女性乳腺癌21例诊断期间心理体验

    Psychological experience of during diagnosis of 21 cases with breast cancer

    • 摘要: 目的:了解乳腺癌患者诊断期间心理体验,为相关的研究提供理论依据,为临床实施心理护理提供参考。方法:采用质性研究中的现象学研究法对21例疑似乳腺癌女性患者进行访谈,并按照Colaizzi分析方法对访谈资料进行分析、整理,提练诊断期间不同主题。结果:乳腺癌患者心理体验存在很多共同之处,但诊断期间仍有差异,主要体现在对症状重视不够和对乳腺癌知识缺乏而未及时就医;对患病的震惊、难以置信,甚至怀疑诊断出错;对生命的渴望和侥幸心理,希望自己患的是良性肿瘤;在诊断期的不同阶段均表现出焦虑和恐惧;对家人关爱的需求增加,尤其希望得到丈夫的安慰与支持。结论:医护人员通过了解患者一系列的心理变化,能够更多地向患者讲解疾病相关知识;同时取得患者家人尤其是丈夫给予精神支持,帮助患者重铸生活的信心。

       

      Abstract: Objective: To know the psychological experience of during diagnosis of 21 cases with breast cancer and provide a theoretical basis and reference for clinical nursing. Methods: Twenty-one cases with suspected breast cancer were interviewed through the phenomenological research method. The information of interview was analysed,sorted in according to Colaizzi' s analysis,and different themes were extracted. Results: Research showed that the psychological experience of all cases with breast cancer patients has a lot of in common,but there were still differences during their diagnosis. These were not timely seek medical advice,the shock of the illness,desire of life and chances,anxiety and fear,the demand of family love. Conclusions: Doctor need understand a series of psychological changes of the patients and tell the related knowledge of disease. At the same time,patient can obtain the moral support from family,especially husband as far as possible,which can help patients recast the life confidence.

       

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