新型冠状病毒肺炎疫情对乳腺癌患者诊疗体验的质性研究

Qualitative research on impact of COVID-19 epidemic on diagnosis and treatment experience of breast cancer patients

摘要:

目的：通过质性访谈了解新型冠状病毒肺炎（coronavirus disease 2019，COVID-19）疫情期间乳腺癌患者的就诊体验，探讨如何实行更优质的诊疗服务。方法：采用半结构式访谈COVID-19疫情期间乳腺癌患者12例，采用Colaizzi现象学研究法分析资料。结果：COVID-19疫情期间乳腺癌患者的就诊体验可归纳为6个主题：对能否及时治疗的担忧；患癌的负性情绪；对专业知识的需求；担心在医院感染COVID-19；对就诊流程的认同；肯定COVID-19疫情期间医护人员的付出。结论：医护人员应长期开展健康科普知识，提供线上答疑，缓解患者的焦虑情绪，做好疫情期间防控工作，做好疫情筛查的同时，有序展开常规诊疗活动，保障患者就诊。医患双方在COVID-19疫情这样的重大事件面前展现出共克时艰的态度，为医患关系的缓和提供了契机。

Abstract:

Objective：To comprehend the diagnosis and treatment experience of breast cancer patients during the coronavirus disease 2019（COVID-19） epidemic through qualitative interviews，so as to explore how to implement better diagnosis and treatment services. Methods：Semi-structured interviews were conducted among 12 patients with breast cancer during the COVID-19 epidemic and Co－laizzi phenomenology was used to analyze the data. Results：The experience of breast cancer patients during the COVID-19 epidemic were classified into six themes：worrying about timely treatment；negative emotions of cancer；the demand for professional knowledge；worrying about hospital infection of COVID-19；recognition of medical treatment process；confirmation of contribution from medical staff during the COVID-19 epidemic. Conclusion：Medical staff should carry out health knowledge popularization for a long time，provide on-line answering questions，relieve patients’ anxiety，keep in prevention and control during the epidemic，orderly carry out routine diagnosis and treatment activities when epidemic screening，and ensure patients get treatment. Both doctors and patients have a positive attitude to overcome difficulties when confronting the COVID-19，providing an opportunity to alleviate the relationship be－tween doctors and patients.