Chinese Journal of Nursing ›› 2020, Vol. 55 ›› Issue (4): 569-573.DOI: 10.3761/j.issn.0254-1769.2020.04.017

• Specialist Practice and Research • Previous Articles     Next Articles

Symptoms and psychological experience of cervical cancer patients after radical hysterectomy:a qualitative research

ZHENG Yingying,LÜ Hongying,CHEN Zhengfei,FENG Suwen()   

  • Received:2019-04-11 Online:2020-04-15 Published:2020-04-15
  • Contact: Suwen FENG

宫颈癌根治术后患者康复期症状体验及心理感受的质性研究

郑楹楹,吕宏英,陈正飞,冯素文()   

  1. 310006 杭州市 浙江大学医学院附属妇产科医院研究生科(郑楹楹,陈正飞),肿瘤一科(吕宏英),护理部(冯素文)
    310006 杭州市 浙江大学医学院附属妇产科医院研究生科(郑楹楹,陈正飞),肿瘤一科(吕宏英),护理部(冯素文)
  • 通讯作者: 冯素文
  • 作者简介:郑楹楹:女,本科(硕士在读),E-mail:<email>920946859@qq.com</email>
  • 基金资助:
    浙江省医药卫生科技计划项目(2019KY091)

Abstract: Objective To explore the experience and psychological feelings of cervical cancer patients after radical hysterectomy,so as to provide a valid basis for medical staff to fully understand the postoperative symptoms of patients,improve symptom management,and promote rehabilitation. Methods Semi-structured interviews were performed by phenomenology in 12 cervical cancer patients after radical hysterectomy. Data was analyzed by Colaizzi's method of data analysis. Results 4 themes were extracted,including the physiological aspect (fatigue,urinary dysfunction and impaired function of lower limbs); the psychological aspect (stigma,regret of unsuccessful self-prevention of disease and concern about recurrence of the disease); the family aspect (changes of marital intimacy and concern about resuming normal sexual life); the social aspect (reduced social value and self-identity,and changes of social activities and working methods. Conclusion Cervical cancer patients still face many problems during postoperative recovery stage). Medical staff should evaluate and intervene patients' physical and mental health during rehabilitation period in a timely manner,in order to improve patients' physical and mental health as well as quality of life.

Key words: Uterine Cervical Neoplasms, Postoperative Period, Symptom Experience, Psychological Feeling, Qualitative Research, Rehabilitation Nursing

摘要: 目的 探讨宫颈癌根治术后患者康复期症状体验和心理感受,以期为医护人员全面掌握患者术后症状表现并完善症状管理、促进患者术后康复提供依据。方法 采用现象学研究法,对12例宫颈癌根治术后康复期患者进行半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果 归纳出4个主题,生理层面:疲劳感、排尿功能障碍、下肢功能受损;心理层面:病耻感、未实现疾病自我预防的遗憾、疾病复发的忧虑;家庭层面:夫妻亲密度的改变、恢复正常性生活的困扰;社会层面:社会价值感及自我认同感降低、社交活动及工作方式的改变。结论 宫颈癌根治术后患者康复期面临多方面的困扰,医护人员在康复期应及时对患者的身心健康进行有效的评估和干预,以改善患者的身心健康,提高其生活质量。

关键词: 宫颈肿瘤, 手术后期间, 症状体验, 心理感受, 质性研究, 康复护理