Cancer Care Institute of Nursing Research and School of Nursing, University of Ulster, Coleraine, UK.
J Adv Nurs. 2011 Dec;67(12):2686-95. doi: 10.1111/j.1365-2648.2011.05772.x. Epub 2011 Aug 2.
This paper reports on how people with colorectal cancer compare experiences, what comparison meant to them and the context in which it took place.
People with cancer need information to make sense of their disease and treatment, and comparing with others in similar situations provides such opportunities. While social comparison studies date back more than half a century, there is a lack of qualitative approaches to explore how people with cancer compare with others and the context in which they do so.
In-depth interviews were carried out in the period 2006-2007 with a convenience sample of 24 men and 14 women with a first diagnosis of colorectal cancer.
Most participants could not avoid the almost constant exposure to other people with cancer or hear of their stories, especially when they accessed health services. Comparison was part of their interaction with the 'community' of people with cancer, which included giving and receiving information and support. Many valued this 'experiential' information, while some tried to avoid contact with others with cancer as they felt that it would depress them. This study also showed that many of the participants had personal experience of caring for close relatives with cancer and this helped them to make sense of their own condition.
The challenge for health professionals is to help people with cancer to interpret the information and beliefs they already have from such previous experience or they obtain when comparing with others with cancer.
本文报告了结直肠癌患者如何比较自身经历,比较对他们意味着什么,以及比较发生的背景。
癌症患者需要信息来理解自己的疾病和治疗方法,与处于类似情况的其他人进行比较提供了这样的机会。虽然社会比较研究可以追溯到半个多世纪以前,但缺乏定性方法来探索癌症患者如何与他人进行比较以及他们在何种背景下进行比较。
2006-2007 年期间,对 24 名男性和 14 名女性的首次结直肠癌诊断进行了便利样本的深入访谈。
大多数参与者无法避免几乎不断地接触其他癌症患者或听到他们的故事,尤其是当他们使用卫生服务时。比较是他们与癌症患者“社区”互动的一部分,包括提供和接收信息和支持。许多人重视这种“经验”信息,而有些人则试图避免与其他癌症患者接触,因为他们觉得这会使他们感到沮丧。本研究还表明,许多参与者都有照顾患癌症近亲的个人经验,这有助于他们理解自己的病情。
卫生专业人员面临的挑战是帮助癌症患者解释他们从之前的经验或与其他癌症患者比较时获得的信息和信念。