Palmadottir Gudrun
School of Health Sciences, University of Akureyri, Nordurslod, 600 Akureyri, Iceland.
Scand J Occup Ther. 2010 Dec;17(4):299-307. doi: 10.3109/11038120903302874. Epub 2010 Feb 27.
Breast cancer diagnosis generally causes a disruption of occupational life. The purpose of this study was to explore the role of occupational participation and environment in the perception of health and well-being of Icelandic women with breast cancer. Eighteen women were interviewed using the main areas from the Occupational Performance History Interview as a guideline. An inductive analysis revealed seven categories that were organized under two main headings: occupational participation and environment. The categories were labelled "maintaining control and stability", "experiencing sense of self-worth", "enhancing self development", "access to information", "support and care", "refuge in community", and "rehabilitative opportunities". Through occupational participation the women were able to regain control of life and a sense of competence and development. Information, emotional support, safety, and stimulating environments were crucial in alleviating distress and facilitate satisfactory coping with the cancer experience. The results support that occupational participation in a safe and supportive environment has powerful restorative properties. Rehabilitative and supportive services should be based on a holistic perspective and emphasize the healthy aspects of a women's life. Furthermore, occupational therapists need to widen their approach when working with women with breast cancer and focus on their needs as occupational beings.
乳腺癌的诊断通常会导致职业生活的中断。本研究的目的是探讨职业参与和环境在冰岛乳腺癌女性健康和幸福感认知中的作用。以《职业表现历史访谈》的主要领域为指导方针，对18名女性进行了访谈。归纳分析揭示了七个类别，这些类别归为两个主要标题之下：职业参与和环境。这些类别被标记为“保持控制和稳定”“体验自我价值感”“促进自我发展”“获取信息”“支持与关怀”“社区庇护所”和“康复机会”。通过职业参与，这些女性能够重新掌控生活，并获得能力感和发展感。信息、情感支持、安全和激励性的环境对于减轻痛苦和促进对癌症经历的满意应对至关重要。结果表明，在安全且支持性的环境中进行职业参与具有强大的恢复功能。康复和支持服务应基于整体视角，并强调女性生活中的健康方面。此外，职业治疗师在与乳腺癌女性合作时需要拓宽其方法，并关注她们作为职业人的需求。
