用他们自己的话说:对急性髓性白血病患者使用的应对机制的定性研究
Nikki C Daniels1, Monica H Bodd2, Susan C Locke3
1Duke University, Durham, NC, USA.
概括
患有急性髓性白血病 (AML) 的患者利用各种应对策略,包括接受和积极重构,来管理他们的诊断. 了解这些机制可以为改善患者结果提供息护理.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 心理社会瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 综合性息治疗与急性髓性白血病 (AML) 的改善结果有关.
- 积极的应对策略被认为可以调解这些改善的结果.
- 需要更深入地了解AML患者应对机制.
研究的目的:
- 质量地探索高风险AML患者使用的应对机制.
- 了解接受密集化疗的AML患者应对策略和结果之间的关系.
主要方法:
- 从与高风险AML患者的采访中获得的纵向定性数据的二次分析.
- 采访是在2014年2月至2015年8月期间进行的.
- 使用NVivo编码的定性数据来识别以方法为导向和避免应对策略.
主要成果:
- 患者展示了各种以方法为导向的应对策略:接受 (预后,生活方式变化),积极重构 (寻找意义,欣赏),宗教应对和社会应对.
- 一些患者在社交应对方面感到内,觉得自己是个负担.
- 避免性应对包括否认,行为脱离 (通常是由于惰等症状) 和自责.
结论:
- 在诊断后,AML患者表现出多样化和微妙的应对机制.
- 这些发现凸显了患者适应AML的复杂性.
- 未来的研究应该在新的,不那么密集的AML疗法背景下研究应对.
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