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超越健康与疾病的二分法:乳腺癌后的生活。

Beyond dichotomies of health and illness: life after breast cancer.

作者信息

Thomas-MacLean Roanne

机构信息

Dalhousie University of Family Medicine, Dr Everett Chalmers Regional Hospital, Fredericton, NB, Canada.

出版信息

Nurs Inq. 2005 Sep;12(3):200-9. doi: 10.1111/j.1440-1800.2005.00268.x.

Abstract

While there has been a vast amount of research on breast cancer in recent years, areas within this domain remain unexplored. For instance, there have been few attempts to marry an understanding of the social context in which breast cancer occurs with an understanding of subjective experiences of this condition. The purpose of this study was to explore women's experiences of embodiment after breast cancer, utilizing a phenomenological approach rooted in a feminist perspective. The focus of this article is upon the changes to embodiment that are long-term. Twelve women were interviewed on two occasions each and were asked to talk about changes to their bodies that occurred as a result of breast cancer. Three key themes were identified: (1) how it feels (e.g. sensation and breast loss); (2) managing appearances (e.g. wearing prostheses); and (3) treatments without end (e.g. menopause). The findings of this study show that women with breast cancer are a diverse group and that survivorship is a dynamic, life-long process, which suggests that health professionals can play an important role in establishing interdisciplinary approaches to caring, beyond the conclusion of acute treatment.

摘要

近年来,虽然对乳腺癌进行了大量研究,但该领域内仍有一些方面尚未得到探索。例如,很少有人尝试将对乳腺癌发生的社会背景的理解与对这种疾病主观体验的理解结合起来。本研究的目的是利用扎根于女性主义视角的现象学方法,探索女性在患乳腺癌后的身体体验。本文的重点是长期的身体变化。对12名女性进行了两次访谈,要求她们谈论因乳腺癌而发生的身体变化。确定了三个关键主题:(1)感受如何(如感觉和乳房缺失);(2)管理外表(如佩戴假体);(3)无尽的治疗(如更年期)。本研究结果表明,乳腺癌女性是一个多样化的群体,生存是一个动态的、终身的过程,这表明健康专业人员在急性治疗结束后建立跨学科护理方法方面可以发挥重要作用。

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