宫颈癌同步放化疗患者治疗后癌因性疲乏症状体验的质性研究

发布时间：2018-06-17 15:03

本文选题：宫颈癌 + 同步放化疗　；参考：《解放军护理杂志》2017年02期

【摘要】：目的深入了解行同步放化疗的宫颈癌患者治疗后癌因性疲乏(cancer-related fatigue,CRF)的真实体验,以期为医护人员有针对性地实施干预提供依据,为宫颈癌同步放化疗患者CRF症状的管理与控制提供研究基础。方法 2016年1-6月,采用现象学研究方法,通过目的抽样对12名行同步放化疗的宫颈癌患者进行半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果归纳出7个主题,即CRF在同步放化疗的宫颈癌患者中普遍存在且多维度、CRF有相关的伴随症状、CRF影响患者的心理状态、CRF影响患者的睡眠、患者存在对疲劳症状理解的误区、患者需要社会支持、患者有向医护人员寻求缓解疲乏症状的诉求。结论 CRF症状是主观且多维度的,医护人员应在宫颈癌患者同步放化疗的多个阶段进行疲乏及疲乏相关症状的评估与干预,以缓解患者的疲乏症状,提升其应对疾病的能力。
[Abstract]:Objective to investigate the true experience of cancer related fatigue (CRFF) in patients with cervical cancer treated with concurrent radiotherapy and chemotherapy, and to provide evidence for the intervention of medical staff. To provide a basis for the management and control of CRF symptoms in patients with cervical cancer. Methods from January to June 2016, 12 cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were interviewed by a semi-structured interview using a phenomenological study method and Colaizzi 7-step analysis method was used to analyze the data. Results there were seven themes: CRF was common in cervical cancer patients with concurrent radiotherapy and chemotherapy, and CRF associated with CRF had related symptoms. CRF affected the patients' sleep, and the patients had some misunderstandings about fatigue symptoms. Patients need social support and seek relief from health care workers. Conclusion CRF symptoms are subjective and multidimensional. Medical staff should evaluate and intervene fatigue and fatigue related symptoms in multiple stages of concurrent radiotherapy and chemotherapy in order to alleviate the fatigue symptoms and improve their ability to cope with the disease.
【作者单位】：南京中医药大学中西医结合鼓楼临床医学院;上海市闵行区肿瘤医院护理部;南京大学医学院附属鼓楼医院护理部;
【基金】：上海市闵行区自然科学研究课题资助(2015MHZ081)
【分类号】：R473.73

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