文章摘要
大肠癌术后患者中医饮食知识知晓及需求的质性研究
The awareness and demand of Chinese medicine diet knowledge in patients after colorectal cancer surgery:a qualitative study
投稿时间:2020-01-02  修订日期:2020-04-15
DOI:
中文关键词: 大肠癌术后  中医饮食  知晓度  需求度  质性研究
英文关键词: postoperative colorectal cancer  TCM diet  awareness  demands  qualitative research
基金项目:上海市中医诊疗模式创新试点建设项目 基金编号:ZY(2018-2020)-FWTX-6008
作者单位E-mail
李小东 上海中医药大学附属市中医医院 sgyx322@163.com 
侯风刚 上海中医药大学附属市中医医院  
李霞 上海中医药大学附属市中医医院  
张洁 上海中医药大学附属市中医医院 0369@szy.sh.cn 
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中文摘要:
      摘要:[目的]评估大肠癌术后患者对中医饮食知识的知晓情况,为大肠癌术后患者中医饮食知识及需求问卷的编制提供一定的依据。[方法]采用目的抽样法,选取上海市某三级甲等中医院的12例大肠癌术后患者及10名医护人员进行半结构式访谈,并通过传统内容分析法与Colaizzi七步分析法对访谈资料进行录音、转录、分析和描述,提炼主题。[结果]大肠癌术后患者对中医饮食知识的知晓度不高,但需求很高,并归纳总结得出知晓度不高的4个主题:宣教不足(饮食宣教的时间太短、内容太过笼统)、知识欠缺(护理人员知识储备不足)、负性认知(护患均不自信)、专业性强(内容艰难晦涩,难以理解);需求很高的4个主题:基础知识(中医饮食的内容、原则等)、养生保健(饮食相关)、宜忌误区、常见食疗方(大肠癌密切相关)。[结论]大肠癌术后患者的中医饮食宣教不到位、宣教的内容不符合患者的需求,临床工作者应根据患者需求调整中医饮食宣教的内容,提高患者的知晓度,从而改善患者的生活质量。
英文摘要:
      Abstract: [Objective] To evaluate the knowledge of TCM diet in postoperative patients of colorectal cancer, and to provide a basis for the compilation of TCM diet knowledge and demand questionnaire of postoperative patients of colorectal cancer.[Methods] The purpose sampling method was adopted to select 12 postoperative patients of colorectal cancer and 10 medical staffs from a third-class traditional Chinese medicine hospital in Shanghai for semi-structured interview. The interview datum were recorded, transcribed, analyzed and described through the traditional content analysis method and Colaizzi seven-step analysis method to extract the themes.[Results] Postoperative patients with colorectal cancer do not know much about TCM diet knowledge, but the demand is high. It is concluded that the low level of awareness is mainly manifested in 4 themes: Insufficient education (the time for dietary education is too short and the content is too general), Lack of knowledge (inadequate knowledge of nursing staff), Negative cognition (both nurses and patients are not self-confident), Strong professionalism (content is difficult and obscure, difficult to understand); High demand is mainly manifested in 4 themes: Basic knowledge (Chinese medicine diet content, principles, etc.), Health care (diet related), Misunderstandings, Common dietary treatment (colorectal cancer is closely related).[Conclusion] The TCM diet propaganda and education of postoperative patients of colorectal cancer is not in place, and the contents of propaganda and education do not meet the needs of patients. Clinical workers should adjust the contents of TCM diet propaganda and education according to the needs of patients, so as to improve the awareness of patients and improve their quality of life.
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