绘制癌症编年史:一种定性研究,以评估随着时间的推移以及对以意义为中心的护理干预措施的反应而言,叙事意义的创造
Emily R E Evans1,2, Niels van Poecke1,2, Maite Portela3
1Department of Medical Oncology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
PloS one
|January 20, 2026
概括
患有无法治愈的癌症的人使用六种叙事策略重建生活故事. 基于艺术的干预有助于开发与癌症相关的新方式,支持存在的意义创造.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 叙事疗法是一种叙事疗法.
背景情况:
- 癌症诊断扰乱了生活叙事,影响了创造意义和身份.
- 对于患有无法治愈的癌症的患者来说,生存支持至关重要.
- 基于艺术的叙事干预有希望,但需要强有力的评估方法.
研究的目的:
- 纵向研究在无法治愈的癌症患者中叙事意义的创造.
- 探索基于艺术的叙事干预对生活故事重建的影响.
- 评估"丰富的图片" (RP) 作为评估随时间变化的叙事变化的方法.
主要方法:
- 从两个研究中对38名参与者的重复"丰富图片" (手绘视觉叙述) 的纵向分析.
- 一项研究包括基于艺术的叙事干预;另一个没有.
- 诱导性,多层次和参与性分析,以比较跨时间和群体的RP.
主要成果:
- 确定了六种叙事重建策略:重复,保留,重新定位,加强,减少和重组.
- 基于艺术的干预小组的参与者表现出不同的模式,开发了叙述和与癌症诊断相关的新方法.
- 在干预和非干预组之间观察到使用策略的差异.
结论:
- 患有无法治愈的癌症的个体利用各种策略来重建他们的生活叙事.
- 基于艺术的干预可以促进存在的意义创造和叙事适应.
- 重复的"丰富图片"提供了一种有价值的纵向方法,用于评估以意义为中心的癌症护理干预措施.
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