主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (3): 354-358.doi: 10.3969/j.issn.1672-1756.2022.03.007

• 论著 • 上一篇    下一篇

年轻女性早期乳腺癌患者生育力保存决策的内心体验

安培 王慧 吴克瑾 丁焱   

  1. 复旦大学护理学院,200032 上海市(安培);复旦大学附属妇产科医院乳腺科(安培,王慧,吴克瑾);护理部(丁焱)
  • 出版日期:2022-03-15 发布日期:2022-03-15
  • 通讯作者: 王慧,本科,主管护师,护士长,E-mail:hfzwanghui@yeah.net
  • 作者简介:安培,硕士在读,主管护师
  • 基金资助:
    上海申康医院发展中心-临床诊疗技术示范应用的规范化管理研究项目(SHDC22020209);复旦大学-复星护理科研基金(FNF202012)

Experience of fertility preservation decision-making in young women with early breast cancer: a qualitative study

AN Pei, WANG Hui, WU Kejin, DING Yan   

  1. School of Nursing, Fudan University, Shanghai, 200032, China
  • Online:2022-03-15 Published:2022-03-15
  • Contact: E-mail:hfzwanghui@yeah.net

摘要: 目的:探讨年轻早期乳腺癌患者在面对生育力保存决策时的真实体验。方法:采用质性研究中的现象学研究方法,对15例年轻女性早期乳腺癌患者进行半结构式深入访谈,根据Colaizzi?7步分析法对原始资料进行整理分析。结果:提炼出4个主题,即担心、对生育的关注动态变化且因人而异、面临决策困境、决策支持的需求。结论:年轻乳腺癌患者在生育力保存决策上面临较大的决策困境,应加强全体医护人员对年轻乳腺癌患者生育力保存的认识,开发适宜的辅助生育决策资源,培养生育力保存的专业人员,提供及时的、全面的、个体化的生育信息支持,开展完善的生育管理计划。

关键词: 乳腺癌;生育力保存;决策体验;质性研究

Abstract: Objective: To explore the real decision-making experience of fertility preservation in young patients with early breast cancer. Methods: Semi-structured interviews were conducted with 15 young breast cancer patients. Data were analyzed based on Colaizzi phenomenological methodology. Results: Four main themes were found as follows: Concerns, Individualized, dynamic fertility concerns, Decision conflict, Demand for professional help in decision making. Conclusion: Young breast cancer patients face significant decision conflict in fertility preservation. It is necessary to strengthen the understanding of all medical staff on fertility preservation of cancer patients, develop appropriate reproductive decision-making resources, train fertility preservation professionals, provide timely, comprehensive and individualized fertility information support, and carry out perfect fertility management plan.

Key words: breast cancer; fertility preservation; decision-making experience; qualitative study

中图分类号:  R47