关键词: 结直肠癌, 肠造口术, 配偶, 疾病沟通, 质性研究, 护理

Abstract:

Objective To explore the problems and causes of disease communication between colorectal cancer patients and their spouses,and to provide a basis for further interventions.Methods Purposive sampling method was used to select patients with colorectal cancer from September to December 2019 in a tertiary hospital in Zhengzhou for semi-structured interviews. Data was analyzed by Colaizzi method.Results 4 themes were extracted. Theme 1 is negative communication problems during the treatment（including heavy communication burden of male patients,the lack of emotional support in communication content,couples avoidance of cancer-related topics）. Theme 2 is positive communication experience in the rehabilitation period（including positive communication about the new life after illness,the increasing of the sense of tacit understanding）. Theme 3 is the influence of negative communication on patients（including the increased negative emotions,the increased inner loneliness of patients,the decline of self-confidence,the conflicts caused by over protection of spouses）. Theme 4 is patients’ expectation of effective communication between the husband and wife（including the obtaining of professional knowledge guidance to improve communication efficiency,the hope to get training in communication skills）.Conclusion There are differences in disease communication of couples in different stages of ostomy patients with colorectal cancer. Negative communication will have a negative effect on the patient’s psychological status. Therefore,nurses should pay attention to such patients and give effective interventions.

Key words: Colorectal Cancer, Enterostomy, Spouse, Disease Communication, Qualitative Research, Nursing Care