结直肠癌和永久结直肠切除术后患者的生活经验:一个并行设计的混合方法研究
Burcu Duluklu1, Sevilay Şenol Çelik
1Burcu Duluklu, PhD, RN, is Assistant Professor, Faculty of Nursing, Surgical Nursing Department, Hacettepe University, Ankara, Turkey. Sevilay Şenol Çelik, PhD, RN, is Professor, School of Nursing, Koc University, Istanbul, Turkey.
Advances in skin & wound care
|May 20, 2024
概括
结肠直肠癌后永久性结肠直肠切除 (PC) 的患者经常在调整和生活质量 (QoL) 方面扎,甚至在手术后的几年. 持续的护理支持对于改善口腔调整和QOL至关重要.
科学领域:
- 在瘤学瘤学.
- 手术护理 医疗护理
- 生活质量研究 研究 生命质量研究
背景情况:
- 结肠直肠癌幸存者永久性结肠静脉切除 (PC) 面临着独特的挑战,影响他们的生活.
- 了解长期生活经验和调整水平对于患者护理至关重要.
- 生活质量 (QoL) 和骨架调整 (OA) 是患者结肠术后幸福感的关键指标.
研究的目的:
- 探索结直肠癌治疗后永久性结直肠切除 (PC) 患者的生活经历.
- 在这个患者群体中评估生活质量 (QoL) 和骨调整水平 (OA).
- 确定影响长期适应PC生活的因素.
主要方法:
- 一个平行设计的混合方法研究,涉及14名患有永久性结肠静脉修复 (PC) 的患者,创建于一年前.
- 通过采访收集了定性数据,并使用解释学解释现象学进行了分析.
- 使用口腔质量标准和口腔调整库存23收集了定量数据.
主要成果:
- 参与者 (平均年龄61.5岁,平均PC持续时间7.7年) 报告生活质量 (QoL) 和骨调整 (OA) 得分略高于中位数.
- 三个超级主题出现了:早期经历 (接受,医疗问题,情绪变化),长期经历 (生理,心理,社会,经济方面,应对) 和未来前景 (担忧,期望).
- 分析揭示了与接受,医疗和情感挑战,身体和心理社会影响,经济问题,应对策略和未来焦虑相关的主题.
结论:
- 长期生活在永久性结肠静脉切除 (PC) 并不能保证完全适应或内化生活方式的变化.
- 医疗保健专业人员,特别是护士,必须提供持续的支持,包括例行后续检查和社会援助.
- 对于患有PC的人来说,建议采用促进性医疗保健策略,无论手术后的时间有多久.
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