[1]徐 蓓,魏霞丽,常艳琴.肝癌患者术后自我饮食管理体验的质性研究[J].医学信息,2019,32(20):180-182.[doi:10.3969/j.issn.1006-1959.2019.20.058]
　XU Bei,WEI Xia-li,CHANG Yan-qin.Qualitative Study of Postoperative Self-Catering Management Experience in Patients with Liver Cancer[J].Journal of Medical Information,2019,32(20):180-182.[doi:10.3969/j.issn.1006-1959.2019.20.058]
点击复制

肝癌患者术后自我饮食管理体验的质性研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年20期
页码:
180-182
栏目:
护理研究
出版日期:
2019-10-15

文章信息/Info

Title:
Qualitative Study of Postoperative Self-Catering Management Experience in Patients with Liver Cancer
文章编号:
1006-1959（2019）20-0180-03
作者:
徐 蓓; 魏霞丽; 常艳琴
（上海东方肝胆外科医院安亭院区肝外三科，上海 201805）
Author(s):
XU Bei; WEI Xia-li; CHANG Yan-qin
(Department of Extrahepatic Surgery,Subject Three,Anting Hospital,Eastern Hepatobiliary Surgery Hospital,Shanghai 201805,China)
关键词:
肝癌; 饮食管理; 自我管理; 质性研究
Keywords:
Liver cancer; Diet management; Self-management; Qualitative research
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2019.20.058
文献标志码:
A
摘要:
目的 了解肝癌患者手术后自我饮食管理的真实体验与心理感受，为制定护理干预措施提供有力依据。方法 收集2017年11月在我院行肝癌手术的患者临床资料，样本量按照资料饱和的原则确定，最终访谈15例，采用质性研究中的现象学方法，通过半结构式深入访谈，分析患者自我饮食管理主要存在的问题。结果 患者自我饮食管理主要存在的问题包括对术后饮食管理的重要性认知不足、获取营养知识存在困难、自我饮食管理体验困难。结论 护理人员应指导患者重视术后饮食自我管理，加强饮食宣教，提供多种学习途径以供患者获取营养知识，制定出符合患者情况的护理干预措施，协助患者建立良好的饮食习惯，提高患者的自我饮食管理效能感，积极展开延续护理，提高患者生活质量。
Abstract:
Objective To understand the real experience and psychological experience of postoperative self-catering management in patients with liver cancer, and to provide a strong basis for the development of nursing interventions.Methods The clinical data of patients undergoing liver cancer surgery in our hospital in November 2017 were collected. The sample size was determined according to the principle of data saturation. The final interview was 15 cases. The phenomenological methods in qualitative research were used to analyze the main problems of patients' self-diet management through semi-structured in-depth interviews.Results The main problems of patients' self-diet management include lack of awareness of the importance of postoperative diet management, difficulty in obtaining nutritional knowledge, and difficulty in self-catering management.Conclusion Nursing staff should guide patients to pay attention to post-diet self-management, strengthen dietary education, provide a variety of learning pathways for patients to obtain nutritional knowledge, develop nursing interventions that meet patient conditions, help patients establish good eating habits, and improve patients' Self-catering management efficacy, active development of continuous care, improve the quality of life of patients.

参考文献/References:

[1]刘允怡,赖俊雄,刘晓欣.手术切除在肝癌多学科综合治疗中的地位[J].中国实用外科杂志,2014, 34(8):677-680. [2]柴玉玲,路潜,杨萍.原发性肝癌手术患者症状及延续照顾需求的研究[J].中华护理杂志,2015,50(6):684-687. [3]任玉峰.饮食护理干预改善肺癌患者化疗后营养状况的临床观察[J].当代临床医刊,2015(4):1524-1525. [4]周小燕.肿瘤化疗病人饮食忌口现象浅析[J].全科护理,2011,12(16):1496-1497. [5]肖旋,权明桃,李晓娟,等.ICU护士面对病人死亡内心体验及需求的质性研究[J].循证护理,2019,5(3):246-250. [6]王春立,吴心怡,霍灵伟,等.22例青春白血病患者化疗期间感受及应对方式的质性研究[J].护理学报,2015,22(3):67-78. [7]朱冬梅,林毅,钱夏华,等.癌症病人信息需求调查分析[J].全科护理,2014,12(9):832-835. [8]Arend J,Bachmann P,Baracos V,et al.ESPEN guidelines on nutrition in cancer patients[J].Clin Nutr,2017,36(1):11-48. [9]张璟,王维利,章新琼.消化系统肿瘤病人营养知信行现状及其相关因素调查[J].肠外与肠内营养,2016,23(4):226-228,236.

