Ekwall Eva, Ternestedt Britt-Marie, Sorbe Bengt, Sunvisson Helena
School of Health and Medical Science, Örebro University, Örebro, Sweden.
Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden; Department of Neurobiology, Caring Sciences and Society, Karolinska Institute, Stockholm, Sweden; Research and Development Department, Stockholms Sjukhem Foundation, Stockholm, Sweden.
Eur J Oncol Nurs. 2014 Feb;18(1):104-9. doi: 10.1016/j.ejon.2013.08.002. Epub 2013 Sep 18.
Women with recurring ovarian cancer are living longer, due to advances in treatment options. They are now often outpatients, experiencing rapid encounters on treatment days. Whether this shift in care meets women's needs has been scarcely explored scientifically.
This study aimed to illuminate the phenomenon of living with recurring ovarian cancer as experienced by women in that condition.
A descriptive phenomenological method was used. Eight open-ended interviews with four women were performed approximately three and five years after the first recurrence of ovarian cancer. During these years the women had repeated clinically and radiologically verified recurrence requiring chemotherapy.
The phenomenon of living with recurring ovarian cancer meant that the women felt forced to pay attention to the failing body in order to avoid a potential breakdown. The growing limitation of their intermittent strength meant that strength had to be captured and protected. Sharing their lives with others was difficult, due to the different living conditions. The women found no space to mediate their experiences, either in close relationships or with health care professionals. But, the circumstances they lived under also generated a gratitude for the unexpected extra time.
The findings revealed that the four women were grateful to live a while longer, but needed to share their state of being. The findings are indeed directed to health care professionals, who need to provide a more patient-centred care to meet the women's needs.
由于治疗方案的进步,复发性卵巢癌女性的生存期延长。她们现在常常是门诊患者,在治疗日经历快速就诊。这种护理模式的转变是否满足女性需求,尚未得到科学探讨。
本研究旨在阐明复发性卵巢癌女性的生存体验。
采用描述性现象学方法。在卵巢癌首次复发大约三年和五年后,对四名女性进行了八次开放式访谈。在这些年里,这些女性经历了多次经临床和影像学证实的复发,需要化疗。
复发性卵巢癌女性的生存体验意味着,她们感到不得不关注衰弱的身体以避免潜在的崩溃。她们间歇性体力的逐渐受限意味着必须获取并保护体力。由于生活状况不同,与他人分享生活很困难。这些女性在亲密关系或与医护人员中都找不到倾诉经历的空间。但是,她们所处的环境也让她们对意外获得的额外时间心怀感激。
研究结果显示,这四名女性很感激能多活一段时间,但需要有人倾听她们的状况。这些结果确实是针对医护人员的,他们需要提供更以患者为中心的护理来满足女性的需求。