胃肠癌根治术后化疗初期患者对化疗的认知应对体验.pdfVIP

解放军护理杂志 March 2016 ,33(6) Nurs J Chin PLA • 39 • 胃肠癌根治术后化疗初期患者对化疗的认知应对体验 高健慧1 ，商丽艳2 ，徐燕3 (1.第二军医大学护理学院，上海 200433 ;2. 同济大学附属肺科医院护理部，上海 200433; 3. 上海杉达学院国际医学技术学院，上海 201209) I 摘要l 目的 了解胃肠癌根治术后化疗初期(化疗4 次)患者对化疗的认知应对体验。方法 采用目的抽样法选取 2015 年7-9 月在上海市某三级甲等医院肿瘤科住院及急诊化疗输液室治疗的 15 例胃肠癌根治术后化疗初期患者为研究对 象，对其进行半结构访谈，运用Colaizzi 分析程序对访谈资料进行整理分析。结果 通过整理归纳，析出 4 个主题:(1)化疗作 用的认知不足;(2)化疗症状的不适与克服;(3)化疗情绪的担忧与从容;(4) 化疗应对方式的不同。结论 医护人员应帮助胃 肠癌根治术后化疗初期患者减少化疗相关知识的认知误区，并进行针对性的心理干预，以帮助其建立有效的应对方式。 [关键词I 胃扬肿瘤;根治术z 化疗z 认知;应对 doi: 10.3969/j.issn.1008-9993.2016.06.009 I 中图分类号I R735.2;R735.3;R453 (文献标识码I A (文章编号I 1008-9993(2016)06-0039-05 Coping Experience of the Cognition of Chemotherapy of Patients in the Early Stage of Adjuvant Chemotherapy after Gastrointestinal Cancer Radical Operation Gao Jianhuil , Shang Liyan2 ,Xu Yan3 (1. School of Nursing , Second Military Medical University , Shanghai 200433 ,China; 2. Department of Nursing , Shanghai Pulmonary Hospital Affiliated to Tongji University , Shanghai 200433 , China; 3. School of International Medical Technology , Sanda University , Shanghai 201209 ,China) Corresponding author: Xu Yan , E-mail: xuyan1128@ [Abstract) Objective To explore the coping experience of the cognition of chemotherapy of patients in the early stage of adjuvant chemotherapy after gastrointestinal cancer surgery. Methods By purposive sam- pling method , 15 cases that received chemotherapy in the early stage after gastrointestinal cancer radical operation from Jul to Sep ,2015 were selected and had semi-structured interviews ,the data were analyzed by Colaizzi method.Results Four themes were extracted: lack of cognition of chemotherapy , uncomfortable experience and control , emotion adjusting , different coping strategies. Conclusions M