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超越乳腺癌:从诊断和治疗中探寻意义

Transcending breast cancer: making meaning from diagnosis and treatment.

作者信息

Coward Doris Dickerson, Kahn David L

机构信息

The University of Texas at Austin School of Nursing, USA.

出版信息

J Holist Nurs. 2005 Sep;23(3):264-83; discussion 284-6. doi: 10.1177/0898010105277649.

Abstract

PURPOSE

This qualitative approach study describes the experience of self-transcendence in women newly diagnosed with breast cancer.

METHOD

Fourteen women participated from a larger sample of women in a support group project. Each woman was interviewed three times over an 8-month period. Audiotaped transcripts were analyzed using Colaizzi's phenomenological techniques.

FINDINGS

Loss of a personal perception of good health and fear of dying from cancer forced women to reach both inside and outside of themselves for support and information. Bonding with other women with breast cancer led to further expansion of self-boundaries that brought comfort, a desire to modify life priorities, and enhanced appreciation of supportive others and of life itself. Over time, clarification and modification of values and behaviors assisted women to create meaning from their experiences.

IMPLICATIONS

Nurse referrals to support groups or other resources (such as cancer advocacy organizations) where women interact with similar others may facilitate transcending breast cancer.

摘要

目的

本定性研究描述了新诊断出乳腺癌的女性的自我超越体验。

方法

从一个支持小组项目中的大量女性样本中选取了14名女性参与研究。在8个月的时间里,对每位女性进行了三次访谈。使用科莱齐的现象学技术对录音转录本进行了分析。

结果

对良好健康状况的个人认知的丧失以及对死于癌症的恐惧迫使女性在自身内外寻求支持和信息。与其他乳腺癌女性建立联系导致自我边界进一步扩展,带来了安慰、改变生活优先级的愿望,以及对支持自己的他人和生活本身的更高感激之情。随着时间的推移,价值观和行为的澄清与改变帮助女性从她们的经历中创造意义。

启示

护士转介女性到支持小组或其他资源(如癌症倡导组织),让她们与有相似经历的其他人互动,可能有助于她们超越乳腺癌。

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