Abstract:

Objective To explore the disease coping experience of patients with advanced cancer from the perspective of sense of coherence，in order to provide references for identifying their coping resources and formulating effective coping strategies. Methods A descriptive qualitative research method was used to conduct semi-structured interviews with 18 patients with advanced cancer who were hospitalized in the cancer center of a tertiary A hospital in Guangzhou from March to May 2023 by purposive sampling. The content analysis method was used to summarize and extract the interview results. Results A total of 3 themes were summarized，including comprehending the disease experience（reflecting on health behaviors，facing up to the fact of illness，accepting the law of life），managing disease threats（responding to multiple challenges，mobilizing coping resources），realizing the meaning of disease coping（acknowledging the meaning of disease coping，perceiving the benefits of disease，and making a life plan）. Conclusion Effective coping resources can help patients with advanced cancer cope with multiple challenges in the disease process. Medical staff should strengthen cancer knowledge education，help patients with advanced cancer to explore positive coping resources，and reinforce the meaning of disease coping，thereby enhancing patients’ disease coping ability and promoting their physical and mental health.

Key words: Sense of Coherence, Advanced Cancer, Coping Experience, Qualitative Study, Nursing Care

摘要：

目的 在心理一致感视角下，探索晚期癌症患者的疾病应对体验，为识别其应对资源、制订有效的应对策略提供参考依据。方法 采用描述性质性研究法，通过目的抽样，于2023年3月—5月对广州市某三级甲等医院肿瘤中心收治的18例晚期癌症患者进行半结构式访谈，采用定向内容分析法对访谈结果进行归纳和提炼主题。结果 共归纳出3个主题：①理解疾病经历，包括反思健康行为、正视患病事实、接受生命规律；②管理疾病威胁，包括应对多重困难、调动应对资源；③体会疾病应对意义，包括认同疾病应对意义、感知疾病获益、做好人生规划。结论 有效的应对资源可帮助晚期癌症患者应对患病过程中的多重困难。医护人员应加强癌症相关知识宣教，帮助晚期癌症患者挖掘积极应对资源，并强化疾病应对意义，从而增强患者的疾病应对能力，促进其身心健康。

关键词: 心理一致感, 晚期癌症, 应对体验, 质性研究, 护理