Sawin Erika Metzler, Parker Barbara
James Madison University, Department of Nursing, Harrisonburg, VA 22807, USA.
J Gerontol Nurs. 2011 Jul;37(7):26-35; quiz 36-7. doi: 10.3928/00989134-20110307-01. Epub 2011 Mar 30.
The objective of this study was to describe the experiences of older women diagnosed with breast cancer while experiencing intimate partner abuse (IPA), determined by scores on the Women's Experience With Battering (WEB) Scale. Semi-structured qualitative interviews were conducted with a convenience sample of 11 women ages 51 to 84 (mean age = 64.8). Data were analyzed using hermeneutic phenomenological analysis. Themes that emerged were Cancer and Control, Negative Relationship Changes, Changes in Intimacy, and Moving On. Older women simultaneously experiencing IPA and breast cancer have unique needs due to the complex interplay among three factors: age, IPA, and breast cancer. Gerontological nurses should be aware of issues surrounding older women with breast cancer and older women experiencing IPA. Assessment of older breast cancer patients should take into consideration patients' social support network and quality of intimate partner support.
本研究的目的是描述经女性受虐经历(WEB)量表评分确定的、在遭受亲密伴侣虐待(IPA)时被诊断为乳腺癌的老年女性的经历。对11名年龄在51至84岁(平均年龄 = 64.8岁)的女性进行了便利抽样的半结构化定性访谈。采用诠释现象学分析法对数据进行了分析。出现的主题包括癌症与控制、负面关系变化、亲密关系变化以及向前迈进。由于年龄、亲密伴侣虐待和乳腺癌这三个因素之间复杂的相互作用,同时经历亲密伴侣虐待和乳腺癌的老年女性有独特的需求。老年护理护士应了解乳腺癌老年女性和遭受亲密伴侣虐待的老年女性周围的问题。对老年乳腺癌患者的评估应考虑患者的社会支持网络和亲密伴侣支持的质量。