Liamputtong P, Suwankhong D
Department of Public Health, School of Psychology and Public Health, College of Science Health and Engineering, La Trobe University, Bundoora, Vic., Australia.
School of Public Health, Thaksin University, Phatthalung, Thailand.
Eur J Cancer Care (Engl). 2016 May;25(3):371-80. doi: 10.1111/ecc.12321. Epub 2015 Apr 21.
We conducted in-depth interviews with 20 women living with breast cancer and invited them to take part in a drawing method. In this paper, we discuss the lived experiences and meaning-making of breast cancer among women in southern Thailand. Our data revealed that the diagnosis of breast cancer generated numerous emotional responses. However, after the initial shock, most women started to accept their reality. The acceptance of their breast cancer played an essential role in the meaning-making discourse because it assisted the women to be able to sustain the equilibrium of their emotional well-being. Meaning-making and the Buddhist belief about bad karma was a prominent theme. The belief that adversities in life were the result of bad deeds that one had committed to others in the past not only helped the women to accept their fate but also to deal with their life situations better. Our findings suggest that these women act in their own agencies to counteract any negativity they might encounter from their breast cancer trajectory. It provides a theoretical understanding about the ways Thai women deal with their breast cancer which can be adopted as a means to provide culturally sensitive care for women with breast cancer in Thailand and elsewhere.
我们对20名乳腺癌患者进行了深入访谈，并邀请她们参与一种绘图方法。在本文中，我们讨论了泰国南部女性患乳腺癌后的生活经历和意义建构。我们的数据显示，乳腺癌诊断引发了众多情绪反应。然而，在最初的震惊过后，大多数女性开始接受现实。接受乳腺癌在意义建构话语中起着至关重要的作用，因为它帮助女性能够维持其情绪健康的平衡。意义建构与佛教关于恶业的信仰是一个突出的主题。认为生活中的逆境是过去对他人犯下的恶行的结果这一信念，不仅帮助女性接受自己的命运，还能更好地应对生活状况。我们的研究结果表明，这些女性以自己的方式采取行动，以对抗她们在乳腺癌病程中可能遇到的任何消极因素。它提供了关于泰国女性应对乳腺癌方式的理论理解，可作为为泰国及其他地方的乳腺癌女性提供具有文化敏感性护理的一种手段。
