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在龙的视角下:女性乳腺癌经历与龙舟竞渡活动

In the eye of the dragon: women's experience of breast cancer and the occupation of dragon boat racing.

作者信息

Unruh Anita M, Elvin Natalie

机构信息

School of Health and Human Performance, Dalhousie University, Halifax, NS.

出版信息

Can J Occup Ther. 2004 Jun;71(3):138-49. doi: 10.1177/000841740407100304.

Abstract

BACKGROUND

Women with breast cancer are at risk of developing lymphedema following surgical and/or medical treatment of the disease. Recently, women have challenged traditional advice about limiting upper extremity activity to prevent lymphedema by participation in dragon boat racing.

PURPOSE

In this qualitative pilot study, three women were interviewed about the meaningfulness of dragon boat racing in their lives.

METHODS

The women were interviewed twice and their interviews analyzed using thematic analysis.

RESULTS

Seven themes are discussed: attraction of dragon boat racing; physical and emotional well-being; competition; social support; transcendence/connectedness/oneness; re-occurrence of cancer; and, public awareness. Competition enabled the participants to rebuild self-confidence and to regain control over their physical health and emotional well-being. Balancing support and competition was key to finding satisfaction in this occupation. The women did not believe that dragon boat racing affected their risk for developing lymphedema.

PRACTICE IMPLICATIONS

People who engage in the occupation of dragon boat racing find it meaningful and develop new coping strategies. Participating in dragon boat racing can decrease stress and shift the meaning of having breast cancer to a more positive view of the experience.

摘要

背景

乳腺癌女性在接受该疾病的手术和/或药物治疗后有发生淋巴水肿的风险。最近,女性通过参加龙舟比赛对关于限制上肢活动以预防淋巴水肿的传统建议提出了挑战。

目的

在这项定性的试点研究中,对三名女性就龙舟比赛在她们生活中的意义进行了访谈。

方法

对这些女性进行了两次访谈,并使用主题分析法对访谈内容进行分析。

结果

讨论了七个主题:龙舟比赛的吸引力;身心健康;竞争;社会支持;超越/联系/合一;癌症复发;以及公众意识。竞争使参与者能够重建自信,并重新掌控自己的身体健康和情绪健康。在这项活动中找到满足感的关键在于平衡支持与竞争。这些女性不认为龙舟比赛会影响她们发生淋巴水肿的风险。

实践意义

从事龙舟比赛活动的人认为其有意义,并制定了新的应对策略。参加龙舟比赛可以减轻压力,并将患乳腺癌的意义转变为对这段经历更积极的看法。

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