通过与恐惧妥协来定义平衡:在全胃切除术后恢复饮食的基础理论研究
Licia Baldi1, Marco D'Incà1, Jürgen Wildner2
1Oncological Medicine, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Palliative & supportive care
|January 22, 2024
概括
胃癌手术后恢复饮食涉及患者,医疗保健专业人员和护理人员谈判食调整. 这个过程是由对疾病和复发的恐惧所塑造的,影响生活质量.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 心理社会护理 心理社会护理
背景情况:
- 胃癌全胃切除术显著影响患者的营养状况和生活质量.
- 手术后适应饮食和养是一个复杂的,研究不足的过程.
- 了解患者,医疗保健专业人员 (HP) 和护理人员 (CG) 的观点对于有效的幸存者护理至关重要.
研究的目的:
- 为了研究全胃切除术后恢复饮食和养的过程.
- 在这个适应过程中探索患者,HP和CG的观点.
- 在现实世界中识别影响营养调整谈判的因素.
主要方法:
- 采用了一个构造主义的基于理论的方法.
- 与18名参与者进行了半结构面试.
- 使用解释性编码来分析采访数据并确定核心类别和阶段.
主要成果:
- 恢复饮食是一种协商的过程,被称为"通过与恐惧妥协来定义平衡".
- 患者在涉及HP建议,改变自身感知,新的饮食习惯和社交互动的多层次妥协中进行导航.
- 这个过程包括四个阶段:依靠建议,感知重新调整,重新安排摄入量,以及受疾病和复发恐惧影响的食物调节的社交互动.
结论:
- 胃切除术后生存率的有效管理需要解决营养,护理和心理社会需求.
- 建议采用涉及不同专家的多学科方法.
- 在基本的营养咨询中培训HP可以提高患者的护理.
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