基于旅程地图与人物画像的宫颈癌患者外照射联合 三维后装治疗全周期体验研究
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女,硕士在读,学生

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2025年第47期中日笹川医学奖学金项目(国卫办国际函[2025]16号);山西省专利转化计划项目(202406021);山西省社科联重点课题项目(SSKLZDKT2023208)


A qualitative study on the full-cycle experience of cervical cancer patients undergoing external beam radiotherapy combined with 3-D intracavitary brachytherapy based on journey mapping and personas
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    目的 探讨宫颈癌患者外照射联合三维后装治疗全周期的核心痛点与未满足需求,为优化从症状管理向全人关怀的护理模式提供依据。方法 采用建构主义扎根理论质性研究方法,以目的抽样法选取20例宫颈癌患者,通过半结构式访谈、参与式观察法收集患者从治疗初始至长期康复的体验,整合旅程地图与人物画像方法,构建典型患者原型与各治疗阶段动态旅程地图,系统分析不同群体需求的异质性。结果 从初始介入、外照射治疗、三维后装治疗及长期管理4个阶段,揭示了患者生理、心理社会、系统层面的核心需求与痛点,构建了焦虑型青年、依赖型老年、知识型职场女性、城市家庭型主妇和资源受限型农村妇女5类典型患者亚群,其在情绪变化、行为特征、需求等方面存在明显差异。结论 宫颈癌患者外照射联合三维后装治疗全周期呈现“生理-心理-社会”需求的多元异质性与动态演变特征。医护人员应系统识别患者放疗旅程不同阶段的需求和痛点,优化医疗资源配置和诊疗服务,提升患者放疗体验与生活质量。

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    Objective To explore the touch points and unmet needs of cervical cancer patients throughout the entire treatment cycle of external beam radiation therapy (EBRT) combined with three-dimensional intracavitary brachytherapy (3D-ICBT), and to provide evidence for optimizing nursing care from symptom management towards holistic patient-centered support.Methods Guided by a constructivist grounded theory approach, a qualitative study was conducted using purposive sampling to recruit 20 cervical cancer patients. Data were collected via semi-structured interviews and participatory observation, tracing the patient experience from treatment initiation to long-term recovery. By integrating journey mapping and persona development methods, typical patient personas and dynamic journey maps for each treatment phase were constructed to address the unique challenges and needs of diverse patient groups. Results The journey map, structured across four treatment phases (commencement of the procedure, EBRT, 3D-ICBT, and long-term management), revealed core needs and touch points at physiological, psychosocial, and health-system levels. Five distinct patient personas were identified: anxious young woman,dependent elderly woman, educated career woman, urban housewife, and resource-limited rural woman. These subgroups exhibited obvious differences in emotional fluctuations, behavioral characteristics, and specific needs throughout their treatment journey. Conclusion The full-cycle experience of cervical cancer patients treated with EBRT and 3D-ICBT exhibits two core characteristics:heterogeneity and dynamic evolution across physical, psychological, and social needs. Healthcare providers should systematically identify patients′ needs and touch points at different radiotherapy stages to optimize medical resource allocation and clinical services, thereby enhancing patient experience and quality of life.

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王瀚敏,张玉美,李险峰,侯彦杰,王丹环,张俊娥,黄璇,谢云影,李莉.基于旅程地图与人物画像的宫颈癌患者外照射联合 三维后装治疗全周期体验研究[J].护理学杂志,2025,41(24):39-43,49

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  • 收稿日期:2025-07-10
  • 最后修改日期:2025-09-02
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  • 在线发布日期: 2026-01-30