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收到坏消息:对接到癌症诊断这一经历的现象学探索。

Receiving bad news: a phenomenological exploration of the lived experience of receiving a cancer diagnosis.

作者信息

Tobin Gerard A, Begley Cecily

机构信息

Department of Nursing, College of Health and Human Services, University of New Hampshire, Durham, NH 03824, USA.

出版信息

Cancer Nurs. 2008 Sep-Oct;31(5):E31-9. doi: 10.1097/01.NCC.0000305767.42475.7a.

Abstract

This article explores the process of coming to a place of knowing one's diagnosis of cancer. The study was guided by the philosophy of hermeneutic phenomenology, with data collected via unstructured in-depth interviews. This article focuses on 10 people who received a cancer diagnosis (recipients). The analysis of the recipient narratives offered an interpretation of the phenomenon of receiving bad news as a process occurring over a period of time and not as a one-off event in time. The concept of bad news as a trajectory was clearly evident in the narratives and was represented through 3 themes: "disturbance of the everyday world," "surfacing within the lived world," and "embodiment within the lived world." The findings are consistent with the literature addressing diagnosis and end-of-life issues. Understanding the phenomenon of "knowing" is crucial in helping the healthcare professional recognize the changing information and psychosocial needs of the recipient as they experience the trajectory of bad news.

摘要

本文探讨了知晓自己患癌诊断的过程。该研究以诠释现象学哲学为指导,通过非结构化深度访谈收集数据。本文聚焦于10位收到癌症诊断的患者(接受者)。对接受者叙述的分析将收到坏消息这一现象诠释为一个在一段时间内发生的过程,而非一次性事件。坏消息作为一种轨迹的概念在叙述中清晰可见,并通过三个主题呈现出来:“日常世界的扰乱”“在生活世界中浮现”以及“在生活世界中体现”。这些发现与涉及诊断和临终问题的文献一致。理解“知晓”这一现象对于帮助医疗保健专业人员认识接受者在经历坏消息轨迹时不断变化的信息和心理社会需求至关重要。

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