介入放射学杂志2023年2月第32卷第2期JInterventRadiol2023,Vol.32,No.2·护理论坛Nursingwindow·晚期肝癌介入术后患者安宁疗护需求的质性研究俞人悦，张露芳，黄道琼，刘骏，陈瑜【摘要】目的了解晚期肝癌介入术后患者的不适症状和内心需求，为实施安宁疗护提供参考依据。方法采用半结构式深度访谈法对25例肝癌介入术后患者进行访谈，并对访谈资料进行整理、分析和主题提炼。结果共提炼出4个主题和7个副主题：缓解生理症状，包括缓解恶心、呕吐的不适症状和缓解疼痛的症状；心理需求，包括得到情感支持的需求、满足内心愿望的需求和得到亲属照顾的需求；健康管理相关知识的需求，包括了解肝癌相关知识的需求和掌握经皮肝穿刺胆道引流管护理的需求；降低经济负担的需求。结论安宁疗护需要关注晚期肝癌介入术后患者的生理舒适、情感支持、知识渴望和经济需求，使其在生命末期也可以拥有尊严和良好的生命质量。【关键词】肝癌；安宁疗护；介入手术；质性研究中图分类号：R473文献标志码：A文章编号:1008-794X（2023）-02-0185-03AqualitativestudyonthepalliativecareneedsofpatientswithadvancedlivercancerafterinterventionalsurgeryYURenyue,ZHANGLufang,HUANGDaoqiong,LIUJun,CHENYu.SchoolofNursing,WenzhouMedicalUniversity,Wenzhou,ZhejiangProvince325006,ChinaCorrespondingauthor:CHENYu,E-mail:chenxiaolongwy@126.com【Abstract】ObjectiveTounderstandthediscomfortsymptomsandtheinnerneedsofpatientswithadvancedlivercancerafterinterventionaltreatmentsoastoprovidereferencefortheimplementationofpalliativecare.MethodsByusingsemi-structuredin-depthinterviewmethod,25patientswithlivercancerafterreceivinginterventionaltreatmentwereinterviewed.Theinterviewmaterialswereorganizedandanalyzed,andthethemeswererefined.ResultsAtotaloffourthemesandsevensub-themeswereextracted,whichincluded（1）reliefofphysicalsymptoms,includingnausea,vomitingandpain;（2）psychologicalneeds,includingemotionalsupport,innerdesireandcareofrelatives;（3）needforhealthmanagementknowledge,includingtheneedtounderstandmoreaboutlivercancerandtomasterthecareofpercutaneousliverpuncturebiliarydrainagetube;（4）needtoreduceeconomicburden.ConclusionForthepalliativecareofpatientswithadvancedlivercancerafter...
