头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究

doi:10.3761/j.issn.1672-9234.2024.03.014

中华护理教育 ›› 2024, Vol. 21 ›› Issue (3): 342-347.doi: 10.3761/j.issn.1672-9234.2024.03.014

头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究

张力川^1,^2,^3,⁴(),路潜^1,^2,^3,⁴(),庞冬^1,^2,^3,⁴,张彤^1,^2,^3,⁴,沈傲梅^1,^2,^3,⁴,王玉洁^1,^2,^3,⁴,张亚茹^1,^2,^3,⁴

100191 北京市北京大学护理学院（张力川，路潜，庞冬，沈傲梅）；河南省人民医院（王玉洁）；北京大学肿瘤医院（张亚茹）

收稿日期:2023-08-01 出版日期:2024-03-15 发布日期:2024-03-13
通讯作者: 路潜，博士，教授，E-mail：luqian@bjmu.edu.cn
作者简介:张力川，女，硕士（博士在读），E-mail：zhanglichuan@bjmu.edu.cn
基金资助:
中华国际医学交流基金会医学营养临床科研基金(Z-2017-24-2110)

Study on promoting and hindering factors of tube feeding in head and neck cancer patients with radiotherapy

ZHANG Lichuan^1,^2,^3,⁴(),LU Qian^1,^2,^3,⁴(),PANG Dong^1,^2,^3,⁴,ZHANG Tong^1,^2,^3,⁴,SHEN Aomei^1,^2,^3,⁴,WANG Yujie^1,^2,^3,⁴,ZHANG Yaru^1,^2,^3,⁴

Received:2023-08-01 Online:2024-03-15 Published:2024-03-13
Contact: Qian LU

摘要/Abstract

摘要： 目的了解头颈部恶性肿瘤放疗患者接受管饲的促进和障碍因素，为医护人员制订提高患者管饲接受度的干预措施提供参考。方法通过目的抽样纳入患者、家属及医务人员进行半结构化访谈，采用定向内容分析法结合健康信念模式进行资料提取与分析。结果共20名受访者，提取出3个促进因素（感知到未来症状严重、获知管饲的益处、获得提示因素）和4个障碍因素（感知到的威胁较小、感知到障碍、缺乏自我效能、缺乏相关知识）。结论未来医护人员应指导患者和家属树立正确的健康信念、加强相关知识培训，增强其自我效能，提高患者管饲意愿。

关键词: 头颈部恶性肿瘤, 放射治疗, 管饲, 健康信念模式, 促进与障碍因素

Abstract: Objective To identify the promoting and hindering factors of enteral feeding in patients with head and neck cancer receiving radiotherapy，and provide evidence for increasing the rate of enteral feeding. Methods We used purposive sampling to select patients，caregivers，and healthcare providers who were relevant to the study objectives for semi-structured interviews. Directed content analysis was used，combined with the Health Belief Model，to extract data. Results Twenty participates included in the study. Three promoting factors（perception of severe symptoms in the future，knowledge of the benefits of enteral feeding，and receiving prompting factors） and four hindering factors（perception of low threat，perception of barriers，lack of self-efficacy，and lack of relevant knowledge） were identified. Conclusion To increase patients’ willingness to accept enteral feeding，it is necessary to establish their correct health beliefs，strengthen relevant knowledge training，and enhance their self-efficacy.

Key words: Head and neck cancer, Radiotherapy, Tube feeding, Health Belief Model, Promoting and hindering factors

张力川, 路潜, 庞冬, 张彤, 沈傲梅, 王玉洁, 张亚茹. 头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究[J]. 中华护理教育, 2024, 21(3): 342-347.

ZHANG Lichuan, LU Qian, PANG Dong, ZHANG Tong, SHEN Aomei, WANG Yujie, ZHANG Yaru. Study on promoting and hindering factors of tube feeding in head and neck cancer patients with radiotherapy[J]. Chinese Journal of Nursing Education, 2024, 21(3): 342-347.

图/表 3

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头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究

Study on promoting and hindering factors of tube feeding in head and neck cancer patients with radiotherapy

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