癌症患者家属在亲人病期具体应对表现的质性研究

发布时间：2018-06-05 05:09

本文选题：癌症患者家属 + 应对　；参考：《山西医科大学》2014年硕士论文

【摘要】：目的：探索患者家属在经历亲人罹患疾病这一应激性事件的整个过程中的具体应对表现。将癌症患者家属在整个过程中的应对看做一个动态的过程,综合考虑认知、态度、行为等各方面因素,探讨癌症家属在应对的各个阶段详细的应对表现。方法：本研究采用质性研究方法。通过参与式观察法及半结构式深入访谈法,收集了11名癌症患者家属的详尽资料。采用扎根理论的编码思路,对收集到的资料依次进行开放式编码、主轴编码、选择式编码,以此完成对资料的分析。运用参与者检验法,邀请受试者对研究结果进行反馈,完成对研究效度的检验。结果： (1)对访谈资料进行开放式编码,得到27个一级编码。 (2)整理开放式编码中的条目,获得13个二级编码,分别是：急性应激反应、无力面对事实、自我内心冲突、抱怨目前遭遇、调整自我状态、适应支持者角色、情绪反复无常、心理濒临耗竭、与病人关系紧张、补偿的防御机制、利用疾病成长、爱的感受度提高、升华的人生观。 (3)辨别归纳各个二级编码,研究者最终提取出五项核心类别：逃避期、妥协期、接纳期、磨合期、升华期。结论：癌症患者家属在应对亲人罹患疾病的整个过程中,其应对表现经历了逃避期、妥协期、接纳期、磨合期、升华期五个阶段。
[Abstract]:Objective: To explore the specific coping behavior of family members in the course of the stress event. Taking the response of cancer patients' relatives in the whole process as a dynamic process, considering the factors of cognition, attitude, behavior and so on, the detailed coping performance of cancer family members in each stage of coping was discussed. Methods: The qualitative method was used in this study. The detailed data of 11 cancer patients' families were collected by means of participatory observation and semi-structured in-depth interviews. Based on the idea of rooting theory, the collected data are encoded by open coding, spindle coding and selective coding in order to complete the analysis of the data. Participants were invited to feedback the results of the study to complete the validity test. Results: 1) the open coding of interview data was carried out, and 27 primary codes were obtained. (2) sorting out the items in the open code and obtaining 13 secondary codes, they are: acute stress response, inability to face the facts, inner conflict of oneself, complaining about the current situation, adjusting self state, adapting to the role of supporter, volatile mood. Psychology is on the verge of exhaustion, the relationship with patients is tense, the defense mechanism of compensation, the growth of disease, the improvement of feeling of love, and the sublimation of outlook on life. Finally, the researchers extracted five core categories: escape period, compromise period, acceptance period, running-in period and sublimation period. Conclusion: In the whole process of dealing with the disease of relatives, the family members of cancer patients experienced five stages: escape period, compromise period, acceptance period, running-in period and sublimation period.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：B849

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