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非肌层浸润性膀胱癌患者膀胱灌注治疗期间症状体验的质性研究

朱艳云 罗艳芳 保维莉 王留芳 石涛 张左芹 左天艳

上海护理2025,Vol.25Issue(7):20-25,6.
上海护理2025,Vol.25Issue(7):20-25,6.DOI:10.3969/j.issn.1009-8399.2025.07.004

非肌层浸润性膀胱癌患者膀胱灌注治疗期间症状体验的质性研究

Qualitative Study on Symptom Experience During Intravesical Therapy in Patients with Non-Muscle-Invasive Bladder Cance

朱艳云 1罗艳芳 1保维莉 2王留芳 3石涛 4张左芹 1左天艳1

作者信息

  • 1. 云南中医药大学护理学院,云南 昆明 650500
  • 2. 云南省第一人民医院,云南 昆明 650032
  • 3. 昆明医科大学第二附属医院,云南 昆明 650101
  • 4. 昆明医科大学第三附属医院,云南 昆明 650118
  • 折叠

摘要

Abstract

Objective To explore the symptom experience during intravesical therapy in patients with non-muscle-invasive bladder cancer,aiming to provide a reference for clinical symptom management.Methods A total of 15 patients undergoing intravesical therapy in a Grade Ⅲ-A hospital in Yunnan Province were selected by purposive sampling.They were investigated by semi-structured interviews using a phenomenological approach.The interview data were analyzed using the content analysis method and Colaizzi's seven-step analysis method to extract topics regarding their treatment experience.Results The symptom experience during intravesical chemotherapy was categorized into three topics:1.symptom perception(local bladder irritation symptoms,systemic reactions,fatigue-sleep disorder,psychological distress,etc.);2.symptom impact(high financial toxicity,restrictions on sexual life,reduced quality of life);3.symptom outcomes(fear of recurrence,compliance and satisfaction,coping strategies,and social support systems).Conclusion Bladder cancer patients endure a substantial symptom burden during intravesical therapy.Healthcare providers should identify these symptoms early,monitor their dynamics,enhance symptom management,and implement targeted interventions to alleviate patients'unpleasant symptoms and improve their quality of life.

关键词

膀胱癌/膀胱灌注/不悦症状/体验/质性研究

Key words

Bladder cancer/Intravesical therapy/Unpleasant symptom/Experience/Qualitative study

分类

医药卫生

引用本文复制引用

朱艳云,罗艳芳,保维莉,王留芳,石涛,张左芹,左天艳..非肌层浸润性膀胱癌患者膀胱灌注治疗期间症状体验的质性研究[J].上海护理,2025,25(7):20-25,6.

基金项目

云南省教育厅基金科学研究基金项目(2023J0547). (2023J0547)

上海护理

1009-8399

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