应对乳腺癌：华裔美国女性、韩裔美国女性和墨西哥裔美国女性的思考
Coping with breast cancer: Reflections from Chinese American, Korean American, and Mexican American women.
作者信息
Gonzalez Patricia, Nuñez Alicia, Wang-Letzkus Ming, Lim Jung-Won, Flores Katrina F, Nápoles Anna María
机构信息
Graduate School of Public Health, San Diego State University.
School of Nursing, California State University, Los Angeles.
出版信息
Health Psychol. 2016 Jan;35(1):19-28. doi: 10.1037/hea0000263. Epub 2015 Sep 21.
OBJECTIVE
The present study identified and compared the coping strategies of Chinese American, Korean American, and Mexican American breast cancer survivors (BCS).
METHODS
Six focus groups were conducted with Chinese American (n = 21), Korean American (n = 11), and Mexican American (n = 9) BCS. Interviews were audio-recorded, transcribed, and translated for thematic content analysis of coping experiences and strategies.
RESULTS
Women reported the use of 8 coping strategies (religious/spiritual, benefit finding, fatalism, optimism, fighting spirit, information seeking, denial, and self-distraction). Among Chinese American BCS, benefit finding was the most referenced coping strategy, whereas religious/spiritual coping was most frequently reported among Korean American and Mexican American BCS. Denial and self-distraction were the least cited strategies.
CONCLUSIONS
Survivors draw upon new found inner strength to successfully integrate their cancer experience into their lives. Coping models must consider the diversity of cancer survivors and the variability in coping strategies among cultural ethnic minority BCS.
目的
本研究识别并比较了华裔美国人、韩裔美国人及墨西哥裔美国人乳腺癌幸存者（BCS）的应对策略。
方法
对21名华裔美国人、11名韩裔美国人及9名墨西哥裔美国人乳腺癌幸存者进行了6次焦点小组访谈。访谈进行了录音、转录，并翻译以对应对经历和策略进行主题内容分析。
结果
女性报告了8种应对策略（宗教/精神层面、寻找益处、宿命论、乐观主义、斗志、寻求信息、否认及自我分散注意力）。在华裔美国人乳腺癌幸存者中，寻找益处是被提及最多的应对策略，而宗教/精神层面的应对在韩裔美国人和墨西哥裔美国人乳腺癌幸存者中报告最为频繁。否认和自我分散注意力是被提及最少的策略。
结论
幸存者借助新发现的内在力量，成功地将其癌症经历融入生活。应对模式必须考虑癌症幸存者的多样性以及少数族裔文化背景乳腺癌幸存者应对策略的变异性。
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