Background:Lung cancer is a major public health concern,and postoperative rehabilitation is crucial for patients.With the emergence of neoadjuvant immunotherapy,understanding the home-based rehabilitation needs of pos...Background:Lung cancer is a major public health concern,and postoperative rehabilitation is crucial for patients.With the emergence of neoadjuvant immunotherapy,understanding the home-based rehabilitation needs of postoperative lung cancer patients who have undergone this therapy has become important.Methods:This qualitative study employed grounded theory.Data were collected through face-to-face,in-depth,semi-structured interviews from February to June 2023 with 15 postoperative lung cancer patients who received routine neoadjuvant immunotherapy.Results:Five key themes emerged:(1)Limited exposure to home-based rehabilitation;(2)Unmet demand for home-based rehabilitation;(3)Factors hindering home-based rehabilitation;(4)Specific home-based rehabilitation needs;(5)Recommendations and observations.The findings revealed that patients lack awareness of home-based rehabilitation,have unmet rehabilitation needs,and require timely implementation of such programs to enhance rehabilitation management and quality of life.Conclusion:This study emphasizes the importance of developing and implementing home-based rehabilitation programs for lung cancer patients who have undergone neoadjuvant immunotherapy.These programs should address the identified needs and recommendations to improve rehabilitation outcomes and quality of life.Future efforts should focus on large-scale implementation and evaluation of these programs.展开更多
Objectives:Losing an only child is a life-altering event that destroys Chinese women’s lives and health in several dimensions.However,there is no unified theory exists to guide nursing practice.This study aimed to di...Objectives:Losing an only child is a life-altering event that destroys Chinese women’s lives and health in several dimensions.However,there is no unified theory exists to guide nursing practice.This study aimed to discover the substantive theory of how Chinese women live with the loss of their only child.Methods:This qualitative study used the grounded theory method.Purposive sampling,snowball sampling,and theoretical sampling were used to recruit participants.Saturated data from the in-depth interview,observation,and field notes with 13 Chinese women who have lost an only child in Southwest China were analyzed using the constant comparative method concurrently supplemented by the ATLAS.ti program,memo writing,and diagramming.Findings:Struggling to live a new normal life among Chinese women after losing an only child emerged as the substantive theory.It consists of three phases:living in agony,coming to terms,being alive in a new way.Receiving support motivated them to deal with such a loss.However,it brought them back to the previous phase(s)whenever they encountered adverse triggering situations.Therefore,they moved back and forth between these phases.The findings also illustrated that this process was profoundly affected by Chinese culture and personal beliefs.Conclusions:This substantive theory may guide nursing practice based on understanding the living process by working through the three phases.It would help develop a professional care plan recognizing individual diversity and incorporating socio-cultural and religious knowledge to effectively support women to deal with the loss of an only child.展开更多
基金supported by Open Foundation of Hubei Key Laboratory(China Three Gorges University)of Tumor Microenvironment and Immunotherapy(No.2022KZL1-08).
文摘Background:Lung cancer is a major public health concern,and postoperative rehabilitation is crucial for patients.With the emergence of neoadjuvant immunotherapy,understanding the home-based rehabilitation needs of postoperative lung cancer patients who have undergone this therapy has become important.Methods:This qualitative study employed grounded theory.Data were collected through face-to-face,in-depth,semi-structured interviews from February to June 2023 with 15 postoperative lung cancer patients who received routine neoadjuvant immunotherapy.Results:Five key themes emerged:(1)Limited exposure to home-based rehabilitation;(2)Unmet demand for home-based rehabilitation;(3)Factors hindering home-based rehabilitation;(4)Specific home-based rehabilitation needs;(5)Recommendations and observations.The findings revealed that patients lack awareness of home-based rehabilitation,have unmet rehabilitation needs,and require timely implementation of such programs to enhance rehabilitation management and quality of life.Conclusion:This study emphasizes the importance of developing and implementing home-based rehabilitation programs for lung cancer patients who have undergone neoadjuvant immunotherapy.These programs should address the identified needs and recommendations to improve rehabilitation outcomes and quality of life.Future efforts should focus on large-scale implementation and evaluation of these programs.
文摘Objectives:Losing an only child is a life-altering event that destroys Chinese women’s lives and health in several dimensions.However,there is no unified theory exists to guide nursing practice.This study aimed to discover the substantive theory of how Chinese women live with the loss of their only child.Methods:This qualitative study used the grounded theory method.Purposive sampling,snowball sampling,and theoretical sampling were used to recruit participants.Saturated data from the in-depth interview,observation,and field notes with 13 Chinese women who have lost an only child in Southwest China were analyzed using the constant comparative method concurrently supplemented by the ATLAS.ti program,memo writing,and diagramming.Findings:Struggling to live a new normal life among Chinese women after losing an only child emerged as the substantive theory.It consists of three phases:living in agony,coming to terms,being alive in a new way.Receiving support motivated them to deal with such a loss.However,it brought them back to the previous phase(s)whenever they encountered adverse triggering situations.Therefore,they moved back and forth between these phases.The findings also illustrated that this process was profoundly affected by Chinese culture and personal beliefs.Conclusions:This substantive theory may guide nursing practice based on understanding the living process by working through the three phases.It would help develop a professional care plan recognizing individual diversity and incorporating socio-cultural and religious knowledge to effectively support women to deal with the loss of an only child.
