摘要
目的了解超重或肥胖乳腺癌患者化疗期间体质量管理体验,为制订针对性护理干预措施提供参考。方法采用质性研究中的现象学研究方法,采用目的抽样法,于2023年3—5月选择山东第一医科大学附属省立医院和山东第一医科大学第一附属医院乳腺外科化疗期间10例超重或肥胖乳腺癌患者进行半结构式访谈。运用Colaizzi 7步分析法对资料进行整理分析,提炼主题。结果10例超重或肥胖乳腺癌患者平均年龄为43.2岁。提炼出3个主题8个亚主题,分别为:体质量管理动力不足(认知不足、内驱力不足、激励不足)、体质量管理困扰体验(疾病不确定感、化疗期症状困扰、无法识别信息的正确性)、体质量管理调控与支持(掌握正确的体质量调控方法、各方面支持)。结论乳腺癌肥胖患者化疗期间体质量管理动力不足、困扰较多,医护人员可以从明晰体质量管理的重要意义、提供针对性的信息支持、建立良好的社会支持系统以及提供有效的体质量管理指导等方面采取有效措施,以提高乳腺癌肥胖患者化疗期间体质量管理的有效性。
Objective To investigate the experience of body quality management in overweight or obese patients with breast cancer during chemotherapy,and to provide reference for formulating targeted nursing interventions.Methods This study was a phenomenological study of qualitative research.Objective selected 10 obese patients with breast cancer from breast surgery of Provincial Hospital Affiliated to Shandong First Medical University and the First Affiliated Hospital of Shandong First Medical University to conduct semi-structured interviews during chemotherapy from March to May 2023.Colaizzi 7-step analysis method was used to sort out and analyze the data and extract the theme.Results The average age of 10 overweight or obese breast cancer patients was 43.2 years.Three themes and eight subthemes were extracted,including insufficient motivation of body quality management(insufficient cognition,insufficient drive,insufficient motivation),disturbing experience of body quality management(uncertainty of disease,symptom distress during chemotherapy,inability to identify the correctness of information),regulation and support of body quality management(mastering correct methods of body quality regulation and support in all aspects).Conclusions The motivation of body quality management in overweight or obese patients with breast cancer during chemotherapy is insufficient and there are many problems.Medical staff can take effective measures from clarifying the significance of body quality management,providing targeted information support,establishing a good social support system and providing effective body quality management guidance,so as to improve the effectiveness of body quality management in obese patients with breast cancer during chemotherapy.
作者
辛向华
杨佩晶
孙巧梅
Xin Xianghua;Yang Peijing;Sun Qiaomei(Department of Internal Medicine,Provincial Hospital Affiliated to Shandong First Medical University,Ji'nan 250021,China;Follow-up Center,the First Affiliated Hospital of Shandong First Medical University,Ji'nan 250014,China;Department of the 2nd Anesthesia Surgery,Provincial Hospital Affiliated to Shandong First Medical University,Ji'nan 250021,China)
出处
《中国实用护理杂志》
2024年第7期527-532,共6页
Chinese Journal of Practical Nursing
关键词
乳腺肿瘤
定性研究
超重
肥胖
化疗
体质量管理
Breast neoplasms
Qualitative study
Overweight
Obesity
Chemotherapy
Body quality management
