肿瘤患者与家属放射治疗期间真实体验的质性研究

目的了解恶性肿瘤患者在接受放射治疗(简称放疗)期间的真实感受,了解家属的心理需求。方法2010年10月—2011年10月,采用质性研究的现象学研究方法,对在山东省泰安市肿瘤防治院就诊的13例首次接受放疗的肿瘤患者及家属进行深入访谈。结果放疗患者的真实体验为:自我感受负担较重;消极应对放疗反应;医疗费用负担过重;积极应对方式。家属的真实体验为:压力过重;不明确的预后;康复知识的需求。结论护理人员应深入了解肿瘤患者的真实感受和家属的心理需求,给患者及家属提供有针对性的健康指导,提高放疗效果,改善患者及家属的生活质量,促进患者康复。

Real experiences of malignant tumor patients and their family members during radiotherapy

Objective To evaluate the real feelings of malignant tumor patients and the psychological needs of their family members during radiotherapy .Methods A total of 13 malignant tumor patients receiving radiother-apy for the first time were chosen in Tai′an Tumor Hospital , Shandong Province from October 2010 to October 2011.The patients and their family members received deep interviews by phenomenological method of qualita -tive research .Results The real experiences of malignant tumor patients were heavy pressure , negativly coping with radiotherapy reactions , burden of medical expenses , and active response style .The real experiences of fam-ily members were great pressure , uncertain prognosis , and demanding of rehabilitation knowledge .Conclusion The nursing staff should deeply realize the real feelings of malignant tumor patients and the psychological needs of their family members , and provide specific health guidance for them to improve radiotherapy effect and their life quality , and to promote rehabilitation of patients .