摘要
目的通过量性和质性相结合的混合研究方法,了解胃癌根治术后患者未满足需求现状及影响因素,为今后制订有效的健康管理方案提供参考。方法采用方便抽样法选择2021年1—12月天津医科大学肿瘤医院住院治疗的胃癌根治术后患者297例为研究对象,采用一般资料调查表、癌症患者未被满足需求量表(SF-SUNS)进行调查;目的抽样法选择12例胃癌患者进行半结构式深度访谈,采用Colaizzi 7步分析法整理资料。结果297例研究对象未满足需求总分为(60.91±16.00)分,处于中等水平;各维度条目均分由高到低为:连续性照护未满足需求(2.37±0.75)分、工作经济未满足需求(2.22±0.65)分、信息未满足需求(2.20±0.92)分、情感未满足需求(1.72±0.60)分;学历、是否是家庭主要经济来源者、工作状态是未满足需求的影响因素(t=5.32、-3.59、-3.28,均P<0.05)。质性研究共提炼4个主题:症状网络识别和精准症状管理需求未满足、共享决策参与和疾病感知变化轨迹需求未满足、尊严维护和心理应激机制重建未满足需求、"互联网+"移动医疗延续护理需求未满足。结论胃癌根治术后患者未满足需求问题仍普遍存在并受多种因素影响,建议医护工作者基于患者未满足需求现状构建有效的支持性照护系统,推进胃癌患者全程多维的健康管理服务,提升生命质量。
Objective To investigate the status quo and influencing factors of unsatisfied needs of patients after radical gastrectomy for gastric cancer through quantitative and qualitative mixed research methods,and to provide reference for the development of effective health management programs in the future.Methods A total of 297 patients who were hospitalized in Tianjin Medical University Cancer Hospital from January to December 2021 after radical gastretomy were selected as subjects by convenient sampling method.The general data questionnaire and Short-Form Survivor Unmet Needs Survey(SF-SUNS)were used to investigate.Selected 12 patients with gastric cancer by objective sampling method for semi-structured in-depth interview and collate data by Colaizzi 7-step analysis method.Results The total average score of 297 subjects who did not meet the requirements was(60.91±16.00),which was in the middle level.The average score of each dimension from high to low was:continuous care unmet needs(2.37±0.75)points,work economy unmet needs(2.22±0.65)points,information unmet needs(2.20±0.92)points,emotion unmet needs(1.72±0.60)points.Educational background,main economic source of family and working state were the influencing factors of unmet demand(t=5.32,-3.59,-3.28,all P<0.05).Qualitative research had extracted four themes:unmet needs for symptom network recognition and accurate symptom management,unmet needs for shared decision participation and disease perception trajectory,unmet needs for dignity maintenance and reconstruction of psychological stress mechanism,and unmet needs for"Internet plus"mobile medical continuous care.Conclusions The problem of unmet needs of patients after radical gastritis is still prevalent and affected by a variety of factors.It is suggested that medical workers build an effective supportive care system based on the status quo of unmet needs of patients,promote the whole process of multidimensional health management services for patients with gastric cancer,and improve the quality of life.
作者
王会英
杨玄
唐昕宇
田慧子
强万敏
Wang Huiying;Yang Xuan;Tang Xinyu;Tian Huizi;Qiang Wanmin(Department of Gastric Oncology,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin Clinical Research Center for Cancer,Tianjin 300060,China;Department of Nursing,Tianjin Medical University Cancer Institute and Hospital,National Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy,Tianjin Clinical Research Center for Cancer,Tianjin 300060,China)
出处
《中国实用护理杂志》
2022年第31期2440-2446,共7页
Chinese Journal of Practical Nursing
基金
天津市卫生健康科技项目(ZC20010)
天津医科大学肿瘤医院护理创新人才项目(HL2021-03)。
关键词
胃癌根治术
未满足需求
影响因素
混合研究
Radical gastrectomy for gastric cancer
Unmet needs
Influencing factors
Mixed-methods approach
