Howell Doris, Fitch Margaret I, Deane Karen A
Psychosocial and Behavioral Research Unit, Toronto Sunnybrook Regional Cancer Center, Ontario, Canada.
Cancer Nurs. 2003 Feb;26(1):1-9. doi: 10.1097/00002820-200302000-00001.
Ovarian cancer may be particularly challenging for women, both physically and psychologically, because of the advanced nature of the disease at the time of diagnosis, the side effects of the disease, the repetitive cycles of aggressive therapy, and the perceived loss of femininity from the removal of reproductive organs. In addition, women with this disease rarely have an opportunity for cure. Most will face the very real possibility of dying. This qualitative study examined the perspectives of women living with ovarian cancer. Eighteen women participated in interviews, in which they described their experiences living with the disease. Women reported the myriad day-to-day changes in their lives, the major challenges they had to face, and the sources to which they turned for support. Implications for the practice of oncology nurses involve assessment, an understanding of the profound impact that this illness has on both the woman and her family, and the need to access a variety of supportive care programs.
卵巢癌对女性而言在身体和心理上可能都极具挑战性,这是因为在确诊时疾病已处于晚期、疾病本身的副作用、激进治疗的反复周期,以及因切除生殖器官而导致的女性特质丧失感。此外,患有这种疾病的女性很少有治愈的机会。大多数人将面临死亡的切实可能性。这项定性研究考察了卵巢癌患者的观点。18名女性参与了访谈,她们在访谈中描述了自己与疾病共处的经历。女性们讲述了生活中无数的日常变化、她们必须面对的主要挑战,以及她们寻求支持的来源。对肿瘤学护士的实践而言,其意义在于评估、理解这种疾病对女性及其家庭所产生的深远影响,以及需要利用各种支持性护理项目。