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晚期前列腺癌男性患者的精神层面:“这是一个整体的事情……它是一个综合体” 。

Spirituality in men with advanced prostate cancer: "it's a holistic thing . . . it's a package".

作者信息

Lepherd Laurence

机构信息

University of Southern Queensland.

出版信息

J Holist Nurs. 2014 Jun;32(2):89-101; quiz 102-3. doi: 10.1177/0898010113504492. Epub 2013 Sep 30.

Abstract

Spirituality is often regarded as being helpful during an unwell person's journey but definitions of the concept can be confusing, and its use synonymously with religion can be misleading. This research sought to answer the question, "What is the nature of spirituality in men with advanced prostate cancer," and to discover the role spirituality may have in these men as they face the challenges of living with their disease. A qualitative approach and narrative method was used to explore the spirituality of nine men with advanced prostate cancer who volunteered to participate and to tell the story of their cancer journey with particular focus on their spirituality. The study found that spirituality for these men, who were all Caucasians, was a "holistic thing" that involved physical, psychosocial, and spiritual matters that enabled them to transcend the everyday difficulties of their journey. Through their spirituality they obtained greater comfort and peace of mind during what was for many of them a very traumatic time. The central theme in the men's stories was that of connectedness-to themselves, to their partners, sometimes to a higher being, to other people such as their family and friends, and to other aspects of their lives.

摘要

在病人与疾病抗争的过程中,精神层面的力量通常被视为有所助益。然而,这一概念的定义可能令人困惑,而且将其与宗教混为一谈可能会产生误导。本研究旨在回答“晚期前列腺癌男性患者的精神本质是什么”这一问题,并探究精神层面在这些男性面对疾病挑战时可能发挥的作用。研究采用定性研究方法和叙事法,对九名自愿参与的晚期前列腺癌男性患者的精神世界进行了探索,并着重讲述了他们与癌症抗争历程中的精神故事。研究发现,这些均为白种人的男性患者所理解的精神层面是一个“整体概念”,涵盖了身体、心理社会以及精神等方面,使他们能够超越患病过程中的日常困难。通过精神层面的支撑,他们在这个对许多人来说极其痛苦的时期获得了更多的慰藉和平和的心境。这些男性患者故事的核心主题是关联性——与自己、与伴侣、有时与更高的存在、与家人和朋友等其他人以及与生活的其他方面的关联。

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