[哥伦比亚波哥大一家大学诊所乳腺癌患者的体验感:一项定性研究]。

Jhonatan Daniel Olivero Luna, María Claudia Ramírez Flórez, Nicolás Rozo Agudelo, Juliana Vanessa Rincón López, John Alexander Castro Muñoz, María Fernanda Luna
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引用次数: 0

摘要

目的:了解乳腺癌患者在诊断和治疗过程中的经历的意义。材料与方法:从现象学的认识论基础出发,采用诠释-解释科学范式进行定性描述研究。研究对象包括在波哥大一所大学诊所就诊的、被诊断患有乳腺癌的 18 岁或 18 岁以上女性,对她们进行了半结构化访谈。程序:根据预先确定的类别进行半结构化访谈。评估内容:对当前乳腺癌筛查和检测模式的了解、当前医疗保健利用模式和感知的健康需求。 结果:关于当前乳腺癌筛查和检测的知识模式,患者知之甚少。关于目前使用医疗服务的模式,有证据表明患者对行政程序不满意。在认为的健康需求方面,由于护理过程缺乏连续性,病人有一种被遗弃的感觉。此外,还发现以下新类别:结论:除了行政管理方面的问题外,还需要有一个能满足病人真正医疗需求的全 面护理过程,重点是整个多学科团队的医患关系质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meaning of the experience of breast cancer patients in a university clinic in Bogotá, Colombia: A qualitative study

Objectives: To understand the meaning of the experiences of breast cancer patients undergoing diagnostic and treatment processes.

Material and methods: A descriptive qualitative study based on the hermeneutic-interpretative scientific paradigm and grounded in a phenomenological epistemological framework. The study included women aged 18 years or older diagnosed with breast cancer and treated at a university clinic in Bogotá, who were given a semi-structured interview. Procedure: Semi-structured interviews were conducted based on pre-established categories. Aspects evaluated: Knowledge about current breast cancer screening and detection patterns, current utilization patterns of healthcare services, and perceived healthcare needs.

Results: Regarding Current knowledge patterns on breast cancer screening and detection, patients demonstrated limited awareness. Concerning Current utilization patterns of healthcare services, there were noted dissatisfactions with the administrative process. Regarding Perceived healthcare needs, a feeling of abandonment was identified, stemming from a lack of continuity in the care process. Additionally, two emergent categories were identified: trust in the healthcare system and predisposition to feelings of guilt due to a lack of knowledge about the disease.

Conclusions: A comprehensive care process is needed that addresses the real medical needs of patients, beyond administrative concerns, and is focused on the quality of the doctor-patient relationship across the entire multidisciplinary team.

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