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垂体瘤术后患者生活体验的质性研究 被引量:12

A qualitative study on the life experience of postoperative patients with pituitary adenoma
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摘要 目的探索垂体瘤术后患者真实生活体验。方法对15例垂体瘤术后患者进行深入访谈,现场录音和笔录,并采用现象学分析法分析资料。结果通过阅读、分析、反思、分类和提炼主题,得出3个主题:垂体瘤患者的反应迥然(术后很满意,重新找回自己;术后仍存在不适症状困扰;面对各种异常检验数值的无奈);垂体瘤术后患者存在的压力感受(经济负担重;担心复发;担心生育问题;存在安全隐患;我没你们想象的过得那么好);垂体瘤术后患者不同的压力应对方式和希望水平(充满希望、坦然面对;独自承受、缺少关爱;依从性差;消极应对;绝望崩溃)。结论垂体瘤术后患者在生理、心理、社会等方面存在压力,在研究和关注垂体瘤术后患者康复问题的同时,需要给予患者更好的健康教育和心理疏导、提供有效的社会支持,以期指导患者正确的应对,改善患者的生活质量。 Objective To explore the real life experience of postoperative patients with pituitary adenoma. Methods 15 cases of pituitary tumor patients were interviewed,recorded and transcribed,and the data were analyzed by phenomenological analysis. Results Through reading,analysis,reflection,classification and refining the theme,come to the three themes:patients with pituitary adenoma have different reactions( they were very satisfied to regain their own after surgery; symptoms of discomfort still existed after surgery; they faced a variety of abnormal test values with helplessness). Postoperative patients with pituitary adenoma had stress perception( the economic burden is heavy; they worried about recurrence; they worried about fertility problems; there is a security risk; I did not live as well as you thought). Postoperative patients with pituitary adenoma had different stress coping styles and levels of hope( Full of hope,calm in the face; alone to bear,the lack of care; poor compliance; negative coping; desperate to collapse). Conclusion Postoperative patients with pituitary adenoma had physiological,psychological,social and other aspects of the pressure. When we study and focus on the patients' rehabilitation problem,better health education,psychological guidance and effective social support should be given to patients at the same time in order to guide patients response to the problem correctly and improve the quality of life of patients.
出处 《护士进修杂志》 2017年第16期1511-1515,共5页 Journal of Nurses Training
关键词 垂体瘤术后 生活体验 质性研究 Postoperative pituitary adenoma Life experience Qualitative research
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