Bottorff Joan L, Grewal Sukhdev K, Balneaves Lynda G, Naidu Paromita, Johnson Joy L, Sawhney Ravinder
Faculty of Health and Social Development, The University of British Columbia Okanagan, Kelowna, Canada.
Cancer Nurs. 2007 Jul-Aug;30(4):E36-45. doi: 10.1097/01.NCC.0000281738.15307.d8.
The purpose of this study was to examine experiences related to self-discovered breast cancer symptoms from the perspective of Punjabi immigrant women residing in Canada. Interviews were conducted with 25 women, 19 of whom had received a diagnosis of breast cancer. Using narrative analysis, 4 types of stories were identified. In the stories that were based on constructions of breast symptoms as "nothing serious," women emphasized that they had not even considered the possibility of breast cancer and were encouraged to dismiss concerns about their health. Stories focusing on suspicions about the presence of a health problem included descriptions of mounting concern and tension as the women began to realize that the breast symptoms they experienced might not be of the regular or normal variety. In stories dominated by worry, vivid descriptions of fears of breast cancer were juxtaposed with explanations about how women protected family members by downplaying their symptoms. Finally, in stories that focused on gaining strength in readiness to deal with whatever may lie ahead, women drew on the support of their extended families, their religious beliefs, and their need to care for their families. These findings provide a basis for guiding the development of culturally appropriate health education for Punjabi women.
本研究的目的是从居住在加拿大的旁遮普移民妇女的角度，考察与自我发现的乳腺癌症状相关的经历。对25名妇女进行了访谈，其中19人已被诊断出患有乳腺癌。通过叙事分析，确定了4种类型的故事。在那些将乳房症状视为“不严重”的故事中，女性强调她们甚至没有考虑过患乳腺癌的可能性，并被鼓励打消对自身健康的担忧。关注对健康问题存在怀疑的故事，包括随着女性开始意识到她们所经历的乳房症状可能并非常见或正常类型，她们的担忧和紧张情绪不断加剧的描述。在以担忧为主导的故事中，对乳腺癌恐惧的生动描述与女性如何通过淡化自身症状来保护家庭成员的解释相互交织。最后，在那些专注于在准备好应对未来一切时获得力量的故事中，女性借助大家庭的支持、宗教信仰以及她们照顾家人的需求。这些发现为指导针对旁遮普妇女开展具有文化适宜性的健康教育提供了基础。
