A qualitative study on the experiences of nutrition impact symptoms in esophageal cancer patients
10.3761/j.issn.0254-1769.2025.19.011
- VernacularTitle:食管癌患者对影响营养的症状体验研究
- Author:
Muxi CHENG
1
;
Huiyan LIAO
;
Hui LI
;
Yuxin HE
;
Lei ZHONG
;
Xinhui SONG
;
Mei LI
Author Information
1. 510515 广州市 南方医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Esophageal Cancer;
Nutrition Impact Symptoms;
Symptoms Experience;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(19):2378-2383
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the real experiences of nutrition impact symptoms in esophageal cancer patients during diagnosis and treatment,and to provide references for developing nutritional management strategies.Methods Using purposive sampling,15 esophageal cancer patients admitted to the thoracic surgery department of a tertiary grade A hospital in Guangzhou from October to December 2024 were selected for semi-structured interviews.Thematic analysis was used for data analysis.Results 4 themes and 12 sub-themes were identified:①Multiple symptom perceptions:esophageal obstruction-dysphagia,appetite-affecting symptoms,multiple symptom over-lap,and individual differences in symptom perception.② Insufficient symptom cognition:overestimation of symptom controllability and biased symptom attribution.③ Negative emotional reactions:anxiety and fear about eating,frustration with declining eating function,and helplessness and guilt about losing control over eating.④ Di-verse symptom coping strategies:avoidance coping,adaptive coping,and active nutritional management.Conclusion The nutrition impact symptom experiences of esophageal cancer patients are complex and diverse.Healthcare professionals should promptly identify and assess nutrition impact symptoms,provide nutrition health education,strengthen psychological guidance,and develop culturally distinctive individualized nutritional management strategies.