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应对晚年乳腺癌:宗教信仰的作用。

Coping with breast cancer in later life: the role of religious faith.

作者信息

Feher S, Maly R C

机构信息

UCLA Department of Family Medicine, Los Angeles, CA, USA.

出版信息

Psychooncology. 1999 Sep-Oct;8(5):408-16. doi: 10.1002/(sici)1099-1611(199909/10)8:5<408::aid-pon409>3.0.co;2-5.

Abstract

PURPOSE

To identify and examine religious and spiritual coping strategies among elderly women with newly diagnosed breast cancer.

METHODS

A convenience sample of 33 women age 65 years was recruited within 6 months of diagnosis. Respondents participated in a structured interview with open-ended questions. Transcripts of the interviews were analysed independently by three researchers and themes were discussed until consensus was reached.

RESULTS

Participants' religious background was varied: 17 Protestant, five Catholic, six Jews, and four Other. There was great variation in the frequency of religious service attendance. Religious and/or spiritual belief either increased or stayed the same during the time of health crisis. Analysis of transcripts revealed three themes. Religious and spiritual faith provided respondents with the emotional support necessary to deal with their breast cancer (91%), with social support (70%), and with the ability to make meaning in their everyday life, particularly during their cancer experience (64%).

CONCLUSIONS

Religious and spiritual faith provides elderly women newly diagnosed with breast cancer with important tools for coping with their illness and should be recognized by diagnosing physicians. It may be important to encourage these patients to seek religious support and/or to reconnect with their religious community.

摘要

目的

识别并研究新诊断出乳腺癌的老年女性的宗教和精神应对策略。

方法

在诊断后的6个月内招募了33名65岁女性的便利样本。受访者参与了一场包含开放式问题的结构化访谈。访谈记录由三名研究人员独立分析,讨论主题直至达成共识。

结果

参与者的宗教背景各不相同:17名新教徒、5名天主教徒、6名犹太教徒和4名其他宗教信仰者。参加宗教仪式的频率差异很大。在健康危机期间,宗教和/或精神信仰要么增强,要么保持不变。对访谈记录的分析揭示了三个主题。宗教和精神信仰为受访者提供了应对乳腺癌所需的情感支持(91%)、社会支持(70%),以及在日常生活中,特别是在患癌期间赋予生活意义的能力(64%)。

结论

宗教和精神信仰为新诊断出乳腺癌的老年女性提供了应对疾病的重要工具,诊断医生应予以认可。鼓励这些患者寻求宗教支持和/或重新融入其宗教团体可能很重要。

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