A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)

Objective To investigate the real experience, influencing factors and coping method of stigma in patients with low anterior resection syndrome(LARS) of rectal cancer, and to provide reference for medical staff to formulate targeted intervention measures. Methods Purposive sampling method was used...

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Main Authors: WEN Ruizhen (温瑞珍), CHEN Piao (陈飘), LI Yalan (李亚兰), CAO Aifang (曹爱芳), WANG Miaolan (王淼兰), ZHENG XiaoXuan (郑筱暄), PENG Hui (彭慧)
Format: Article
Language:zho
Published: Journal of International Translational Medicine Limited 2024-12-01
Series:中西医结合护理
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Online Access:http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20241203009
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author WEN Ruizhen (温瑞珍)
CHEN Piao (陈飘)
LI Yalan (李亚兰)
CAO Aifang (曹爱芳)
WANG Miaolan (王淼兰)
ZHENG XiaoXuan (郑筱暄)
PENG Hui (彭慧)
author_facet WEN Ruizhen (温瑞珍)
CHEN Piao (陈飘)
LI Yalan (李亚兰)
CAO Aifang (曹爱芳)
WANG Miaolan (王淼兰)
ZHENG XiaoXuan (郑筱暄)
PENG Hui (彭慧)
author_sort WEN Ruizhen (温瑞珍)
collection DOAJ
description Objective To investigate the real experience, influencing factors and coping method of stigma in patients with low anterior resection syndrome(LARS) of rectal cancer, and to provide reference for medical staff to formulate targeted intervention measures. Methods Purposive sampling method was used to select the patients with LARS symptoms after rectal surgery of a Class Ⅲ Grade A hospital in Guangzhou from March 2024 to May 2024 as subjects. The descriptive qualitative study was used to conduct face-to-face semi-constructive interviews with patients, and the recording materials were processed by Nvivo12. 0 software. Results The stigma of patients with LARS can be summarized into three themes. Theme 1: Stigma experiences, including feelings of shame, discrimination, and loneliness; Theme 2: Determinants of stigma, including disease factors and lack of public knowledge; Theme 3: Stigma sensing approaches, including avoiding social contact, concealing the condition, and actively coping. Conclusion Patients with LARS of rectal cancer have strong stigma. Medical staff should pay full attention to the stigma of patients and provide them with relevant nursing intervention and psychological support. (目的 深入了解直肠癌低位前切除综合征(LARS)患者病耻感的真实体验、影响因素和应对方式, 为医护人员制订针对性的干预措施提供参考依据。方法 采用目的抽样法, 选取2024年3月—5月医院肛肠外科直肠癌保肛术后出现LARS的患者作为研究对象。采用质性研究中的现象学研究方法对患者进行深度访谈, 采用Colaizzi七步分析法分析资料并提炼主题。结果 LARS患者的病耻感可归纳为3个主题, 分别是: ①病耻感体验: 羞耻感、受歧视感、孤独感; ②病耻感影响因素: 疾病因素、文化因素、公众知识缺乏; ③病耻感应对方式: 主动社交回避、不当的自我管理、刻意隐瞒病情、积极应对。结论 直肠癌LARS患者存在较强的病耻感, 医护人员需充分关注并提供相关的护理干预和心理支持。)
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series 中西医结合护理
spelling doaj-art-b63404d08dca43eb9cc5bfdaefe3b13d2025-01-22T05:22:48ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612024-12-011012313510.55111/j.issn2709-1961.20241203009CJIN20241203009A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)WEN Ruizhen (温瑞珍)0CHEN Piao (陈飘)1LI Yalan (李亚兰)2CAO Aifang (曹爱芳)3WANG Miaolan (王淼兰)4ZHENG XiaoXuan (郑筱暄)5PENG Hui (彭慧)6Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Department of Anorectal Surgery, The Sixth Affiliated Hospital Sun Yat-sen (中山大学附属第六医院 肛肠外科, 广东 广州, 510655)Objective To investigate the real experience, influencing factors and coping method of stigma in patients with low anterior resection syndrome(LARS) of rectal cancer, and to provide reference for medical staff to formulate targeted intervention measures. Methods Purposive sampling method was used to select the patients with LARS symptoms after rectal surgery of a Class Ⅲ Grade A hospital in Guangzhou from March 2024 to May 2024 as subjects. The descriptive qualitative study was used to conduct face-to-face semi-constructive interviews with patients, and the recording materials were processed by Nvivo12. 0 software. Results The stigma of patients with LARS can be summarized into three themes. Theme 1: Stigma experiences, including feelings of shame, discrimination, and loneliness; Theme 2: Determinants of stigma, including disease factors and lack of public knowledge; Theme 3: Stigma sensing approaches, including avoiding social contact, concealing the condition, and actively coping. Conclusion Patients with LARS of rectal cancer have strong stigma. Medical staff should pay full attention to the stigma of patients and provide them with relevant nursing intervention and psychological support. (目的 深入了解直肠癌低位前切除综合征(LARS)患者病耻感的真实体验、影响因素和应对方式, 为医护人员制订针对性的干预措施提供参考依据。方法 采用目的抽样法, 选取2024年3月—5月医院肛肠外科直肠癌保肛术后出现LARS的患者作为研究对象。采用质性研究中的现象学研究方法对患者进行深度访谈, 采用Colaizzi七步分析法分析资料并提炼主题。结果 LARS患者的病耻感可归纳为3个主题, 分别是: ①病耻感体验: 羞耻感、受歧视感、孤独感; ②病耻感影响因素: 疾病因素、文化因素、公众知识缺乏; ③病耻感应对方式: 主动社交回避、不当的自我管理、刻意隐瞒病情、积极应对。结论 直肠癌LARS患者存在较强的病耻感, 医护人员需充分关注并提供相关的护理干预和心理支持。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20241203009rectal cancerlow anterior resection syndromestigmaexperiencequalitative study直肠癌低位前切除综合征病耻感体验质性研究
spellingShingle WEN Ruizhen (温瑞珍)
CHEN Piao (陈飘)
LI Yalan (李亚兰)
CAO Aifang (曹爱芳)
WANG Miaolan (王淼兰)
ZHENG XiaoXuan (郑筱暄)
PENG Hui (彭慧)
A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
中西医结合护理
rectal cancer
low anterior resection syndrome
stigma
experience
qualitative study
直肠癌
低位前切除综合征
病耻感
体验
质性研究
title A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
title_full A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
title_fullStr A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
title_full_unstemmed A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
title_short A qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer (直肠癌低位前切除综合征患者病耻感的质性研究)
title_sort qualitative study of stigma in patients with low anterior resection syndrome of rectal cancer 直肠癌低位前切除综合征患者病耻感的质性研究
topic rectal cancer
low anterior resection syndrome
stigma
experience
qualitative study
直肠癌
低位前切除综合征
病耻感
体验
质性研究
url http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.20241203009
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