天津护理 ›› 2023, Vol. 31 ›› Issue (2): 142-146.DOI: 10.3969/j.issn.1006-9143.2023.02.004

• 论著 • 上一篇    下一篇

乳腺癌术后患者家属照顾者对伤口置管居家照护体验的质性研究

贾辛婕 王晴 徐晓玮 何欣   

  1. (天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津市恶性肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室,天津 300060)
  • 出版日期:2023-04-28 发布日期:2023-04-28
  • 基金资助:
    天津市护理学会科研课题(tjhlky2021YB07)

Qualitative study on home care experience of wound catheterization of family caregivers in patients with breast cancer

JIA Xinjie, WANG Qing, XU Xiaowei, HE Xin   

  1. (Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060)
  • Online:2023-04-28 Published:2023-04-28

摘要:

目的:了解家属照顾者对乳腺癌患者术后伤口置管居家照护的真实体验,为患者提供针对性伤口置管居家照护服务提供依据。方法:采用目的抽样法对天津医科大学肿瘤医院就医的 14 例乳腺癌患者家属照顾者进行半结构式深入访谈,运用现象学研究方法,采用分析软件 Nvivo 12.0 及 Colaizzi 7 步法对访谈资料进行整理、分析。结果:家属照顾者对患者术后伤口置管居家照护体验归纳为 2个主题及 7 个亚主题。主题 1 为应对与挑战,亚主题包括伤口引流并发症应对困难、对日常生活的挑战和影响;主题 2 为需求与困境,亚主题包括渴望得到医疗照护服务支持、多元化信息获取来源、简化医疗服务流程、经济负担、照顾负担。 结论:家属照顾者在患者伤 口置管居家期间遇到诸多棘手问题,迫切需要医护人员给予帮助,以安全度过伤口置管期,促进患者伤口快速愈合,减少并发症的发 生,减轻心身压力,提高生活质量。

关键词: 乳腺癌, 家属照顾者, 伤口置管, 居家照护, 质性研究

Abstract:

Objective:To understand the real experience of family caregivers for postoperative wound catheterization homecare in patients with breast cancer, and to provide evidence for improving targeted home care services of wound catheterization.Methods:Using phenomenological research methods, a total of 14 cases of breast cancer patients’family caregiverswere interviewed by semi-structured in-depth interviews in Tianjin Medical University Cancer Hospital. The interview datawere sorted and analyzed by software Nvivo12.0 and Colaizzi 7 steps method.Results:Home care experience of familycaregivers of postoperative wound catheterization could be summarized into 2 themes and 7 sub-themes. Theme 1 was coping and challenges including difficulties in coping with complications, challenges and impacts on daily life; Theme 2 wasdemands and difficulties including desire for medical care service support, diversification of information access sources,simplification of medical service process, economic burden, and care burden.Conclusion:Family caregivers have encountered many difficult problems of caring wound catheterization at home, and urgently need to solve their difficulties in orderto safely transition the period of wound catheterization, so as to promote rapid wound healing, reduce complications, andalleviate psychosomatic stress, then improve quality of life in patients with breast cancer.

Key words: Breast cancer, Family caregivers, Wound catheterization, Home care, Qualitative research