Anticipatory Gastrointestinal Symptoms in Patients with Bone Tumors Receiving Parenteral Adriamycin:A Qualitative Study

Objective To study the relationship between incidence of anticipatory gastrointestinal symptoms in patients with bone tumors receiving parenteral adriamycin and individual cognitive abilities,psychological status and cognitive-behavioral strategies,so as to provide the basis for effective nursing intervention.Methods Following the guidance of colaizzis phenomenological method in qualitative research and using in-depth interviews,the coping styles of emotional changes in the diagnosis and treatment of disease and drug response due to adverse reactions were studied.The conversation results were classified by using seven-step analysis of Colaizzi's phenomenological data.Results Patients with anticipatory gastrointestinal symptoms experienced severe post-chemotherapy adverse gastrointestinal reactions.In the diagnosis and treatment of disease,patients were observed with severe psychological burden due to lack of knowledge of cancer and chemotherapy and there were anxiety,depression and other negative emotions.High expectations of adverse reactions were determined before chemotherapy.The coping styles varied with their cognitive ability and psychological stress.Conclusion Cassic conditioning mechanisms plays an important role in the development of anticipatory gastrointestinal symptoms.There are close relationships between anticipatory gastrointestinal symptoms and severe post-chemotherapy adverse gastrointestinal reactions,aversion to adriamycin.