摘要
目的了解老年甲状腺癌患者接受^(131)I治疗期间的自我管理体验,分析患者的自我管理需求。方法采用目的抽样法,选取2020年11月至2021年3月郑州大学第一附属医院影像与核医学科收治的15例行放射性^(131)I隔离治疗的老年甲状腺癌患者为研究对象,通过防护病房输液窗口进行半结构化深入访谈,运用Colaizzi7步分析法对访谈资料进行分析、整理归纳与提炼主题。结果15例接受^(131)I治疗的老年甲状腺癌患者治疗期间的自护管理体验可归纳为3个主题:情绪管理能力不足、症状管理好和自我管理能力参差不齐,个性化健康教育的长期需求。结论行^(131)I治疗的老年患者在治疗期间存在多种情感障碍,缺乏自我管理能力,对^(131)I治疗相关知识掌握不牢固,医护人员应采用个性化的措施强化医护人员在患者自我管理中的作用。
Objective To explore the self-management of elderly patients with differentiated thyroid cancer treated with ^(131)I and analyze the self-management needs of patients.Methods A total of 15 elderly patients with thyroid cancer received ^(131)I isolation treatment were selected by objective sampling from November 2020 to March 2021 in the First Affiliated Hospital of Zhengzhou University.Semi-structured in-depth interviews were conducted through the infusion window of the protective ward.Colaizzi 7-step analysis method was used to analyze,summarize and refine the interview data.Results The self-management experience of 15 elderly patients with thyroid cancer received ^(131)I can be summarized into three themes:insufficient emotional management ability,good symptom management and self-management ability varies considerably as well as long-term needs of personalized health education.Conclusion Elderly patients with thyroid cancer received ^(131)I face emotional disorders,insufficient self-management ability and weak mastery of ^(131)I treatment,lack of related knowledge of ^(131)I.Personalized measures should be taken to strengthen the role of medical personnel in patients,self-management.
作者
杨延飞
娄小平
YANG Yanfei;LOU Xiaoping(Imaging and Nuclear Medicine Ward,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《河南医学研究》
CAS
2022年第10期1822-1825,共4页
Henan Medical Research
关键词
分化型甲状腺癌
^(131)I治疗
老年人
自我管理
质性研究
differentiated thyroid cancer
^(131)I treatment
elderly patient
self-management
qualitative research
