Ballantyne Peri J
Faculty of Pharmacy, Department of Public Health Science and Institute for Human Development, Life Course and Aging, University of Toronto, Ontario, Canada.
J Clin Nurs. 2004 Mar;13(3a):11-21. doi: 10.1111/j.1365-2702.2004.00921.x.
Current incidence, prevalence and survival rates determine that breast cancer is primarily a disease of older women. This integrative essay provides an extensive review of the literature on (i). the social and psychological factors that influence adjustment to breast cancer and survival from it, (ii). the social and health status of older women, and (iii). the medical treatment of older breast cancer patients. It is concluded that while psychological orientation to the disease, coping strategies and functional continuities of breast cancer patients are important for disease outcome, adjustment to and survival from breast cancer by older women may be compromised by the social context - with respect to marriage and intimate ties, social participation, socio-economic status, and mental and physical health. The paper concludes with the suggestion that clinical practitioners need to be aware of the both the resources of, and limitations facing the older breast cancer patient, and with the provision of specific recommendations about the clinical management of this population for nurses and other health professionals.
当前的发病率、患病率和生存率表明，乳腺癌主要是老年女性的疾病。这篇综合性文章对以下方面的文献进行了广泛综述：（i）影响乳腺癌适应及生存的社会和心理因素；（ii）老年女性的社会和健康状况；（iii）老年乳腺癌患者的医学治疗。研究得出结论，虽然乳腺癌患者对疾病的心理取向、应对策略和功能连续性对疾病转归很重要，但老年女性对乳腺癌的适应及生存可能会受到社会环境的影响，包括婚姻和亲密关系、社会参与、社会经济地位以及身心健康等方面。文章最后建议临床医生需要了解老年乳腺癌患者的资源和面临的限制，并为护士和其他健康专业人员提供有关该人群临床管理的具体建议。
