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社会支持:英国癌症患者的性别差异

Social support: gender differences in cancer patients in the United Kingdom.

作者信息

Clarke Sally-Ann, Booth Laura, Velikova Galina, Hewison Jenny

机构信息

Cancer Research UK, Child and Family Research Group, Department of Psychology, University of Sheffield, Sheffield S10 2TP, UK.

出版信息

Cancer Nurs. 2006 Jan-Feb;29(1):66-72. doi: 10.1097/00002820-200601000-00012.

Abstract

Social support is an important aspect of psychological functioning during diagnosis and treatment of cancer. Gender has been found to influence support preferences, and previous research suggests that women are more likely to seek and utilize support by comparison to men. This qualitative study explores how patients perceive the support they receive. It also examines patient preferences and satisfaction with information and emotional support provided by staff. Eleven melanoma patients (6 men and 5 women) and 5 breast cancer patients participated in a semistructured interview. Thematic analysis suggests that gender is central to patients' satisfaction and preference for support. Whereas women expected staff to provide information and emotional support, men felt that emotional support from staff was inappropriate and perceived information as supportive in helping them deal with their emotions. Men were also more satisfied with support generally, and women perceived staff to have less time to provide support. Breast cancer patients were more satisfied with access to and the nature of support available to them. Findings suggest that female melanoma patients would benefit from similar services. Meeting the support needs of men appears less clear. If support were available as part of a structured care plan, it is possible that men would also utilize support. Future research is required to gain greater understanding of men's support needs.

摘要

社会支持是癌症诊断和治疗期间心理功能的一个重要方面。研究发现,性别会影响支持偏好,先前的研究表明,与男性相比,女性更有可能寻求并利用社会支持。这项定性研究探讨了患者如何看待他们所获得的支持。它还考察了患者对医护人员提供的信息支持和情感支持的偏好及满意度。11名黑色素瘤患者(6名男性和5名女性)和5名乳腺癌患者参与了半结构化访谈。主题分析表明,性别是患者对支持的满意度和偏好的核心因素。女性期望医护人员提供信息支持和情感支持,而男性则认为医护人员给予的情感支持不合适,并且认为信息支持有助于他们应对情绪。总体而言,男性对支持也更满意,而女性则觉得医护人员提供支持的时间较少。乳腺癌患者对可获得的支持的途径和性质更为满意。研究结果表明,女性黑色素瘤患者将从类似服务中受益。满足男性的支持需求似乎不太明确。如果将支持作为结构化护理计划的一部分提供,男性也有可能会利用这种支持。需要开展进一步研究,以更深入地了解男性的支持需求。

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