CAJ | 학술논문

目的：了解直肠癌根治术后永久性结肠造口患者对生活质量的主观评价，分析影响因素，为提高其生活质量提供依据。方法采用质性研究中的现象学研究方法，根据立意取样法，对12例患者进行半结构式访谈，并采用Colaizzi的关于现象学7步分析法对资料进行分析，归纳、提炼主题。结果影响患者生活质量的7个主题分别是负性情绪、对日常生活的影响、并发症的困扰、性功能障碍、社会角色退化、疾病相关知识缺乏、经济压力。结论应重视患者的情绪反应，给予心理支持，通过多种途径向患者提供造口相关信息，同时充分发挥造口治疗师的作用，呼吁政府完善医疗保障体系，以提高患者生活质量。
목적：료해직장암근치술후영구성결장조구환자대생활질량적주관평개，분석영향인소，위제고기생활질량제공의거。방법채용질성연구중적현상학연구방법，근거립의취양법，대12례환자진행반결구식방담，병채용Colaizzi적관우현상학7보분석법대자료진행분석，귀납、제련주제。결과영향환자생활질량적7개주제분별시부성정서、대일상생활적영향、병발증적곤우、성공능장애、사회각색퇴화、질병상관지식결핍、경제압력。결론응중시환자적정서반응，급여심리지지，통과다충도경향환자제공조구상관신식，동시충분발휘조구치료사적작용，호우정부완선의료보장체계，이제고환자생활질량。
Objective To understand the patients′subjective evaluation of the quality of life, who are suffering from carcinoma and have been operated with permanent colostomy, and analyze relative influencing factors to provide an evidence for improving their quality of life. Methods According to phenomenological research method of qualitative research to choose purposive sampling, twelve patients had been underwent semi-structured interviews. We used Colaizzi′s seven-step analysis methods to analyze the data, inductive and refine the theme. Results There were 7 points which might affect the quality of patients′ life including negative emotion, effects of daily life, persecution of complications, sexual dysfunction, degradation of social roles, lack of relevant knowledge of disease and economic pressures. Conclusions We should pay much more attention on patients′ emotion reaction, provide psychological support and more stoma-related information, and take full advantage of enterostomal therapist and call on improving the medical security system by government in order to enhance patients′quality of life.