以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (16): 61-64.doi: 10.16460/j.issn1008-9969.2022.16.061

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Symptoms and Psychological Experience of Patients after Extensive Abdominal Wall Tumor Resection: A Qualitative Research

XU Xiao-zhen1, HU Yun-hui1, HU Yun2, HU Min1, GU Fen1   

  1. 1. Dept. of Nursing Administration, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China;
    2. School of Nursing,Shanghai Jiaotong University, Shanghai 200025, China
  • Received:2022-04-10 Online:2022-08-25 Published:2022-09-07

Abstract: Objective To explore the symptoms and psychological experience of patients after extensive abdominal wall tumor resection, so that medical staff can fully control and manage postoperative symptoms of patients, and to provide reference for promoting postoperative rehabilitation of patients. Methods Semi-structured interviews were performed in 11 patients after extensive abdominal wall tumor resection. Nvivo12 Plus and Colaizzi method were used to sort out and analyzed original data. Results Four themes were extracted, including physical discomfort(activity-related pain, somnipathy, numbness of lower limb, and skin tension at the surgical site); nutritional disorders(loss of appetite, intolerance of parenteral nutrition and weight loss); limited physical activity (long time in the bed and activity intolerance); and worry about recurrence of the disease and hospital cost(the fear of recurrence of the disease and the worry of economic pressure). Conclusion Patients after extensive abdominal wall tumor resection still face many problems during rehabilitation. The evaluation and intervention of patients' physical and mental health should be strengthened to improve their physical and mental health as well as quality of life.

Key words: abdominal wall tumors, rehabilitation period, symptoms experience, psychological feeling, qualitative research

CLC Number: 

  • R473.6
[1] 吴巨钢,杨建军,宋致成,等.腹壁肿瘤切除术后巨大/超大腹壁缺损的外科修复重建策略[J].中华疝和腹壁外科杂志,2019,13(6):500-502. DOI:10.3877/cma.j.issn.1674-392X.2019.06.004.
[2] 中华医学会外科学分会疝与腹壁外科学组,中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组.腹壁缺损修复与重建中国专家共识(2019 版)[J].中国实用外科杂志,2019,39(2):101-109.DOI:10.19538/j.cjps.issn1005-2208.2019.02.01.
[3] 马娥,杨明莹,王剑松,等.膀胱癌尿流改道腹壁造口患者生活质量及影响因素研究进展[J].护理学报,2017,24(2):21-23. DOI:10.16460/j.issn1008-9969.2017.02.021.
[4] 陈向明. 质的研究方法和社会科学研究[M].北京:教育科学出版社,2015:96.
[5] Kallio H, Pietilä AM, Johnson M, et al.Systematic Methodological Review: Developing a Framework for a Qualitative Semi-structured Interview Guide[J]. J Adv Nurs,2016, 72(12):2954-2965. DOI:10.1111/jan.13031.
[6] 刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J].护理学杂志,2019, 34(11):90-92. DOI:10.3870/j.issn.1001-4152.2019.11.090.
[7] Daenis C, Jason E, Henrik K, et al.Movement-evoked Pain Versus Pain at Rest in Postsurgical Clinical Trials and Meta-analyses: Protocol for a Follow-up Systematic Review[J].JMIR Res Protoc,2020,9(1):e15309.DOI:10.2196/15309.
[8] 朱可艳,杨豪俊.基于活动性疼痛评估干预在老年巨大肝癌切除术后患者中的应用[J].中国老年学杂志,2020,40(14):2961-2964.DOI:10.3969/j.issn.1005-9202. 2020.14.016.
[9] 胡少华,范引光,陆姚,等.多模式镇痛对胃肠肿瘤开腹手术病人活动性疼痛的影响[J].中国疼痛医学杂志, 2017,23(8):625-629. DOI:10.3969/j.issn.1006-9852.2017.08.017.
[10] Dolan R, Huh J, Tiwari N, et al.A Prospective Analysis of Sleep Deprivation and Disturbance in Surgical Patients[J]. Ann Med Surg(Lond),2016,6:1-5.DOI:10.1016/j.amsu.2015.12.046.
[11] 彭胜,王玉玲,张斯清,等.基于数据挖掘的术后疼痛行耳穴贴压选穴规律分析[J].护理学报,2021,28(5):21-25.DOI:10.16460/j.issn1008-9969.2021.05.021.
[12] Hu RF, Jiang XY, Chen J, et al. Non-pharmacological Interventions for Sleep Promotion in the Intensive Care Unit[J].Cochrane Database Syst Rev,2015,10:CD008808. DOI:10.1002/14651858.CD008808.pub2.
[13] 袁园,林玉惠,过伟峰.益气养血、化痰祛瘀通络法治疗多发性神经炎麻木的临床研究[J].河北中医, 2017,39(7):1024-1030. DOI:10.3969/j.issn.1002-2619.2017.07.015.
[14] 于学平,孙晴.针刺四关穴治疗中风后肢体麻木临床疗效观察[J].针灸临床杂志,2017,33(1):21-23.
[15] 陈敬芳,王晓燕,李旺.足踝部定量活动仪辅助踝泵运动对骨科患者术后疼痛及股静脉血液回流的影响[J].2018,护理学报,25(4):1-4. DOI:10.16460/j.issn1008-9969.2018.04.001.
[16] 孟亚慧,吴琼,郭秀君.慢性阻塞性肺疾病患者食欲不振的研究进展[J].现代临床护理,2018,17(1):54-59. DOI:10.3969/j.issn.1671-8283.2018.01.011.
[17] 中国抗癌协会肿瘤营养专业委员会,中华医学会肠外肠内营养学分会.肠外营养安全性管理中国专家共识[J].肿瘤代谢与营养电子杂志,2021,8(5):495-502.
[18] 宋达疆,李赞,周晓,等.带蒂股前外侧肌皮瓣修复腹壁肿瘤术后全层缺损[J].中国修复重建外科杂志,2019,33(6):712-716.DOI:10.7507/1002-1892.201901005.
[19] Morris PE.Moving Our Critically Ill Patients: Mobility Barriers and Benefits[J].Crit Care Clin,2007,23(1):1-20. DOI: 10.1016/j.ccc.2006.11.003.
[20] 欧爱芝,叶新萍.中医综合护理对长期卧床患者下肢深静脉血栓的预防作用[J].中医药导报,2021,27(10):110-112,126. DOI:10.13862/j.cnki.cn43-1446/r.2021.10.022.
[21] 张俊娟,越丽霞,王俊杰,等.改良三步下床法预防腰椎术后患者首次下床直立性低血压[J].护理学杂志,2016,31(8):8-9. DOI:10.3870/j.issn.1001-4152.2016.08.008.
[22] 周思成,魏然,裴炜,等.侵袭性纤维瘤病多学科综合诊疗研究进展[J].肿瘤防治研究,2020,47(11):866-870. DOI:10.3971/j.issn.1000-8578.2020.20.0180.
[23] 郝纯毅,李成鹏. 腹膜后脂肪肉瘤外科治疗的历史与现状[J].中华普通外科杂志, 2020,35(6):436-438.DOI:10.3760/cma.j.cn113855-20200313-00194.
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