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癌症患者向幸存者过渡阶段的希望:中年方向研讨会作为一种支持性干预措施

Hope in patients with cancer transitioning to survivorship: the mid-life directions workshop as a supportive intervention.

作者信息

Butt Clare M

机构信息

Connell School of Nursing, Boston College, Chestnut Hill, MA, USA.

出版信息

Oncol Nurs Forum. 2012 May 1;39(3):E269-74. doi: 10.1188/12.ONF.E269-E274.

DOI:10.1188/12.ONF.E269-E274
PMID:22543398
Abstract

PURPOSE/OBJECTIVES: To describe the Mid-Life Directions workshop as an intervention to support hope and quality of life in midlife cancer survivors.

DATA SOURCES

Published articles and books.

DATA SYNTHESIS

The Mid-Life Directions workshop assists survivors to integrate the cancer experience through conscious awareness and choice, and transition to survivorship with an increased level of adaptation. Quality of life and hope are enhanced through new information and skills allowing participants to direct their lives into a preferred future.

CONCLUSIONS

The midlife cancer survivor is challenged to face the fear of recurrence, death, and the crisis of meaning in a developmentally appropriate way. The task of midlife is to navigate the tension of generativity versus stagnation for care to emerge as the predominant strength. The Mid-Life Directions workshop provides the cancer survivor the opportunity to reevaluate goals, reprioritize values, and find one's own answers to these challenges to adapt to life as a cancer survivor.

IMPLICATIONS FOR NURSING

This clinically relevant intervention merits formal study. Facilitator preparation, mode of delivery, and other elements for possible research are discussed.

摘要

目的/目标:描述中年生活方向工作坊作为一种干预措施,以支持中年癌症幸存者的希望和生活质量。

数据来源

已发表的文章和书籍。

数据综合

中年生活方向工作坊通过有意识的觉察和选择,帮助幸存者整合癌症经历,并以更高的适应水平过渡到幸存者状态。通过新的信息和技能,生活质量和希望得以提升,使参与者能够将生活导向理想的未来。

结论

中年癌症幸存者面临着以符合其发展阶段的方式面对复发恐惧、死亡恐惧和意义危机的挑战。中年的任务是在生育与停滞的紧张关系中找到平衡,使关爱成为主要力量。中年生活方向工作坊为癌症幸存者提供了重新评估目标、重新确定价值观优先级,并找到应对这些挑战的自身答案的机会,以适应作为癌症幸存者的生活。

对护理的启示

这种具有临床相关性的干预措施值得进行正式研究。讨论了促进者的准备、交付方式以及可能研究的其他要素。

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