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女性在卵巢癌最终诊断和治疗开始时的世俗、精神和宗教存在问题。

Secular, Spiritual, and Religious Existential Concerns of Women with Ovarian Cancer during Final Diagnostics and Start of Treatment.

机构信息

Department of Obstetrics and Gynaecology, Aarhus University Hospital, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.

出版信息

Evid Based Complement Alternat Med. 2013;2013:765419. doi: 10.1155/2013/765419. Epub 2013 Oct 31.

DOI:10.1155/2013/765419
PMID:24288565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3833357/
Abstract

Introduction. This paper deals with secular, spiritual, and religious existential concerns during severe illness. Materials and Methods. Qualitative research interviews were made before and after surgery with women who underwent final diagnostics, surgery, and chemotherapy for ovarian cancer. By applying a phenomenological-hermeneutic text interpretation methodology the findings were systematically identified, placed into meaning structures, interpreted, and critically discussed. Results. The analysis offered insight into the complexity of challenges and personal development over time in being a woman with ovarian cancer during her first treatment period. Although the women experienced their health to be seriously threatened, they also felt hope, will, and courage. The diagnostic procedures and treatment had comprehensive impact on their lives. However, hope and spirituality were important resources of comfort and meaning. Conclusion. Hope and courage to face life represent significant personal resources that are created not only in the interplay between body and mind but also between patients and their healthcare professionals. The women dealt with this in a dialectical manner, so that hope and despair could be present simultaneously. In this process secular, spiritual, and religious existential meaning orientations assisted the women in creating new narratives and obtain new orientations in life.

摘要

引言。本文探讨了严重疾病期间的世俗、精神和宗教存在问题。

材料和方法。对接受卵巢癌最终诊断、手术和化疗的女性进行了术前和术后的定性研究访谈。通过应用现象学-解释学文本解释方法,系统地识别、构建意义结构、解释和批判性讨论研究结果。

结果。分析揭示了女性在首次治疗期间作为卵巢癌患者的时间推移中面临的挑战和个人发展的复杂性。尽管女性感到健康受到严重威胁,但她们也感到希望、意愿和勇气。诊断程序和治疗对她们的生活产生了全面影响。然而,希望和灵性是安慰和意义的重要资源。

结论。面对生活的希望和勇气代表着重要的个人资源,这些资源不仅在身心相互作用中创造,也在患者和医疗保健专业人员之间创造。女性以辩证的方式处理这个问题,因此希望和绝望可以同时存在。在这个过程中,世俗、精神和宗教存在意义取向帮助女性创造新的叙事,并在生活中获得新的方向。

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An international assessment of ovarian cancer incidence and mortality.国际卵巢癌发病和死亡评估。
Gynecol Oncol. 2013 Jul;130(1):107-14. doi: 10.1016/j.ygyno.2013.03.026. Epub 2013 Apr 2.
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Hope pictured in drawings by women newly diagnosed with gynecologic cancer.女性新诊断出妇科癌症后在绘画中描绘的希望。
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Spiritual well-being and quality of life of women with ovarian cancer and their spouses.卵巢癌女性患者及其配偶的精神健康与生活质量
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Eur J Cancer Care (Engl). 2012 May;21(3):360-71. doi: 10.1111/j.1365-2354.2011.01313.x. Epub 2011 Nov 17.
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Socio-demographic factors, comorbidity and diagnostic delay among women diagnosed with cervical, endometrial or ovarian cancer.社会人口因素、合并症与被诊断患有宫颈癌、子宫内膜癌或卵巢癌的女性的诊断延迟。
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Symptom interpretation and health care seeking in ovarian cancer.卵巢癌症状解读与医疗求助
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Anxiety, depression and quality of life after cancer diagnosis: what psychosocial variables best predict how patients adjust?癌症诊断后的焦虑、抑郁与生活质量:哪些社会心理变量最能预测患者的适应情况?
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Prevalence and predictors of anxiety and depression in women with invasive ovarian cancer and their caregivers.浸润性卵巢癌女性及其照护者的焦虑和抑郁患病率及其预测因素。
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Screening of 1331 Danish breast and/or ovarian cancer families identified 40 novel BRCA1 and BRCA2 mutations.对 1331 个丹麦乳腺癌和/或卵巢癌家系进行筛查,发现了 40 个新的 BRCA1 和 BRCA2 突变。
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