膀胱全切术后行腹壁造口患者照顾者创伤后成长体验的质性研究

doi:10.3761/j.issn.0254-1769.2022.03.007

摘要/Abstract

摘要：

目的深入了解膀胱全切术后行腹壁造口患者照顾者创伤后成长的真实体验。方法采用现象学研究方法,通过目的抽样,于2021年1月—5月对杭州市某三级甲等医院泌尿外科11名膀胱全切术后行腹壁造口患者照顾者进行半结构式访谈,借助Nvivo11软件整理访谈资料,采用Colaizzi 7步分析法分析资料。结果膀胱全切术后行腹壁造口患者照顾者创伤后成长的真实体验可分为4个主题：①个人力量增强（自我效能感增强、接受能力增强、责任感增强）;②与他人关系的改变（家庭关系更加和谐、为己利他行为、感受到他人的帮助）;③新的可能性（实现新的价值、憧憬未来生活）;④人生哲学的变化（改变生活的优先次序、对生命价值的欣赏）。结论膀胱全切术后行腹壁造口患者照顾者在照顾过程中能体验创伤后成长,呈现积极的自我变化,护理人员应从成长的角度出发,关注照顾者的积极体验,充分发掘照顾者的潜能和力量,提高其照顾质量。

关键词: 膀胱全切, 照顾者, 创伤后成长, 质性研究, 护理

Abstract:

Objective To understand the real experience of post-traumatic growth of family members in patients with abdominal wall stoma after radical cystectomy. Methods The descriptive phenomenological method in qualitative research was used to conduct in-depth semi-structured interviews with family members of 11 patients from the Department of Urology of a tertiary A hospital in Hangzhou. Nvivo11 software was used to conduct data analysis in classification,coding,topic distillation. Data was analyzed by Colaizzi’s seven-step analysis methods. Results 4 themes are extracted. First,the enhancement of personal strength：the enhancement of self-efficacy,the enhancement of acceptance,the enhancement of sense of responsibility. Second,changes in relationships with others：more harmonious family relationships,“altruistic for self” behavior,feel help from others. Third,new possibilities：realizing new values,looking forward to future life. Fourth,changes in life philosophy：changing the priorities of life,appreciation of life. Conclusion Family members in patients with abdominal wall stoma after radical cystectomy can experience post-traumatic growth in the process of care and present positive self-change. The clinical nurses should pay attention to the positive experience of family members,fully explore the potential and strength of the family members,and improve the quality of their care. Post-trauma growth theory should be combined with psychological nursing to promote the formation of growth paradigm.

Key words: Radical Cystectomy, Family Members, Post-Traumatic Growth, Qualitative Research, Nursing Care

柯丹丹, 罗洁, 洪轶颖, 金真真, 叶思铭. 膀胱全切术后行腹壁造口患者照顾者创伤后成长体验的质性研究[J]. 中华护理杂志, 2022, 57(3): 294-300.

KE Dandan, LUO Jie, HONG Yiying, JIN Zhenzhen, YE Siming. A qualitative research on post-traumatic growth experience of family members in patients with abdominal wall stoma after radical cystectomy[J]. Chinese Journal of Nursing, 2022, 57(3): 294-300.

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