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 ›› 2024, Vol. 24 ›› Issue (2): 192-197.doi: 10.3969/j.issn.1672-1756.2024.02.007

• 论著 • 上一篇    下一篇

宫颈癌根治术后患者不同时期支持性照顾需求的现象学研究

韩娜娜 焦见芬 高伟   

  1. 山东大学齐鲁医院妇科,山东大学护理理论与实践创新研究中心,250012 济南市
  • 出版日期:2024-02-15 发布日期:2024-02-15
  • 通讯作者: 焦见芬,硕士,副主任护师,护士长,E-mail:jjf0525@163.com
  • 作者简介:韩娜娜,硕士,主管护师

Supportive care needs of cervical cancer patients undergoing radical surgery based on timing theory: a phenomenological study

HAN Nana, JIAO Jianfen, GAO Wei   

  1. Department of Gynaecology, Qilu Hospital of Shandong University, Nursing Theory, Practice Innovation Research Center of SDU, Jinan, 250012, China
  • Online:2024-02-15 Published:2024-02-15
  • Contact: E-mail:jjf0525@163.com

摘要: 目的:探讨宫颈癌根治术后患者不同时期支持性照顾需求,为开展以需求为导向的护理服务提供依据。方法:采用目的抽样法,选取2021年5月—11月在济南市某三级甲等医院行宫颈癌根治术的16名住院患者为研究对象,分别于术后7日(调整期)、术后3个月(适应期)和术后6个月(稳定期)进行3次半结构式访谈,采用Colaizzi?7步分析法整理分析资料,应用支持性照顾需求多维模型进行归类。结果:共提炼出5个主题,分别为不适症状及渴望恢复日常生活、消极心理感受、多方面支持与延续医疗服务需求、信息支持不足、性需求。结论:宫颈癌根治术后患者支持性照顾需求随病程变化而有不同特点,医护人员需要采用动态连续的观念,科学评估患者的需求,继而实施精准护理服务,提高患者疾病认知及应对能力。

关键词: 宫颈癌;宫颈癌根治术;支持性照顾需求;现象学研究

Abstract: Objective: To explore the supportive care needs of patients with cervical cancer at different stages after radical operation, so as to provide basis for developing demand-oriented nursing services. Methods: The phenomenological research approach was used from May to November 2021 to conduct semi-structured interviews with 16 participants. Three semi-structured interviews were conducted at 7 days after operation (adjustment period), 3 months after operation (adaptation period) and 6 months after operation (stable period). Colaizzi 7-step method was used to analysis the data, and the supportive care demand multidimensional model was used for classification. Results: A total of five themes were summarized to describe the need of cervical cancer patients undergoing radical surgery, including the symptoms of discomfort and restoring daily life, negative psychological feelings, multifaceted support and continuation of medical service needs, insufficient information support and sexual needs. Conclusion: The supportive care needs of patients undergoing radical resection of cervical cancer have different characteristics with the course of disease. Medical staff should adopt the concept of dynamic and continuous, scientifically evaluate the needs of patients, and then implement accurate nursing services to improve patients' disease awareness and coping ability.

Key words: cervical cancer; radical resection of cervical cancer; supportive care need; phenomenological study

中图分类号:  R47;R197