关键词: 乳腺癌, 医护人员, 伤口置管, 居家护理, 质性研究

Abstract: Objective: From the perspective breast specialized medical staff, to explore the promoting and hindrance factors of home care for wound catheter in patients with breast cancer after surgery, so as to provide more humanized home care services for patients with wound catheters. Methods: A total of 19 breast specialized medical staffs were included and in-depth interviews were conducted with semi-structured interview outlines. Field recordings and transcripts were made, and the interview data were sorted and analyzed by Nvivo 12.0 and Colaizzi method of phenomena observation in qualitative study. Results: The promoting factors of home care in patients with wound catheter were including obtaining good family and social support, diversified and personalized health education forms.The hindrance factors were including patient factors such as insufficient voluntary learning ability and cognition, poor compliance, and caregiver factors such as elderly family caregivers, changing family supervision and care, and other factors such as patients living alone and geographical factors. Conclusion: Clinical medical staffs should actively provide targeted professional guidance and information support for patients, so as to solve their actual problems, help patients safely pass the period of wound catheterization at home, reduce the occurrence of complications, promote rehabilitation, and then improve their quality of life.

Key words: Breast cancer, Medical staff, Would catheter, Home care, Qualitative study