CAJ | 학술논문

目的：：探讨癌症患者心理困扰的相关原因，以期为后期针对性干预措施的制定奠定基础。方法：立意抽样选取12例癌症患者，以质性研究中的现象学研究法为指导，通过半结构式、深入访谈的形式进行现场录音和笔录。对录音资料和笔录内容采取Claizzi分析程序进行整理。结果：深入分析资料后，共提取3个主题：不适的生理症状、家庭、社会因素、未满足的医疗护理需求。癌症患者在诊疗过程中，多有恐惧、担心、悲观、焦虑、抑郁等负性情绪。结论：癌症患者心理困扰问题是多因素共同作用的结果，医务人员应深入地了解引发癌症患者心理困扰的原因，并以现存的原因为切入点，制订出个性化的护理干预措施，适时、恰当地引导和帮助患者，有效降低其心理困扰水平，提高患者的治疗依从性和生活质量。
목적：：탐토암증환자심리곤우적상관원인，이기위후기침대성간예조시적제정전정기출。방법：립의추양선취12례암증환자，이질성연구중적현상학연구법위지도，통과반결구식、심입방담적형식진행현장록음화필록。대록음자료화필록내용채취Claizzi분석정서진행정리。결과：심입분석자료후，공제취3개주제：불괄적생리증상、가정、사회인소、미만족적의료호리수구。암증환자재진료과정중，다유공구、담심、비관、초필、억욱등부성정서。결론：암증환자심리곤우문제시다인소공동작용적결과，의무인원응심입지료해인발암증환자심리곤우적원인，병이현존적원인위절입점，제정출개성화적호리간예조시，괄시、흡당지인도화방조환자，유효강저기심리곤우수평，제고환자적치료의종성화생활질량。
Objective:To explore the causes of psychological distress in cancer patients so as to lay the foundation for the development of the targeted interventions. Methods:12 cancer patients were selected and the semi-structured in-depth interview was conducted,the data of the interview were processed by using Claizzi analysis program. Results:3 subjects were extracted after analyzing the data:the physiologi-cal symptoms,the family,the social factors and the unmet demand for medical care. In the diagnosis and treatment of cancer patients,they usually had such negative emotions as fear,worry,pessimism,anxiety and depression. Conclusion:The cancer patients' psychological prob-lems are the results of interaction of multiple factors,the medical personnel should understand the cause of psychological distress of cancer patients and develop the individualized nursing intervention measures to give the patients timely and appropriate guidance which can effec-tively reduce the level of their psychological distress and improve their treatment compliance and quality of life.