Navon Liora, Morag Amira
Department of Nursing, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Qual Health Res. 2003 Dec;13(10):1378-92. doi: 10.1177/1049732303258016.
The authors examine the coping strategies employed by advanced prostate cancer patients receiving hormonal therapy to learn from their experience about potential solutions to their nonmedical needs. The study was based on in-depth interviews with 15 such patients and data analysis by the constant comparative method. The main psychosocial difficulties detected were patients' bodily feminization, sexual dysfunction, and disruption of spousal intimacy. Participants contended with these difficulties through disguise, diversion, and avoidance strategies applied in social interactions, and through self-redefining, self-distancing, and self-solacing cognitive tactics. The analysis of these coping techniques clarifies the motives behind their adoption by the participants, their changing patterns over time, their advantages and disadvantages, and the potential that understanding these issues possesses for improving interventions aimed at alleviating patients' difficulties.
作者研究了接受激素治疗的晚期前列腺癌患者所采用的应对策略，以便从他们的经历中了解满足其非医疗需求的潜在解决方案。该研究基于对15名此类患者的深入访谈，并采用持续比较法进行数据分析。发现的主要心理社会困难包括患者身体女性化、性功能障碍以及配偶亲密关系的破坏。参与者通过在社交互动中应用伪装、转移和回避策略，以及通过自我重新定义、自我疏远和自我安慰的认知策略来应对这些困难。对这些应对技巧的分析阐明了参与者采用这些技巧的动机、它们随时间的变化模式、它们的优缺点，以及理解这些问题对于改进旨在缓解患者困难的干预措施的潜力。
