【摘要】 目的 了解妇科恶性肿瘤择期手术患者入院准备期间的体验及需求，为实施院前管理提供参考。方法 采取描述性质性研究，目的抽样法对12例妇科恶性肿瘤患者及10名医护人员进行半结构式访谈，应用NVivo12软件对资料进行分析。结果 共提炼出6个主题：失去控制感与寻求希望(疾病不确定感与手术决策困境、信任医疗)、健康素养异质化、复杂的心理状态(积极应对与负性情绪困扰并存)、患者角色适应障碍(女性角色创伤、角色转换障碍)、入院过渡期需求(缺乏院前护理服务、设立入院准备中心)和社会性支持需求高(渴望专业支持、期望获得经济援助)。结论 妇科恶性肿瘤择期手术患者在入院准备期间的体验及需求有待进一步满足和提升。医护人员应注重患者院前服务，加强院前健康指导，为患者提供多维度社会支持以提高其就医体验。更多还原

【Abstract】 Objective To understand the experiences and demands of patients with gynecological malignancies during the admission preparation period for elective surgeries, and to provide references for implementing pre-admission management. Methods A descriptive qualitative study was adopted and a purposive sampling method was used to conduct semi-structured interviews among 12 patients with gynecological malignancies and 10 medical staff. The interview data were analyzed using NVivo12 software. Results A total of six themes were extracted: loss of control and pursuit of hope(disease uncertainty and surgical decision-making dilemmas, trust in medical treatment), heterogeneity of health literacy, complex psychological states(coexistence of positive coping and negative emotional distress), patient role adaptation disorders(female role trauma, role transition disorders), needs during admission transition period(lack of pre-admission nursing services, establishment of admission preparation centers) and high social support needs(desire for professional support, expectation of financial assistance). Conclusion The experiences and demands of gynecological cancer patients during the admission preparation period for elective surgeries need to be further improved and satisfied. Medical staff should focus on pre-admission services for patients, strengthen pre-admission health guidance and provide multi-dimensional social support to enhance their experience.更多还原