Croson Elizabeth, Keim-Malpass Jessica
University of Virginia.
Oncol Nurs Forum. 2016 Nov 1;43(6):747-753. doi: 10.1188/16.ONF.747-753.
PURPOSE/OBJECTIVES: To gain a unique perspective of young women with cancer aged 20-39 years who are experiencing challenges with fertility and parenting through analysis of cancer blogs. .
RESEARCH APPROACH: A secondary analysis of online narratives using a focused thematic analysis approach, comparing women who were mothers prior to diagnosis with women who are exploring the possibility of motherhood after diagnosis. .
SETTING: Blogs found through websites and social media venues for young adults with cancer. .
PARTICIPANTS: 10 women aged 20-39 who maintained blogs about their cancer experiences. .
METHODOLOGIC APPROACH: Thematic analysis using line-by-line coding. Construction of comparative themes and meanings were guided by the analytic framework of the stages of grief. .
FINDINGS: Themes emerged along the grieving trajectory of denial (maintaining routines and discussing "eggs"), depression (losing motherhood and anticipatory grief), and acceptance (finding joy moment to moment and hope for pregnancy). .
Motherhood and infertility are unique experiences for young women with cancer but are expressed similarly through the stages of grief.
Understanding the grief trajectories of young women with cancer will help nurses to develop screening tools and supportive interventions.
目的/目标：通过分析癌症博客，深入了解年龄在20至39岁之间、在生育和养育子女方面面临挑战的年轻癌症女性。
采用聚焦主题分析方法对在线叙事进行二次分析，比较诊断前已为人母的女性和诊断后探索成为母亲可能性的女性。
通过面向年轻癌症患者的网站和社交媒体平台找到的博客。
10名年龄在20至39岁之间、撰写过关于自己癌症经历博客的女性。
使用逐行编码进行主题分析。比较主题和意义的构建以悲伤阶段的分析框架为指导。
在否认（维持日常活动并讨论“卵子”）、抑郁（失去为人母的机会和预期性悲伤）和接受（时刻寻找快乐并怀有怀孕的希望）的悲伤轨迹中出现了一些主题。
为人母和不孕对年轻癌症女性来说是独特的经历，但在悲伤阶段的表现相似。
了解年轻癌症女性的悲伤轨迹将有助于护士开发筛查工具和支持性干预措施。
