实用临床医药杂志2025，Vol.29Issue(24)：19-23,5.DOI:10.7619/jcmp.20253442
基于Watson关怀理论的结肠癌术后造口患者自我管理体验质性研究
A qualitative study on self-management experience of patients with colostomy after colon cancer surgery based on Watson's caring theory
摘要
Abstract
Objective To explore the self-management experience and needs of patients with co-lostomies after colon cancer surgery based on the Watson's caring theory framework and qualitative re-search methods.Methods Twenty patients with colostomies after colon cancer surgery were select-ed,and data were collected through semi-structured in-depth interviews(60 to 90 minutes every time).The interview content covered self-management experiences,influencing factors,and needs.The Colaizzi qualitative phenomenological analysis method was used to code the data and extract themes.Results Five core themes were identified in this study:① dual physiological and psycho-logical distress;② limited self-management knowledge,skills,and lifestyle;③ expectations for pro-fessional and continuous guidance and attention from healthcare providers;④ need for understanding and support from family and society;⑤ economic constraints on the quality of self-management.Conclusion This study reveals multiple dilemmas in the self-management of patients with colosto-mies after colon cancer surgery,analyzes various factors affecting their self-management abilities,and clarifies patients' urgent needs for comprehensive and humanistic nursing services.关键词
Watson关怀理论/结肠癌/肠造口/自我管理/质性研究/造口护理/理论驱动干预/现象学分析Key words
Watson's care theory/colon cancer/colostomy/self-management/qualitative re-search/ostomy care/theory-driven intervention/phenomenological analysis分类
医药卫生引用本文复制引用
李添添,王鼎,王琳,周晓梅..基于Watson关怀理论的结肠癌术后造口患者自我管理体验质性研究[J].实用临床医药杂志,2025,29(24):19-23,5.基金项目
南通市卫生健康委科研课题(MSZ2023037) （MSZ2023037）
南通大学临床医学专项科研基金项目(2024HY023) （2024HY023）
