York University, Ontario, Canada.
J Health Psychol. 1997 Oct;2(4):539-54. doi: 10.1177/135910539700200410.
The purpose of this qualitative study was to explore the experiences of three women breast-cancer survivors and the associated experiences of their partners. Individual in-depth interviews were conducted using a narrative approach, and the six accounts were analysed using the grounded theory method. The results describe the marked variation in the meaning of the experience among the participants, and the perceived change in each woman's identity from prior to her cancer diagnosis to the time of the interview. The findings are presented in three sections: (1) Three Narrative Themes, the themes, Back to 'Normal', Rebirth and Turning Point, that represent the perceived change in each woman's identity; (2) The Construction of Meaning, the shared characteristics that relate to meaning construction and identity; (3) Integration, the integration in each self-narrative of past and present self-understandings. The findings are compared with the existing literature, and the implications of different interpretations of self and change in the cancer experience are discussed. The limitations of the study are discussed with recommendations for future research.
本定性研究旨在探讨三位乳腺癌幸存者及其伴侣的相关经历。采用叙事方法进行个体深入访谈,使用扎根理论方法对六份报告进行分析。研究结果描述了参与者在体验中的显著差异,以及每位女性从癌症诊断前到访谈时的身份感知变化。研究结果分为三个部分呈现:(1) 三个叙事主题,即“回归正常”、“重生”和“转折点”,代表了每位女性身份感知的变化;(2) 意义构建,即与意义构建和身份相关的共同特征;(3) 整合,即过去和现在自我理解的自我叙述的整合。研究结果与现有文献进行了比较,并讨论了癌症经历中自我和变化的不同解释的意义。最后,讨论了研究的局限性,并提出了未来研究的建议。