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文化以及社会学和心理学问题对巴基斯坦乳腺癌穆斯林患者的影响。

The impact of culture and sociological and psychological issues on Muslim patients with breast cancer in Pakistan.

作者信息

Banning Maggi, Hafeez Haroon, Faisal Saima, Hassan Mariam, Zafar Ammarah

机构信息

Brunel University, School of Health Studies and Social Care, Uxbridge, UB8 3PH, Middlesex, England.

出版信息

Cancer Nurs. 2009 Jul-Aug;32(4):317-24. doi: 10.1097/NCC.0b013e31819b240f.

Abstract

Breast cancer is the most common form of cancer in Muslim women in Pakistan. The impact of the initial diagnosis, culture, religion, and psychosocial and psychological aspects of the disease is not well established. This qualitative study examined the experience and coping strategies used by patients with breast cancer in relation to its impact on their physical, mental health, religious, and family issues. Thirty patients with breast cancer were interviewed. Data were analyzed using thematic analysis. The patient's experience of breast cancer focused on the range of emotions felt throughout the illness trajectory, the importance of religion and family support on coping strategies used to manage the adverse effects of chemotherapy, and also the financial concerns. This is the first study to examine Pakistani Muslim women's views on the lived experience of breast cancer. This article provides clarification of the voiced experiences of women with breast cancer. The data not only highlight the role of religion and family support as essential coping strategies but also emphasize the issues of isolation, aggression, and anger as common responses to chemotherapy. Unique features of this study are women's need to seek spiritual support for their illness and the overriding innate characteristic of maternal responsibility. These cultural features require further analysis and research.

摘要

乳腺癌是巴基斯坦穆斯林女性中最常见的癌症形式。疾病的初始诊断、文化、宗教以及心理社会和心理方面的影响尚未明确。这项定性研究考察了乳腺癌患者在身体、心理健康、宗教和家庭问题方面的经历以及应对策略。对30名乳腺癌患者进行了访谈。采用主题分析法对数据进行了分析。乳腺癌患者的经历集中在整个疾病过程中所感受到的一系列情绪、宗教和家庭支持在应对化疗不良反应所采用的策略中的重要性,以及经济方面的担忧。这是第一项研究巴基斯坦穆斯林女性对乳腺癌生活经历看法的研究。本文对乳腺癌女性表达出的经历进行了阐释。数据不仅突出了宗教和家庭支持作为重要应对策略的作用,还强调了孤立、攻击性和愤怒等问题是对化疗的常见反应。本研究的独特之处在于女性因疾病寻求精神支持的需求以及母性责任压倒一切的固有特征。这些文化特征需要进一步分析和研究。

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