原发性肝癌男性患者心理困境的质性研究

发布时间：2018-06-24 23:01

本文选题：原发性肝癌 + 男性患者　；参考：《山东大学》2016年硕士论文

【摘要】：目的了解原发性肝癌男性患者真实心理困境,全面分析原发性肝癌男性患者心理困境及其相关因素,帮助护理人员充分评估其心理历程,为采取积极有效措施促进其身心康复,提高患者治疗效果和应对能力提供依据。方法本研究采用质性研究中的现象学研究方法,按照目的抽样法,遵循“信息饱和”原则,在山东省某三级甲等医院消化科选取10名原发性肝癌男性患者为研究对象。由研究者本人实施并根据研究目的制定访谈提纲,对被试进行半结构式深度访谈,探讨并记录被试真实的心理体验。研究者反复仔细阅读访谈记录,同时结合访谈情景的回忆,选用Colaizzi内容分析法对访谈所得资料予以整理及分析,提炼主题,并进行讨论分析。结果资料分析发现,患者因文化程度、教育背景、生活经历等个体差异而表现各不相同,但面对相同的应激有共同的心理体验和反应,面对很多相同的抉择和困境。经过对资料的反复分析和整理,提炼的原发性肝癌男性患者心理困境的主题及亚主题如下：1.主题一获知诊断后的心理困境亚主题：(1)震惊和否认；(2)恐惧；(3)愤怒；(4)悔恨；(5)灾难化反应2.主题二治疗过程中的心理困境亚主题：(1)焦虑、抑郁；(2)无奈；(3)疾病不确定感3.主题三家庭因素所致的心理困境亚主题：(1)赡养父母能力缺失；(2)抚养子女责任受阻；(3)经济压力；(4)家庭角色转为受照顾者；(5)家庭完整性受损4.主题四社会因素所致的心理困境亚主题：(1)社会地位改变；(2)社交障碍；(3)工作无法胜任5.主题五心理困境改善需求亚主题：(1)对疾病知情权的需求；(2)求医需求；(3)疾病知识需求；(4)心理帮助需求结论1.原发性肝癌男性患者的心理体验复杂多样,每个个体应对方式存在差异,心理困境表现形式因人而异,心理困境改善的需求也相应的存在个体差异。2.医护人员要重视每位患者的不同的心理困境,从患者的各个方面的需求考虑,针对每位患者制定出个性化、人性化的护理措施,提供针对性的帮助,改善心理困境。
[Abstract]:Objective to understand the true psychological predicament of male patients with primary liver cancer (HCC), to analyze the psychological dilemma of male patients with PHC and its related factors, to help nurses to evaluate their psychological course, and to take active and effective measures to promote their physical and mental recovery. To provide evidence for improving the therapeutic effect and coping ability of patients. Methods in this study, 10 male patients with primary liver cancer were selected from the digestive department of a Grade 3A hospital in Shandong Province, according to the objective sampling method and the principle of "information saturation". According to the purpose of the study, the researcher conducted a semi-structured in-depth interview to explore and record the real psychological experience of the subjects. The researcher repeatedly read the interview records carefully, combined with the memory of the interview scene, selected Colaizzi content analysis method to collate and analyze the interview data, refine the topic, and carry out discussion and analysis. Results the data showed that the patients were different because of their educational background, educational background and personal experience, but they had the same psychological experience and reaction in the face of the same stress, and many of the same choices and dilemmas. After repeated analysis and collation of the data, the theme and subthemes of the psychological distress of male patients with primary liver cancer are as follows: 1. Topics 1: (1) shock and denial; (2) fear; (3) anger; (4) regret; (5) disaster response. Subthemes of psychological distress in the course of treatment: (1) anxiety, depression, (2) helplessness, (3) feeling of uncertainty. The sub-themes of psychological distress caused by family factors are: (1) lack of ability to support parents; (2) hindered responsibility for raising children; (3) financial pressure; (4) family role to be taken care of; (5) impaired family integrity. Subject 4: subthemes of psychological distress caused by social factors: (1) social status change; (2) social handicap; (3) work incompetence. Topic 5: the subthemes of improving the need for psychological distress: (1) the need for the right to know the disease; (2) the need for medical treatment; (3) the need for disease knowledge; (4) the conclusion of the need for psychological help. The psychological experience of male patients with primary liver cancer is complex and diverse, each individual coping style is different, the manifestation of psychological distress varies from person to person, and the need for improvement of psychological predicament also has individual differences. 2. The medical staff should pay attention to the different psychological predicament of each patient, consider the needs of each patient, formulate individualized and humanized nursing measures for each patient, provide targeted help and improve the psychological predicament.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.73

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