在种族多样化的黑人前列腺癌幸存者中评估生活质量:一种建构主义基于理论的方法
Motolani Ogunsanya1, Ernie Kaninjing2, Tanara Ellis1
1University of Oklahoma Health Sciences Center.
Research square
|March 11, 2024
概括
被诊断为前列腺癌 (CaP) 的黑人男性面临着独特的生存挑战. 这项研究模拟了他们的各种经验,为改善以患者为中心的护理和对CaP生存率的研究提供了见解.
科学领域:
- 在瘤学瘤学.
- 健康差异 在健康上的差异
- 定性研究是指质量研究.
背景情况:
- 前列腺癌 (CaP) 是黑人男性 (BM) 的主要诊断,幸存者人口越来越多.
- 关于美国种族多元化黑人移民的CaP经历的理解有限.
- 这项研究解决了对各种BM的生存之旅的研究需求.
研究的目的:
- 探索和建模种族多元化的黑人男性 (BM) 患前列腺癌 (CaP) 的生存经验.
- 发展对黑人男性在CaP旅程中所面临的独特挑战和适应的全面理解.
主要方法:
- 对34名黑人前列腺癌幸存者进行了深入采访 (本土出生的,非洲出生的,加勒比出生的).
- 采用了Charmaz的构造主义立足理论方法论和恒定比较分析.
- 数据分析使用了Atlas.ti v23软件.
主要成果:
- 开发了一个新的理论模型",穿越陌生的地形",包括三个阶段和11个子阶段.
- 该模型捕捉了黑人前列腺癌幸存者的诊断前意识和治疗后适应经验.
- 参与者 (49-84岁) 常常在第一阶段 (35%) 得到诊断,并接受放射治疗 (56%).
结论:
- "穿越陌生地带"模型为了解黑人男性前列腺癌生存率提供了一个全面的框架.
- 研究结果为开发有针对性的干预措施和加强对多样化CAP幸存者的以患者为中心的护理提供了关键的见解.
- 这项研究旨在弥补现有的生存研究和这一群体的医疗保健实践方面的差距.
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