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本文引用的文献

1
Attitudes Toward Cancer and Cancer Patients in an Urban Iranian Population.伊朗城市人口对癌症及癌症患者的态度
Oncologist. 2017 Aug;22(8):944-950. doi: 10.1634/theoncologist.2017-0073. Epub 2017 May 30.
2
Reliability and Validity Study of a Tool to Measure Cancer Stigma: Patient Version.一种测量癌症耻辱感工具的信效度研究:患者版
Asia Pac J Oncol Nurs. 2017 Apr-Jun;4(2):155-161. doi: 10.4103/apjon.apjon_10_17.
3
Perceptions of patients, families, physicians and nurses regarding challenges in cancer disclosure: A descriptive qualitative study.患者、家属、医生和护士对癌症信息披露挑战的看法:一项描述性定性研究。
Eur J Oncol Nurs. 2016 Dec;25:55-61. doi: 10.1016/j.ejon.2016.09.003. Epub 2016 Oct 10.
4
The Experience of Cancer Stigma in Taiwan: A Qualitative Study of Female Cancer Patients.台湾癌症污名化经历:女性癌症患者的质性研究
Arch Psychiatr Nurs. 2016 Apr;30(2):204-9. doi: 10.1016/j.apnu.2015.08.015. Epub 2015 Aug 28.
5
Cancer Visibility among Iranian Familial Networks: To What Extent Can We Rely on Family History Reports?伊朗家族网络中的癌症可见性:我们在多大程度上可以依赖家族病史报告?
PLoS One. 2015 Aug 26;10(8):e0136038. doi: 10.1371/journal.pone.0136038. eCollection 2015.
6
Breast Cancer Treatment: Experiences of Changes and Social Stigma Among Thai Women in Southern Thailand.乳腺癌治疗:泰国南部女性的变化经历与社会污名
Cancer Nurs. 2016 May-Jun;39(3):213-20. doi: 10.1097/NCC.0000000000000255.
7
Does lung cancer attract greater stigma than other cancer types?肺癌比其他癌症类型更容易招致污名化吗?
Lung Cancer. 2015 Apr;88(1):104-7. doi: 10.1016/j.lungcan.2015.01.024. Epub 2015 Feb 7.
8
Self-disclosure of breast cancer diagnosis by Iranian women to friends and colleagues.伊朗女性向朋友和同事自我披露乳腺癌诊断情况。
Asian Pac J Cancer Prev. 2014;15(6):2879-82. doi: 10.7314/apjcp.2014.15.6.2879.
9
Development of a scale to assess cancer stigma in the non-patient population.开发一种用于评估非患者群体中癌症污名化的量表。
BMC Cancer. 2014 Apr 23;14:285. doi: 10.1186/1471-2407-14-285.
10
Association between cancer stigma and depression among cancer survivors: a nationwide survey in Korea.癌症幸存者中癌症污名与抑郁之间的关联:韩国的一项全国性调查。
Psychooncology. 2013 Oct;22(10):2372-8. doi: 10.1002/pon.3302. Epub 2013 Jun 20.

伊朗癌症患者的耻辱感及相关因素

Stigma and Related Factors in Iranian People with Cancer.

作者信息

Hasan Shiri Fatemeh, Mohtashami Jamileh, Nasiri Malihe, Manoochehri Houman, Rohani Camelia

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email:

出版信息

Asian Pac J Cancer Prev. 2018 Aug 24;19(8):2285-2290. doi: 10.22034/APJCP.2018.19.8.2285.

DOI:10.22034/APJCP.2018.19.8.2285
PMID:30139239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6171385/
Abstract

Introduction: Stigma is one of the psychosocial and intercultural issues that can be found in chronic diseases, including cancer. Stigma may reduce communication due to social isolation, feeling shame and others’ judgment, and these factors make far from professional services and poor health outcomes in individuals with cancer. Assessment of stigma can help determine and recognize the overall levels of stigma in the community and identify situations that need intervention. Objective: The aim of this study was to determine stigma and related factors in individuals with cancer in Iran. Methods: This descriptive cross-sectional study was conducted on 142 patients with cancer selected via convenience sampling method in two hospitals affiliated to Shahid Beheshti Medical University. A demographic as well as clinical record form and “A questionnaire for measuring attitudes toward cancer (cancer stigma) ‑ Patients version” by Cho et al., (2013) were used for data collection. Data were analyzed using descriptive statistics and regression analysis. Results: More than one quarter of participants (26.1%) had negative attitudes toward cancer and high stigma score>= 2.5. More than half of the participants (57.5%) agreed that their job performance would be reduced even after treatment. 54.5% of the patients considered it difficult to regain health after being diagnosed. There was a significant correlation between the stigma score and the level of education (p= 0.033, OR=0.78). Conclusion: The results showed that stigma in dimensions of impossibility of recovery and stereotypical aspects of cancer were more common. These findings can lead to interventions and educational efforts on cancer coherence which may help in treatment, rehabilitation and return to normal life.

摘要

引言

耻辱感是包括癌症在内的慢性疾病中存在的社会心理和跨文化问题之一。耻辱感可能会因社会隔离、感到羞耻以及他人的评判而减少交流,而这些因素会使癌症患者远离专业服务并导致不良健康结果。耻辱感评估有助于确定和认识社区中耻辱感的总体水平,并识别需要干预的情况。目的:本研究旨在确定伊朗癌症患者的耻辱感及相关因素。方法:本描述性横断面研究对通过便利抽样法在沙希德·贝赫什提医科大学附属的两家医院选取的142名癌症患者进行。使用人口统计学及临床记录表格以及Cho等人(2013年)编制的“癌症态度测量问卷(癌症耻辱感)——患者版”进行数据收集。数据采用描述性统计和回归分析。结果:超过四分之一的参与者(26.1%)对癌症持消极态度且耻辱感得分>=2.5。超过一半的参与者(57.5%)认为即使在治疗后他们的工作表现也会下降。54.5%的患者认为被诊断后恢复健康很困难。耻辱感得分与教育水平之间存在显著相关性(p=0.033,OR=0.78)。结论:结果表明,在康复可能性和癌症刻板印象方面的耻辱感更为常见。这些发现可促使针对癌症相关问题开展干预和教育工作这可能有助于治疗、康复及回归正常生活。