International Journal of Nursing Research
International Journal of Nursing Research. 2025; 7: (5) ; 10.12208/j.ijnr.20250237 .
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1 内蒙古医科大学 内蒙古呼和浩特
2 内蒙古科技大学包头医学院第一附属医院 内蒙古包头
*通讯作者： 邬嘉梅,单位： 内蒙古科技大学包头医学院第一附属医院 内蒙古包头；
目的 深入调查乳腺癌 PICC 化疗患者对置管侧肢体的恐动现状，探索乳腺癌PICC化疗患者恐动心理的干预策略。方法 采用半结构访谈对10例乳腺癌 PICC 化疗患者及其照顾者进行访谈，总结访谈内容后采用焦点访谈法对2名PICC护理专家和1名心理学专家进行访谈，运用现象学研究方法对访谈资料进行分析。结果 提炼出3个主题和9个亚主题：恐动心理根源（身体伤害恐惧、异物感不适、知识匮乏 ）；恐动行为及情绪表现（肢体受限、情绪困扰、睡眠障碍 ）；缓解恐动的干预措施（科普教育、共情交流、团体小组干预）。结论 在乳腺癌PICC化疗过程中，医护人员应重点关注患者对置管侧肢体的恐动心理问题。制定全面详细的健康宣教计划，实施具有针对性的心理干预策略与团体辅导方案，有效缓解患者的恐动情绪，进而提升其自我护理能力，显著改善生活质量。
Objective To thoroughly investigate the current status of kinesiophobia in breast cancer patients undergoing chemotherapy with a peripherally inserted central catheter (PICC) regarding the limb with the catheter, and to explore the intervention strategies for kinesiophobia in these patients. Methods Semi-structured interviews were conducted with 10 breast cancer patients with PICC chemotherapy and their caregivers. After summarising the interview contents, focus group interviews were carried out with 2 PICC nursing experts and 1 psychology expert. The phenomenological research method was used to analyse the interview data. Results Three themes and nine sub-themes were extracted: the roots of kinesiophobia (fear of physical harm, foreign body sensation discomfort, lack of knowledge); the behaviours and emotional manifestations of kinesiophobia (limb restriction, emotional distress, sleep disorders); and the intervention measures to alleviate kinesiophobia (science popularisation education, empathetic communication, group intervention). Conclusion During the process of breast cancer PICC chemotherapy, medical staff should pay special attention to patients' kinesiophobia of the limb with the catheter. By formulating comprehensive and detailed health education plans, implementing targeted psychological intervention strategies and group counselling programmes, patients' kinesiophobia can be effectively alleviated,thereby enhancing their self-care ability and significantly improving their quality of life.
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