Maersk Jesper Larsen, Johannessen Helle, la Cour Karen
a Department of Public Health , University of Southern Denmark , Odense , Denmark.
b Department of Occupational Therapy , University College Absalon , Naestved , Denmark.
Scand J Occup Ther. 2019 Jan;26(1):9-18. doi: 10.1080/11038128.2017.1378366. Epub 2017 Sep 18.
Living with advanced cancer can have a profound impact on the person's self. A person's self is influenced by various aspects of daily life, including engagement in occupation. From an occupational perspective, little research has been done to explore how the self of people with advanced cancer is formed through their engagement in occupation.
The purpose of this study was to explore how people with advanced cancer experience that their sense of self is formed through engagement in occupation.
A total of 28 interviews were conducted with 22 people with advanced cancer. Grounded theory guided the collection and analysis of data.
'Occupation as marker of self' was identified as the core category. Occupations served as markers of the participants' self (1) by mirroring their abilities and positioning of their self in the illness trajectory; and (2) as means of expressing their self. The core category provided explanations about how the participants' experiences of occupation influenced their self-perceptions, as explained in the sub-categories 'defining the self through occupation' and 'reassessing self and accepting limitations'.
For people with advanced cancer, engagement in occupation influences their self as current abilities become apparent and positions of their self can be created and expressed.
罹患晚期癌症会对患者的自我认知产生深远影响。一个人的自我受到日常生活各个方面的影响，包括职业参与度。从职业角度来看，很少有研究探讨晚期癌症患者的自我是如何通过职业参与形成的。
本研究旨在探讨晚期癌症患者如何体验到他们的自我认知是通过职业参与形成的。
对22名晚期癌症患者进行了总共28次访谈。扎根理论指导数据的收集和分析。
“职业作为自我的标志”被确定为核心类别。职业通过以下方式成为参与者自我的标志：（1）反映他们的能力以及他们在疾病轨迹中的自我定位；（2）作为表达自我的方式。正如“通过职业定义自我”和“重新评估自我并接受局限”这些子类别中所解释的那样，核心类别解释了参与者的职业体验如何影响他们的自我认知。
对于晚期癌症患者而言，职业参与会影响他们的自我，因为当前的能力变得明显，并且可以形成和表达自我定位。
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