相似文献/References:

[1]修朋程,李 腾,李雅林,等.泰山山慈菇对小鼠肝癌的治疗作用及相关免疫机制研究[J].医学信息,2018,31(09):8.[doi:10.3969/j.issn.1006-1959.2018.09.003]
　XIU Peng-cheng,LI Teng,LI Ya-lin,et al.Study on the Therapeutic Effect and Mechanism of Taishan Mountain Mushroom on Liver Cancer in Mice[J].Journal of Medical Information,2018,31(20):8.[doi:10.3969/j.issn.1006-1959.2018.09.003]
[2]崔康健,杜成友.肝动脉化疗栓塞联合射频消融治疗肝癌的研究进展[J].医学信息,2018,31(09):16.[doi:10.3969/j.issn.1006-1959.2018.09.005]
　CUI Kang-jian,DU Cheng-you.Research Progress of Transcatheter Arterial Chemoembolization Combined with Radiofrequency Ablation for Liver Cancer[J].Journal of Medical Information,2018,31(20):16.[doi:10.3969/j.issn.1006-1959.2018.09.005]
[3]田 明,常伟平.UbcH10在肝癌中的表达及其与预后的关系[J].医学信息,2019,32(12):77.[doi:10.3969/j.issn.1006-1959.2019.12.024]
　IAN Ming,CHANG Wei-ping.Expression of UbcH10 in Hepatocellular Carcinoma and Its Relationship with Prognosis[J].Journal of Medical Information,2019,32(20):77.[doi:10.3969/j.issn.1006-1959.2019.12.024]
[4]许 吉.基于知识图谱和专利地图的我国抗肝癌药物研发态势研究[J].医学信息,2018,31(21):19.[doi:10.3969/j.issn.1006-1959.2018.21.007]
　XU Ji.Research and Development Situation of Anti-liver Cancer Drugs in China Based on Knowledge Map and Patent Map[J].Journal of Medical Information,2018,31(20):19.[doi:10.3969/j.issn.1006-1959.2018.21.007]
[5]兰福全,李秀云,卢 斌.四种肿瘤标志物对肝癌诊断的临床意义[J].医学信息,2018,31(21):164.[doi:10.3969/j.issn.1006-1959.2018.21.048]
　LAN Fu-quan,LI Xiu-yun,LU Bin.The Clinical Significance of Four Tumor Markers in the Diagnosis of Liver Cancer[J].Journal of Medical Information,2018,31(20):164.[doi:10.3969/j.issn.1006-1959.2018.21.048]
[6]李 闯,叶劲松,刘 昕,等.ZBP-89与缺氧信号因子HIF-1α在肝癌细胞中的 相关性研究[J].医学信息,2019,32(15):74.[doi:10.3969/j.issn.1006-1959.2019.15.023]
　LI Chuang,YE Jin-song,LIU Xin,et al.Correlation between ZBP-89 and Hypoxia Signaling Factor HIF-1α in Hepatoma Cells[J].Journal of Medical Information,2019,32(20):74.[doi:10.3969/j.issn.1006-1959.2019.15.023]
[7]赵瑶瑶,高 川,胡佳杰.循环miRNA监测肝细癌的研究[J].医学信息,2019,32(08):48.[doi:10.3969/j.issn.1006-1959.2019.08.016]
　ZHAO Yao-yao,GAO Chuan,HU Jia-jie.Research on the Study of Circulating miRNA for Monitoring Hepatocellular Carcinoma[J].Journal of Medical Information,2019,32(20):48.[doi:10.3969/j.issn.1006-1959.2019.08.016]
[8]孙 逊.性化护理对肝癌患者CT引导下射频消融术后 负性情绪及生活质量的影响[J].医学信息,2019,32(17):187.[doi:10.3969/j.issn.1006-1959.2019.17.065]
　SUN Xun.Effect of Humanized Nursing on Negative Emotion and Quality of Life after CT-guided Radiofrequency Ablation in Patients with Liver Cancer[J].Journal of Medical Information,2019,32(20):187.[doi:10.3969/j.issn.1006-1959.2019.17.065]
[9]刘申颖,施彦卿,梅鹏飞,等.超声引导下经皮无水乙醇注射联合射频消融治疗中晚期肝癌的效果[J].医学信息,2019,32(22):87.[doi:10.3969/j.issn.1006-1959.2019.22.026]
　LIU Shen-ying,SHI Yan-qing,MEI Peng-fei,et al.Ultrasound-guided Percutaneous Ethanol Injection Combined with Radiofrequency Ablation for Advanced Hepatocellular Carcinoma[J].Journal of Medical Information,2019,32(20):87.[doi:10.3969/j.issn.1006-1959.2019.22.026]
[10]任勇军,闵旭立,徐 浩,等.洛铂联合表柔比星化疗栓塞治疗原发性肝细胞癌的疗效[J].医学信息,2019,32(24):43.[doi:10.3969/j.issn.1006-1959.2019.24.014]
　REN Yong-jun,MIN Xu-li,XU Hao,et al.Efficacy of Loplatin Combined with Epirubicin Chemotherapy and Embolization for Primary Hepatocellular Carcinoma[J].Journal of Medical Information,2019,32(20):43.[doi:10.3969/j.issn.1006-1959.2019.24.014]

更新日期/Last Update: 2019-10-15