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创伤后成长:对伊朗乳腺癌女性积极心理变化经历的质性分析。

Post-traumatic growth: a qualitative analysis of experiences regarding positive psychological changes among Iranian women with breast cancer.

作者信息

Mehrabi Esmat, Hajian Sepideh, Simbar Masoomeh, Houshyari Mohammad, Zayeri Farid

机构信息

Ph.D. Candidate of Reproductive Health, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Ph.D. of Reproductive Health, Assistant Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2015 Sep 16;7(5):1239-46. doi: 10.14661/1239. eCollection 2015 Sep.

Abstract

INTRODUCTION

Cancer diagnosis is an extremely stressful experience that has a profound impact on a patient's life. Cancer related perceived stress and complications may lead to the experience of positive psychological changes and post-traumatic growth (PTG). Since there is lack of qualitative research assessing the experience of PTG in Iranian women with breast cancer, this study aims to investigate experiences relating to PTG of Iranian women.

METHODS

A qualitative phenomenological approach was selected to explore the experiences of Iranian women with PTG. Data were gathered using semi-structured, in-depth interviews with 18 eligible patients, which were then transcribed and analyzed using Van Manen's thematic analysis approach. Data gathering and analyses were conducted simultaneously. In addition, MAXQDA software was used for data management.

RESULTS

In this study, the participants were 18 Iranian women between the ages of 31 and 65 years. Four prominent themes were extracted from the participant's statements that demonstrated the Iranian women's experiences with breast cancer-induced psychological growth and maturity: 1) appreciate of life, 2) stability, 3) spiritual prosperity, and 4) effective interaction.

CONCLUSION

Health care professionals are strongly recommended to design robust and timely intervention programs to improving PTG among breast cancer survivors and reduce their perceived distress resulting from cancer diagnosis.

摘要

引言

癌症诊断是一种极具压力的经历,会对患者的生活产生深远影响。与癌症相关的感知压力和并发症可能会导致积极的心理变化和创伤后成长(PTG)体验。由于缺乏评估伊朗乳腺癌女性PTG体验的定性研究,本研究旨在调查伊朗女性与PTG相关的经历。

方法

选择定性现象学方法来探索伊朗女性PTG的经历。通过对18名符合条件的患者进行半结构化深度访谈收集数据,然后使用范曼恩的主题分析方法进行转录和分析。数据收集和分析同时进行。此外,使用MAXQDA软件进行数据管理。

结果

在本研究中,参与者为18名年龄在31岁至65岁之间的伊朗女性。从参与者的陈述中提取了四个突出主题,展示了伊朗女性乳腺癌诱导的心理成长和成熟经历:1)对生活的欣赏,2)稳定性,3)精神富足,4)有效互动。

结论

强烈建议医疗保健专业人员设计强大且及时的干预计划,以促进乳腺癌幸存者的PTG,并减少她们因癌症诊断而产生的感知痛苦。

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