基于症状体验时间模型的胃癌患者康复轨迹的纵向质性研究OA

Objective:Based on symptom experience time model,the study analyze gastric cancer patients'rehabilitation experiences at different stages,providing evidence for developing targeted rehabilitation management interventions.Methods:A total of 18 patients undergoing radical gastrectomy for gastric cancer were selected through convenience sampling method as study subjects from a tertiary grade A oncology hospital in Tianjin between January 2024 to September 2025.Five semi-structured interviews were conducted with patients based on the timing theory,and interpretive phenomenology was employed to analyze,synthesize,and extract themes from the data.Results:Five themes and 15 sub-themes were identified,including cognitive shock and coping confusion during the disease diagnosis phrase,trauma adaptation and symptom tolerance during hospitalization treatment,initial establishment of self-rehabilitation management capacity during discharge preparation,overcoming practical barriers in self-rehabilitation management during recovery adjustment,and reconstruction of life roles and values during long-term adaptation phase.Conclusion:Gastric cancer patients exhibit distinct rehabilitation needs at different stages.The multidimensional,dynamic evolution,and interactive influence of postoperative symptom clusters complicate rehabilitation management.Clinical caregivers should thoroughly understand the fundamental nature and changing patterns of gastric cancer recovery,develop more targeted and personalized rehabilitation strategies,and provide comprehensive support for postoperative patients'recovery.