The perioperative experience and needs of hepatocellular carcinoma patients in interventional therapy: a phenomenological qualitative study

医学 围手术期 习得的无助感 焦虑 干预(咨询) 疾病 定性研究 重症监护医学 心理治疗师 精神科 内科学 临床心理学 外科 心理学 社会科学 社会学
作者
Ling Li,Huazhen Zhang,Yan Ge,Ya-Li Rao,Ting Liu,Miaomiao Guo,Shuping Xiao
出处
期刊:European Journal of Gastroenterology & Hepatology [Ovid Technologies (Wolters Kluwer)]
卷期号:36 (4): 423-429 被引量:1
标识
DOI:10.1097/meg.0000000000002742
摘要

Objective This study aims to investigate the perioperative experience and needs of patients with liver cancer for interventional therapy, in order to provide the basis for further improving a patient’s medical experience and satisfaction. Methods A semi-structured in-depth interview was conducted for 16 patients with liver cancer in interventional therapy using the phenomenological research method of qualitative research. The themes were analyzed, summarized, refined and extracted using the Colaizzi analytical procedure. Results The study results revealed that the perioperative experience and needs of patients with liver cancer for interventional therapy could mainly be summarized into seven themes: anxiety, fear and helplessness; not understanding the specific procedures of interventional therapy; worrying that the disease would not be treated as expected; lack of understanding of perioperative adverse reactions and the inability to cope with these; concern on the financial burden of health care costs on families; concerned on the physical and mental health of the dependent; the further improvement of diagnosis and treatment procedures. Conclusion Patients with liver cancer undergo a complex psychological experience during interventional therapy. In clinical practice, a patient’s psychological needs and changes should be valued, in order to provide a targeted psychological intervention, health guidance and social support, thereby improving the medical experience and satisfaction of patients.
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