,spiritual change and new possibilities.Conclusions In the postoperative chemotherapy period,patients with cervical cancer encounter psychological pain and post-traumatic growth.Health care givers should combine the positive and negative emotions of patients to consider the psychological situation and develop a practical and comprehensive psychological intervention plan for them.