Balfe M, Keohane K, O'Brien K, Sharp L
Department of Sociology, University College Cork, Cork, Ireland.
National Cancer Registry of Ireland, Cork, Ireland.
Eur J Cancer Care (Engl). 2017 Nov;26(6). doi: 10.1111/ecc.12619. Epub 2016 Dec 22.
Head and neck cancer is a serious form of cancer that can generate substantial physical and psychosocial morbidity. Informal caregivers can help patients to manage head and neck cancer and its emotional impacts, both during and after treatment. Caregivers, however, can experience considerable stress as a result of their caring activities. Supportive relationships can protect caregivers from psychosocial strain. Thirty-one head and neck cancer caregivers were interviewed about their experiences of accessing social support from their social networks; difficulties that they experienced accessing this support; and strategies that they used to address these difficulties. Results suggest that head and neck cancer caregivers strongly value social support, but can find it difficult to obtain, and a number of them experience socially negative responses from their networks. Some carers attempt to answer or supplement support deficiencies by turning to non-human coping supports, such as pets, spiritual figures or medication. Implications for theory and practice are discussed.
头颈癌是一种严重的癌症形式,会导致严重的身体和心理社会疾病。非正式护理人员可以帮助患者应对头颈癌及其在治疗期间和治疗后的情感影响。然而,护理人员可能会因其护理活动而承受相当大的压力。支持性的人际关系可以保护护理人员免受心理社会压力的影响。研究人员采访了31名头颈癌护理人员,了解他们从社交网络获得社会支持的经历;他们在获得这种支持时遇到的困难;以及他们用来解决这些困难的策略。结果表明,头颈癌护理人员非常重视社会支持,但发现很难获得,其中一些人还经历了来自其社交网络的负面社会反应。一些护理人员试图通过求助于非人类的应对支持,如宠物、精神偶像或药物,来应对或弥补支持不足的问题。本文还讨论了该研究对理论和实践的启示。