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| 乳腺癌幸存者认知功能自我感知及针灸治疗意愿的描述性质性研究 |
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马佳妮1,2, 翟静波3, 马培宏1, 孔凡铭2, 王斌4, 匡小冰1, 邱继文1, 傅丽媛1, 张曼5, 郭义5, 陈波5
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1.天津中医药大学医学技术学院, 天津 301617;2.天津中医药大学第一附属医院, 国家中医针灸临床医学研究中心, 天津 300381;3.天津中医药大学公共卫生与健康科学学院, 天津 301617;4.天津医科大学肿瘤医院, 国家肿瘤临床医学研究中心, 天津 300060;5.天津中医药大学针灸推拿学院, 天津 301617
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| 摘要: |
| [目的]探讨乳腺癌幸存者认知功能自我感知及接受针灸的意愿特征，为制订早期诊断和干预策略提供依据。[方法]采用自我调节常识模型进行描述性质性研究，运用目的抽样法选取30例乳腺癌幸存者进行半结构化访谈，运用主题分析法进行资料分析。[结果]提炼出7个主题：认知功能变化识别，认知功能变化的原因，认知功能变化的时间线，认知功能变化的影响，认知功能变化的情绪表征，对认知功能变化的治疗控制，接受针灸的意愿，及主观抱怨与客观测量不一致等16个亚主题。[结论]乳腺癌幸存者对认知功能变化的自我感知是多维且复杂的，显著影响其生活及心理健康，但临床中尚未得到充分重视。受限于个人认知及证据不足，其对针灸接受度有限。建议医疗工作者结合客观评估与患者诉求，提供基于循证的认知管理支持。 |
| 关键词: 乳腺癌幸存者 认知功能 自我感知 描述性质性研究 主题分析 |
| DOI：10.11656/j.issn.1672-1519.2026.01.09 |
| 分类号:R737.9 |
| 基金项目:天津市南开区中医药传承创新发展示范试点项目：世界针灸学会联合会国际标准：肿瘤针灸系列临床实践指南的研制（20250102001）；天津中医药大学基础与临床协同创新人才计划（12）。 |
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| Self-perception of cognitive function and acupuncture treatment intention in breast cancer survivors： A descriptive qualitative study |
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MA Jiani1,2, ZHAI Jingbo3, MA Peihong1, KONG Fanming2, WANG Bin4, KUANG Xiaobing1, QIU Jiwen1, FU Liyuan1, ZHANG Man5, GUO Yi5, CHEN Bo5
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1.College of Medical Technology, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Acupuncture, Tianjin 300381, China;3.College of Public Health and Health Sciences, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;4.Cancer Hospital of Tianjin Medical University, National Clinical Research Center for Cancer, Tianjin 300060, China;5.College of Acupuncture-Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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| Abstract: |
| [Objective] This study explores breast cancer survivors’views on their cognitive function and their openness to acupuncture，to support early diagnosis and intervention. [Methods] We conducted semi-structured interviews with 30 breast cancer survivors selected through purposive sampling. Data were analyzed using thematic analysis. [Results] Seven themes were extracted： identification of cognitive function changes，causes of cognitive function changes，timeline of cognitive function changes，impact of cognitive function changes，emotional representation of cognitive function changes，treatment and control of cognitive function changes， willingness to receive acupuncture，and sixteen sub-themes were defined，including inconsistencies between subjective complaints and objective measurements，etc. [Conclusion] Breast cancer survivors experience complex cognitive changes that significantly affect their quality of life，but these are often overlooked clinically. Acceptance of acupuncture is limited by lack of awareness and evidence. Healthcare providers should combine objective assessments with patient reports to offer personalized，evidence-based cognitive care. |
| Key words: breast cancer survivors cognitive function self-perception descriptive qualitative study thematic analysis |
