Westman B, Bergenmar M, Andersson L
Oncology Consulting team, Radiumhemmet, Department of Oncology and Haematology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
Eur J Oncol Nurs. 2006 Jul;10(3):169-76. doi: 10.1016/j.ejon.2005.06.002. Epub 2005 Aug 10.
The aim of this study is to describe cancer patients' existential reflections and how these reflections were met by the nursing staff. A qualitative method of data collection was used. Ten patients with breast- or prostate cancer who had completed curative treatment were interviewed. The results showed that the cancer diagnosis resulted in existential reflections in some of the patients. These reflections concerned the meaning of life, God/a higher power, health, work, relations and sexuality. Reflections on the cancer consisted in beliefs about the causes of cancer, treatment and cancer and sexuality. It could also be seen that loss of important life values, such as health and sexuality could lead to loss of meaning of life. Explicit reflections on sexuality were only made by two of the men in the study. The patients reported a need of existential support as well as obstacles for giving such support. Obstacles could be lack of time and lack of continuity, as well as lack of knowledge resulting in an inability to identify existential issues. Some of the patients had wanted existential support from nurses, while others received the support they needed from family and friends.
本研究的目的是描述癌症患者的生存思考以及护理人员如何应对这些思考。采用了定性的数据收集方法。对10名完成根治性治疗的乳腺癌或前列腺癌患者进行了访谈。结果显示，癌症诊断在一些患者中引发了生存思考。这些思考涉及生命的意义、上帝/更高的力量、健康、工作、人际关系和性。对癌症的思考包括对癌症病因、治疗以及癌症与性的看法。还可以看出，重要生活价值的丧失，如健康和性，可能导致生命意义的丧失。本研究中只有两名男性明确表达了对性的思考。患者报告了对生存支持的需求以及提供此类支持的障碍。障碍可能包括时间不足、缺乏连续性以及知识不足导致无法识别生存问题。一些患者希望从护士那里获得生存支持，而另一些患者则从家人和朋友那里得到了他们所需的支持。
