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基于半结构化访谈法的肠癌患者中医症状的挖掘和分析
引用本文:余涛,刘曼曼,侯风刚,杜琴.基于半结构化访谈法的肠癌患者中医症状的挖掘和分析[J].成都中医药大学学报,2010,33(4):18-20.
作者姓名:余涛  刘曼曼  侯风刚  杜琴
作者单位:上海中医药大学附属上海市中医医院,上海,200071;上海中医药大学附属龙华医院,上海,200032
基金项目:上海市教委科研项目(编号:112704); 上海市中医肿瘤特色专科建设项目(编号:SHDCI2007504)
摘    要:目的:分析提炼肠癌患者的中医症状,为确定中医药治理肿瘤的中医疗效评价指标提供一定依据。方法:用半结构化访谈的定性研究方法就3个框架性问题进行深入访谈,全面真实的记录病程中患者感受,然后对访谈资料进行整理审核,建立数据库,借助定性分析软件nvivo 6.0进行编码分析,并按照《中医临床诊疗术语》等的描述进行标化,最终提炼出其中的中医症状。结果:根据分析结果提炼出了西医治疗手段干预前后的中医症状,干预前有便血、腹痛等23个中医症状,干预后有便秘、便溏等20个中医症状。结论:患者对大便异常的描述最为详尽,共有11个症状,说明肠癌患者对大便异常最为关注;腹部、消化道症状以及神疲、乏力、舌麻、指(趾)麻、脱发等症状也是患者非常关注的,提示这些症状可以作为肠癌患者的中医疗效评价指标。

关 键 词:肠癌  定性研究  访谈法  中医症状

Analyses of TCM Symptoms of Patients with Colorectal Cancer Based on the Semi-structured Interview
YU Tao,LIU Man-man,HOU Feng-gang,et al.Analyses of TCM Symptoms of Patients with Colorectal Cancer Based on the Semi-structured Interview[J].Journal of Chengdu University of Traditional Chinese Medicine,2010,33(4):18-20.
Authors:YU Tao  LIU Man-man  HOU Feng-gang  
Institution:YU Tao,LIU Man-man,HOU Feng-gang,et al(Shanghai University of Traditional Chinese Medicine,Shanghai,China,200071)
Abstract:Objective:To search and analyze the TCM symptoms of the patients with colorectal cancer,and to offer a foundation for efficacy evaluation in cancer treating with TCM.Methods:Three main questions were made by professors at first.And then,researchers interviewed selected patients with colorectal cancer face to face according to the questions and recorded all the information that the patients offered with sound recorder.After that,researchers transformed these sound records into words records in TXT form to cr...
Keywords:colorectal cancer  Qualitative Research  interview  TCM symptoms  
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