Xia Hao-Zhi, Gao Lei, Yue Hong, Shi Bao-Xin
Author Affiliations: School of Nursing, Nanjing University of Chinese Medicine, Nanjing (Ms Xia); and School of Nursing, Tianjin Medical University (Ms Gao and Professor Shi); and Department of Breast and Thyroid, Union Medicine Centre (Ms Yue), Tianjin, China.
Cancer Nurs. 2018 Mar/Apr;41(2):124-130. doi: 10.1097/NCC.0000000000000466.
Breast cancer is the most common cancer among women worldwide, and spiritual fulfillment such as experiencing meaning in life plays an important role in coping with the disease.
The objectives of this study were to explore and understand Chinese breast cancer survivors' perspective on meaning in life.
This study used Grounded Theory; 23 participants were recruited using convenience sampling, purposive sampling, and theoretical sampling. Semistructured interviews were conducted, and the data were analyzed using open coding, axial coding, and selective coding.
A core category emerged as "satisfaction with my life" to explain Chinese breast cancer survivors' perspective of meaning in life, and 4 subcategories described the core category including (1) living a healthy and peaceful life, (2) having a good relationship with others, (3) achieving purpose in life, and (4) fulfilling responsibility.
Chinese breast cancer survivors value physical health as well as spiritual fulfillment. The experience of adapting to life with cancer, having a good relationship with others, pursuing life goals, and fulfilling responsibility consists of a satisfying life, which makes life more meaningful.
Health providers should pay more attention to survivors' experience of meaning in life and help them enhance meaning in life and improve their quality of life through building good relationship with others, achieving purpose in life, and fulfilling responsibility for family and society.
乳腺癌是全球女性中最常见的癌症,诸如体验生活意义之类的精神满足感在应对该疾病方面发挥着重要作用。
本研究的目的是探索并理解中国乳腺癌幸存者对生活意义的看法。
本研究采用扎根理论;通过便利抽样、目的抽样和理论抽样招募了23名参与者。进行了半结构化访谈,并使用开放式编码、轴心式编码和选择性编码对数据进行了分析。
出现了一个核心类别“对我的生活感到满意”,以解释中国乳腺癌幸存者对生活意义的看法,4个子类别描述了该核心类别,包括(1)过健康和平的生活,(2)与他人建立良好关系,(3)实现生活目标,以及(4)履行责任。
中国乳腺癌幸存者重视身体健康以及精神满足。适应患癌生活、与他人建立良好关系、追求生活目标和履行责任的经历构成了一种令人满意的生活,这使生活更有意义。
医疗服务提供者应更加关注幸存者对生活意义的体验,并通过与他人建立良好关系、实现生活目标以及履行对家庭和社会的责任,帮助他们增强生活意义并提高生活质量。