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夫妻对直肠癌及永久性结肠造口生活的适应过程中的“我-我们”边界波动

'I-We' boundary fluctuations in couple adjustment to rectal cancer and life with a permanent colostomy.

作者信息

McCarthy Molly, Fergus Karen, Miller Debbie

机构信息

Department of Psychology, York University, Canada.

Department of Psychology, York University, Canada; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Canada.

出版信息

Health Psychol Open. 2016 Mar 16;3(1):2055102916633582. doi: 10.1177/2055102916633582. eCollection 2016 Jan.

DOI:10.1177/2055102916633582
PMID:28070388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5193256/
Abstract

This study investigates couples' adjustment to rectal cancer and a colostomy using the 'Classification System of Couple Adjustment to Cancer', a framework delineating fluctuations in couples' sense of 'I' and 'We' in response to cancer. Nine couples affected by rectal cancer and adjusting to life with a colostomy were interviewed. A theoretical thematic analysis of the transcripts was conducted; nearly all 'I-We' shifts of the Classification System of Couple Adjustment to Cancer were observed - often in unique ways in response to rectal cancer-specific challenges - and one new shift was described. The results provide a novel and experientially grounded means of conceptualizing complex dyadic coping processes.

摘要

本研究使用“夫妻对癌症的调适分类系统”来调查夫妻对直肠癌和结肠造口术的调适情况,该框架描绘了夫妻在应对癌症时“我”和“我们”意识的波动。对九对受直肠癌影响并适应结肠造口术生活的夫妻进行了访谈。对访谈记录进行了理论主题分析;观察到了“夫妻对癌症的调适分类系统”中几乎所有的“我-我们”转变——通常是以应对直肠癌特定挑战的独特方式——并描述了一种新的转变。研究结果提供了一种新颖且基于经验的方法来概念化复杂的二元应对过程。

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J Natl Cancer Inst Monogr. 2013;2013(46):13-35. doi: 10.1093/jncimonographs/lgt007.
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Learning to live with a permanent intestinal ostomy: impact on everyday life and educational needs.学习适应永久性肠造口:对日常生活和教育需求的影响。
J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):407-12. doi: 10.1097/WON.0b013e3182987e0e.
3
Surviving colorectal cancer: long-term, persistent ostomy-specific concerns and adaptations.结直肠癌生存者:长期存在的、持续的造口特定问题和适应。
J Wound Ostomy Continence Nurs. 2013 Jan-Feb;40(1):61-72. doi: 10.1097/WON.0b013e3182750143.
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Life is back to normal and yet not - partners' and patient's experiences of life of the first year after colorectal cancer surgery.生活回归正常,但又并非如此——结直肠癌手术后第一年伴侣和患者的生活体验。
J Clin Nurs. 2012 Feb;21(3-4):555-63. doi: 10.1111/j.1365-2702.2011.03830.x. Epub 2011 Aug 26.
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The rupture and repair of the couple's communal body with prostate cancer.这对夫妻共同身体因前列腺癌而出现的破裂与修复。
Fam Syst Health. 2011 Jun;29(2):95-113. doi: 10.1037/a0023413.
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Generalization in quantitative and qualitative research: myths and strategies.定量和定性研究中的推广:神话与策略。
Int J Nurs Stud. 2010 Nov;47(11):1451-8. doi: 10.1016/j.ijnurstu.2010.06.004. Epub 2010 Jul 3.
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Clin Colon Rectal Surg. 2007 Aug;20(3):213-20. doi: 10.1055/s-2007-984865.
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