晚期卵巢癌患者的手术治疗经历:定性分析

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-08-01 DOI:10.1016/j.soncn.2024.151679
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引用次数: 0

摘要

目标:晚期卵巢癌的推荐治疗方法包括切除手术和化疗。手术对患者的身体、社交、性和情感健康造成了极大的负担。探索手术影响的现有研究往往局限于问卷调查,数据收集时间点之间存在较大差距,从而遗漏了围手术期的关键环节。从患者角度对卵巢癌手术治疗的体验知之甚少。本研究旨在从定性角度探讨晚期卵巢癌患者的手术经历,并找出可能影响生活质量的方面:对接受过手术和化疗联合治疗的患者进行了半结构化电话或面对面访谈。对访谈进行了录音和逐字记录。采用归纳式主题分析方法对笔录进行分析:20 名接受过切除手术的卵巢癌患者参加了访谈,访谈时间从 33 分钟到 68 分钟不等。定性分析产生了五个关键主题:(1) 护理服务;(2) 造口体验;(3) 术前体验;(4) 手术影响;(5) 应对机制:结论:了解晚期卵巢癌患者的手术治疗经历有助于为今后的护理工作提供信息并加以改进。这项研究探讨了手术对患者生活质量的影响,并强调了可能需要进一步支持的领域。了解患者的经历也有助于临床医生和患者在考虑不同治疗途径时做出决策:研究结果表明,在手术路径的两个关键点上,患者对情感支持的需求非常大:术前和手术后的住院恢复期。在此期间,护理人员是提供安抚的关键。造口专科护士对于帮助患者在生理和心理上适应造口也至关重要。
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Advanced Ovarian Cancer Patients’ Experiences of Surgical Treatment: A Qualitative Analysis

Objectives

Recommended treatment for advanced ovarian cancer involves a combination of debulking surgery and chemotherapy. Surgery places a significant burden on a patient's physical, social, sexual, and emotional wellbeing. Existing research exploring the impact of surgery is often limited to questionnaire administration with large gaps between data collection time points, missing key aspects of the perioperative period. Little is known of the experience of ovarian cancer surgical treatment from a patient perspective. This research aims to qualitatively explore advanced ovarian cancer patients’ experience of surgery and identify areas in which quality of life may be impacted.

Methods

Semi-structured telephone or face-to-face interviews were conducted with patients who had undergone combined surgical and chemotherapy treatment. Interviews were audio-recorded and transcribed verbatim. Transcripts were analyzed using an inductive approach to thematic analysis.

Results

Twenty ovarian cancer patients who had undergone debulking surgery participated in interviews lasting between 33 and 68 minutes. Qualitative analysis generated five key themes: (1) care services; (2) experiences of a stoma; (3) preoperative experience; (4) impact of surgery; and (5) coping mechanisms.

Conclusions

Understanding the patient experience of surgical treatment for advanced ovarian cancer can help inform and improve future care. This research explored the ways in which a patient's quality of life is impacted by surgery and highlights areas in which further support may be needed. Knowledge of the patient experience may also aid decision-making for both clinicians and patients when considering different treatment pathways.

Implications for Nursing Practice

Results highlighted two crucial points in the surgical pathway where patients' need for emotional support was significant: during pre-op and recovering from surgery as an inpatient. Nursing staff are key to providing reassurance during this time. Specialized stoma nurses were also essential for supporting patients to adapt to their stomas both physically and psychologically.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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