年轻的癌症患者如何应对死亡焦虑:基于恐怖管理理论的定性研究
Jingjing Luo1,2, Ruichen Han1, Yinghua Deng1
1Xiangya School of Nursing, Central South University, 172 Tongzipo Road of Yuelu District, Changsha, China.
概括
年轻的癌症患者经历死亡焦虑通过死亡突出,并采用各种应对策略. 研究结果支持文化敏感,以家庭为中心的干预措施,以提供量身定制的心理支持.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 社会学 社会学 社会学
背景情况:
- 年轻的癌症患者面临着不同的心理挑战,包括增加的死亡焦虑.
- 恐怖管理理论 (TMT) 为理解死亡焦虑和应对机制提供了一个框架.
研究的目的:
- 探索年轻癌症患者对死亡焦虑的活着经验.
- 通过TMT的透视来研究年轻癌症患者使用的应对策略.
主要方法:
- 与20名年轻的癌症患者 (20-49岁) 进行了半结构面试.
- 采访以TMT原则为指导,并使用专题分析进行分析.
- 报告遵循了COREQ定性研究指南.
主要成果:
- 经验出现了四种类型:死亡突出,避免应对,适应应对和增强意义的应对.
- 死亡率突出包括认知困扰,治疗负担,财务担忧和未来的不确定性.
- 应对策略从近距离防御 (回避) 到远距离防御 (依恋,自尊,寻求意义,精神安慰) 不等.
结论:
- 这项研究阐明了年轻癌症患者死亡焦虑和应对的多面性质.
- 建议包括将认知教育与症状管理相结合,并实施性别差异化,文化敏感,以家庭为中心的干预措施.
- 文化敏感的干预措施应该支持患者,而不是过度保护,促进开放的沟通,并为晚期癌症患者提供及时的,以意义为导向的支持.
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