目的 探究大肠癌患者对幸福感的体验及其意义建构过程，为临床护理实践提供人文视角的干预依据。方法 2023年4-8月，采用诠释性现象学研究方法对某三级甲等医院收治的18例大肠癌化疗期患者进行半结构式访谈。结果 大肠癌患者的幸福感体验共析出3个核心主题：创伤后心理重构与意义追寻、家庭与社群支持的情感联结及医疗资源与社会环境的交互作用。研究揭示患者通过心理调适、社会互动与环境适应主动建构幸福感，其体验呈现动态性与主体性特征。 结论 大肠癌患者的幸福感体验具有多维性和动态性，需从患者主体视角出发，整合心理支持、家庭协作及社会资源优化策略，构建以患者需求为导向的护理路径。

Objective To explore colorectal cancer（CRC) patients’ experiences of happiness and their meaning-constructing processes,and to provide a humanistic perspective for clinical nursing interventions.Methods A hermeneutic phenomenological method was used to conduct semi-structured interviews with 18 CRC patients undergoing chemotherapy in a tertiary A hospital from April to August 2023.Results A total of three core themes regarding the experience of happiness of colorectal cancer patients were extracted:post-traumatic psychological reconstruction and meaning-seeking,emotional connections based on family and community support,and interaction between healthcare resources and social environments.The study revealed that patients actively constructed happiness through psychological adaptation,social interaction,and environmental adjustment,with their experiences revealing dynamic and subjective characteristics.Conclusions The experiences of happiness of CRC patients is multidimensional and dynamic.It is necessary to adopt a patient-centered perspective,integrate strategies of psychological support,family collaboration and social resource optimization, in order to develop a patient-need-oriented nursing pathway.

R473.73;R823

2021年海南省自然科学基金青年项目（821QN387）