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乳腺癌后的积极变化:一项定性研究。

Positive changes after breast cancer: A qualitative study.

作者信息

Bahrami Masoud, Taleghani Fariba, Loripoor Marzeyeh, Yousefy Alireza

机构信息

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

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran ; Department of Midwifery and Reproductive Health, School of Nursing and Midwifery Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

出版信息

J Educ Health Promot. 2015 Aug 6;4:55. doi: 10.4103/2277-9531.162353. eCollection 2015.

Abstract

INTRODUCTION

Traumatic events such as breast cancer along with negative effects on patients also have positive effects. These cases have been studied less in Iran. Therefore, this study was conducted with the aim of explanation of positive changes after breast cancer by using a qualitative approach.

MATERIALS AND METHODS

This qualitative study was conducted in 2012 in one of the specialized centers for cancer affiliated to Isfahan University of Medical Sciences. In this study, it was interviewed with 19 women with breast cancer about positive changes after cancer by using individual, open and deep methods. The interviews were analyzed with conventional content analysis method.

RESULTS

The titles of the three major categories were included as behavioral changes to maintain and promote health (acquisition of health information and adopting promoting health behaviors), spiritual development (attention to the God and sense of meaning in life, revising the values and priorities, strengthening moral and behavioral traits) and personal growth and flourish (feeling empowerment, confidence and efforts to achieve the goals and desires). These three categories have led to emerge themes in this study as the "Awakening after cancer."

CONCLUSIONS

The results of this study indicated positive changes after breast cancer. Considering such changes while providing care and consulting to patients with breast cancer in addition to facilitate and accelerate positive changes will be prompted to provide care and proper and influential consulting to promote patient health.

摘要

引言

诸如乳腺癌等创伤性事件,在对患者产生负面影响的同时也会带来积极影响。此类情况在伊朗的研究较少。因此,本研究采用定性研究方法,旨在阐释乳腺癌后的积极变化。

材料与方法

这项定性研究于2012年在伊斯法罕医科大学附属的一家癌症专科医院开展。本研究通过个人、开放式及深入访谈的方式,对19名乳腺癌女性患者进行了关于癌症后积极变化的访谈。访谈采用常规内容分析法进行分析。

结果

三大类别的主题包括维持和促进健康的行为变化(获取健康信息并采取促进健康的行为)、精神发展(关注上帝及生活意义感、修正价值观和优先事项、强化道德和行为特质)以及个人成长与繁荣(感到有力量、自信并努力实现目标和愿望)。这三大类别在本研究中引出了“癌症后的觉醒”这一主题。

结论

本研究结果表明乳腺癌后会出现积极变化。在为乳腺癌患者提供护理和咨询时考虑到这些变化,除了促进和加速积极变化外,还将促使提供护理以及适当且有影响力的咨询,以促进患者健康。

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