乳腺癌康复中的心理赋权概况:一个多中心的跨部门定性研究
Kaina Zhou1, Li Yang2, Ling Yuan3
1School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Psycho-oncology
|December 2, 2025
概括
患有乳腺癌的女性在康复期间表现出心理赋权之旅,从负面应对到积极应对. 地理位置影响了这一轨迹,突出了医疗保健支持和文化影响的差异.
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:
- 乳腺癌的幸存者面临着复杂的心理挑战.
- 了解心理赋权对于有效的乳腺癌护理框架至关重要.
研究的目的:
- 为了确定患有乳腺癌的女性的心理赋权概况.
- 为开发乳腺癌患者临床护理框架提供信息.
主要方法:
- 一个多中心的,横截面的定性研究,利用解释性的现象学分析.
- 进行了半结构化的深度采访,对46名被诊断为乳腺癌的妇女进行了采访,这些女性来自中国的五家三级医院.
- 对2024年9月至12月期间收集的采访数据进行了专题分析.
主要成果:
- 一个由六个主题组成的心理赋权概况出现了,详细介绍了从负面到积极的轨迹.
- 主题1-2代表了负面的个人资料 (知情和压力,矛盾和痛苦),主题3是一个转折点 (挑战和对抗),主题4-6则是积极的个人资料 (调整和缓冲,理性和接受,洞察力和成长).
- 接受治疗的参与者对早期主题的参与度更高,而幸存者,特别是来自南京的幸存者,对后期主题的进展更大.
结论:
- 患有乳腺癌的女性在康复期间遵循明显的负面到积极的心理赋权轨迹.
- 实力化个人资料中观察到显著的地理差异,与区域医疗保健基础设施和文化因素有关.
- 东北城市展示了更广泛的主题参与,表明需要定制的区域支持计划来解决乳腺癌护理方面的差异.
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