A qualitative research on feelings of patients undergoing surgical re-resection for recurrent hepatocellular carcinoma (肝癌术后复发再次手术切除患者内心感受的质性研究)

Abstract

Objective To understand the feelings of patients undergoing surgical re-resection for recurrent hepatocellular carcinoma. Methods Open-ended interviews were conducted with seven patients undergoing surgical re-resection for recurrent hepatocellular carcinoma, and a qualitative phenomenological methodology was used to construct themes depicting patients' experiences. Results Four themes were extracted: mixed emotional experience , excessive psychological pressure, uncertainty in illness and gratitude after treatment. Conclusion Patients undergoing surgical re-resection for recurrent hepatocellular carcinoma have mixed emotional experience. It is required to pay more attention to the psychological experience of patients, provide more psychological counseling, social support and health education. (目的 了解肝癌术后复发患者对再次手术切除治疗的心理感受。方法 运用质性研究中的现象学研究方法, 对肝癌术后复发再次手术切除患者进行开放性访谈, 并将收集资料进行分析整理并提炼出关键主题。结果 肝癌行二次肝切除手术治疗患者的心理可归纳为4类: 情绪复杂化、自我承受压力过重、对疾病的不确定性、对病情治疗后的感恩。结论 肝癌行二次肝切除手术治疗患者心理具有复杂的心理感受, 针对这类患者的治疗要多注重患者内心的想法, 多提供心理疏导、社会支持以及健康教育。)

Keywords

• primary hepatocellular carcinoma
• surgical re-resection
• qualitative study
• psychological experience
• 原发性肝癌
• 二次手术
• 质性研究
• 心理感受