喉切除术后的导航生活:在手术后的前6个月内对调整和痛苦的定性研究
Penny Chapman1, Karyn Galvin2, Katrina Blyth3
1Speech Pathology Department, St. Vincent's Hospital Melbourne, 14 Nicholson Street, Fitzroy, Victoria, 3065, Australia. penny.chapman@svha.org.au.
概括
接受全喉切除术的患者经历了不同的调整阶段,从最初的震惊到最终的接受. 经过手术后六个月内,情绪上的痛苦显著减少,强调需要量身定制的支持.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 手术患者护理手术患者护理
背景情况:
- 全喉切除术是晚期喉/鼻癌的关键手术.
- 身体恢复是众所周知的,但心理,情感和社会调整仍然不太了解.
- 本研究探讨了喉切除术后的前六个月调整的实践经验.
研究的目的:
- 调查患者在全喉切除术后适应生活的经验.
- 在最初的术后期识别心理,情绪和社会变化.
- 了解手术后的前六个月内患者的旅程.
主要方法:
- 在墨尔本圣文森特医院进行了纵向多方法研究.
- 在手术后2周,3个月和6个月进行的深入,半结构化的采访.
- 心理困扰使用困扰温度计进行评估;采访数据通过感应主题分析进行分析.
主要成果:
- 确定了三个适应阶段:"不是正常的生活"",永远不会再一样"和"只要继续下去".
- 在出院2周后,情绪困扰是中度的,在6个月内显著减少.
- 来自6名参与者的数据,其中4人完成了所有采访.
结论:
- 在全喉切除术后,存在明显的心理,情感和社会过渡模式.
- 研究结果强调需要及时,多学科的支持,以适应不断变化的患者需求.
- 了解调整阶段为主动和个性化的临床护理提供了一个框架.
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