"只是为了与它和解". 中年和老年癌症幸存者的应对经验:一种定性研究
1Department of Cancer Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
概括
40岁以上的癌症幸存者认为癌症是一种慢性疾病,而不是死刑. 支持性护理应针对文化信仰,信息需求,家庭参与和心理健康,以更好地应对应对策略.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 癌症严重影响中年和老年人,由于治疗负担,影响生活质量.
- 了解癌症幸存者的应对机制对于开发有效的支持性护理至关重要.
研究的目的:
- 探索中年 (40-59岁) 和老年人 (60岁以上) 癌症应对生活经验.
主要方法:
- 使用了一种描述性的现象学方法.
- 对22名40岁以上的瘤患者进行了深入的半结构面试.
- 对面试数据进行了专题分析,以确定关键主题.
主要成果:
- 五个主要主题出现了:接受癌症是慢性,各种信息需求,家庭参与,保持积极的心理状态和负面经验.
- 幸存者认为癌症不是一个终端诊断,而是慢性疾病.
- 关键的子主题包括命运/卡尔玛信仰,信息寻求/避免,家庭依赖/支持,积极思考/同行支持和低自尊.
结论:
- 癌症幸存者的观点已经转向将癌症视为可管理的慢性疾病.
- 支持性干预应整合文化/宗教信仰,解决信息需求,利用家庭支持,培养积极的心理状态.
- 未来的护理策略必须承认并减轻癌症幸存者经历的负面心理影响.
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