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伊朗男性对其妻子乳腺癌的适应过程。

Adjustment process in Iranian men to their wives' breast cancer.

作者信息

Nasiri A, Taleghani F, Irajpour A

机构信息

Birjand Health Qualitative Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Eur J Cancer Care (Engl). 2016 Mar;25(2):307-17. doi: 10.1111/ecc.12293. Epub 2015 Feb 12.

DOI:10.1111/ecc.12293
PMID:25684401
Abstract

Women's breast cancer causes various problems in both spouses' family life as well as enormous stress for their husbands. This grounded theory study aimed to define ways in which men adjust to their wives' breast cancer and to present an appropriate model in this respect. Twenty-six individuals (22 husbands, 2 patients and 2 physicians) were selected through purposive and theoretical sampling. The data were collected through in-depth individual interviews. Strauss and Corbin's method was used for data analysis. Data analysis revealed that Iranian men's adjustment to their wives' breast cancer occurs during the following three stages: the first stage turbulence after confrontation with the disease that contains categories 'internal unrest', 'concerns about disease management' and 'sensing the beginning of disorganization in family life'; the second stage disorganisation of family life that contains 'disturbance of family life', 'attempt to get rid of tension' and 'resistance against family life disorganisation'; and the third stage struggle to reorder family life consisting of 'support to the wife', 'revision in communications with relatives' and 'seeking external support' categories. Iranian men struggled for constant organisation of family life after their wives' disease. Health providers should take measures to support the men by facilitating their adjustment to their wives' disease.

摘要

女性乳腺癌给夫妻双方的家庭生活都带来了各种问题,也给她们的丈夫造成了巨大压力。这项扎根理论研究旨在确定男性适应妻子乳腺癌的方式,并提出这方面的合适模型。通过立意抽样和理论抽样选取了26名个体(22名丈夫、2名患者和2名医生)。通过深入的个人访谈收集数据。采用施特劳斯和科尔宾的方法进行数据分析。数据分析表明,伊朗男性对妻子乳腺癌的适应过程经历以下三个阶段:第一阶段是面对疾病后的动荡期,包括“内心不安”、“对疾病管理的担忧”和“感觉到家庭生活开始混乱”等类别;第二阶段是家庭生活的混乱期,包括“家庭生活受到干扰”、“试图消除紧张情绪”和“抵制家庭生活混乱”;第三阶段是努力重新安排家庭生活,包括“支持妻子”、“与亲属沟通方式的调整”和“寻求外部支持”等类别。伊朗男性在妻子患病后努力维持家庭生活的稳定。医疗服务提供者应采取措施,通过帮助男性适应妻子的疾病来支持他们。

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