天津护理2026，Vol.34Issue(3)：269-274,6.DOI:10.3969/j.issn.1006-9143.2026.03.004
基于症状体验时间模型的胃癌患者康复轨迹的纵向质性研究
A longitudinal qualitative study on the rehabilitation trajectory of gastric cancer patients based on symptom experience time model
摘要
Abstract
Objective:Based on symptom experience time model,the study analyze gastric cancer patients'rehabilitation experiences at different stages,providing evidence for developing targeted rehabilitation management interventions.Methods:A total of 18 patients undergoing radical gastrectomy for gastric cancer were selected through convenience sampling method as study subjects from a tertiary grade A oncology hospital in Tianjin between January 2024 to September 2025.Five semi-structured interviews were conducted with patients based on the timing theory,and interpretive phenomenology was employed to analyze,synthesize,and extract themes from the data.Results:Five themes and 15 sub-themes were identified,including cognitive shock and coping confusion during the disease diagnosis phrase,trauma adaptation and symptom tolerance during hospitalization treatment,initial establishment of self-rehabilitation management capacity during discharge preparation,overcoming practical barriers in self-rehabilitation management during recovery adjustment,and reconstruction of life roles and values during long-term adaptation phase.Conclusion:Gastric cancer patients exhibit distinct rehabilitation needs at different stages.The multidimensional,dynamic evolution,and interactive influence of postoperative symptom clusters complicate rehabilitation management.Clinical caregivers should thoroughly understand the fundamental nature and changing patterns of gastric cancer recovery,develop more targeted and personalized rehabilitation strategies,and provide comprehensive support for postoperative patients'recovery.关键词
症状体验时间模型/胃癌/康复轨迹/质性研究Key words
Symptom experience time model/Gastric cancer/Rehabilitation trajectory/Qualitative research分类
医药卫生引用本文复制引用
王丽娜,杨玄,王会英,王盈,强万敏..基于症状体验时间模型的胃癌患者康复轨迹的纵向质性研究[J].天津护理,2026,34(3):269-274,6.基金项目
天津市医学重点学科建设项目(TJYXZDXK-011A) （TJYXZDXK-011A）
天津医科大学医院管理创新研究项目(2023YG06) （2023YG06）
天津医科大学肿瘤医院护理创新人才项目(HL2021-03) （HL2021-03）
