A study of self-care in patients undergoing lung cancer treatment

本研究探讨肺癌患者接受癌症治疗后的自我护理。通过参与观察和对患者的半结构化访谈收集数据。通过定性分析得到以下结果：肺癌术后患者的自我护理可分为4类：<<自我护理动机>> <<自我护理意图>> <<自我护理表现>> <<自我护理促进因素>>。动机>>，包括子类别，如<赢得生活> <渴望回到日常生活>，被定义为一个深思熟虑的行动背后的动力。<<表现>>，其中包括<呼吸功能训练> <对身体功能改变的警觉> <控制与癌症诊断相关的焦虑> <消除与生活环境复发相关的危险因素>等子类别。<<影响因素>>包括<患者与医疗保健关系>>,<社会支持>和<术后恢复程度>。肺癌晚期癌痛患者的分类除上述4个类别外，还包括<<意识到自我护理能力下降>>。患者通过与医疗团队制定疼痛控制计划>，以及在考虑到自我护理能力下降的情况下，以自己的方式控制癌性疼痛>来对癌性疼痛进行自我护理。本研究结果表明，决定告知癌症诊断结果对失去亲人的家庭的影响。不明确的信息和患者对癌症诊断的模糊认识对丧亲家属的满意度产生不利影响。

The present study explored self-care in lung cancer undergoing cancer treatment. Data were collected through participant observation and semi-structured interviews with patients. The following results were obtained by qualitative analysis.1. Self-care in lung cancer patients following surgery can be classified into 4 categories: <<motivation toward self-care>> <<intention of self-care>> <<performance of self-care>> and << contributing factors to self-care>>. <<motivation>>, which included subcategories such as < the win to live > <the desire to return to daily life>, was defined as the rein behind a deliberate action. <<Performance>>, which included subcategories such as <training in respiratory function> <being alert to altered body function> <controlling anxiety related to cancer diagnosis> <eliminating risk factors related to recurrence from living environment>. <<Contributing factors>> included <relationship between patients and healthcare>>, <social support> and <degree of postoperative recovery>.2. Categories identified among lung cancer patients who had cancer pain in the terminal stage included <<realizing a decreasing ability to perform self-care>> in addition to the above 4 categories. Patients performed self-care for cancer pain by <establishing a pain control plan with the medical team>, and <controlling cancer pain in their own way> while keeping in mind their reduced ability to perform self-care.The presents findings demonstrated influence of the decision to inform the results of cancer diagnoses on bereaved families. Noncommittal information and patients' vague awareness about a cancer diagnosis adversely affected the satisfaction of the bereaved families.