摘要
目的探讨晚期肺癌患者生命意义的内涵。方法选择2018年4—7月同济大学附属上海市肺科医院住院的晚期肺癌患者21例为研究对象, 采用质性研究法对患者进行深度访谈, 对收集的资料采用Colaizzi 7步分析法整理得出结果。结果提炼出3个维度7个主题分别为:(1)生命意义的核心为"自我迭代", 包含自我再认识、珍惜生命2个主题;(2)生命意义的存在形式为"有为", 包含自立和利他2个主题;(3)生命意义体现在3个层面:①生命回顾, 包含感恩、病耻感、回避;②珍惜当下, 包含利用支持系统、积极应对、独立与完整;③未来可期, 包含陪伴亲人、死亡准备、高质量地生活。结论医护人员和家属可根据患者特征提供有针对性专业指导和心理支持, 帮助患者发现生命意义, 从而提升其生命意义感, 提高生命质量, 达到善终。
Objective To explore the meaning of life in patients with advanced lung cancer.Methods A total of 21 patients with advanced lung cancer who were hospitalized in the Pulmonary Hospital Affiliated to Shanghai Tongji University from April 2018 to July 2018 were selected for in-depth interviews using qualitative research method,and the collected data were analyzed with the Colaizzi 7-step Colaizzi method.Results Three dimensions,seven themes were extracted.The core of the meaning of life was"self-iteration",which included the two themes of self-recognition and cherishing life;the existence form of the meaning of life was"you-wei",which included the two themes of self-reliance and altruismin;the meaning of life was embodied in three levels:life-reviewing,including gratitude,stigma and avoidance;cherishing the present,including using the support system,active response,independence and integrity;confronting the future,including accompanying relatives,preparing for death,living with high quality of life.Conclusions Medical care providers and family members can provide targeted professional guidance and psychological support according to the characteristics of patients to help them discover the meaning of life,thereby enhancing their sense of meaning of life,improving the quality of life,and achieving a good end.
作者
张金梅
李玉梅
张美荣
杨春红
Zhang Jinmei;Li Yumei;Zhang Meirong;Yang Chunhong(Department of Nursing,Shanghai Pulmonary Hospital Affiliated to Tongji University,Shanghai 200433,China;Department of Nursing,Shanghai Yangpu District Mental Health Centre,Shanghai 200092,China;Office of Preventive Health Care,the First Affiliated Hospital of China Medical University,Shenyang 110001,China)
出处
《中国实用护理杂志》
2022年第1期55-60,共6页
Chinese Journal of Practical Nursing
基金
上海市护理学会科研项目(2017MS-B09)。
关键词
晚期肺肿瘤
生命意义
定性研究方法
Advanced lung cancer
Meaning of life
Qualitative study
