“好结果”的复杂化：结直肠癌筛查未发现癌症时的叙述。
Complicating "the good result": narratives of colorectal cancer screening when cancer is not found.
机构信息
a Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine , St. Louis , Missouri , USA.
b Department of Anthropology, Washington College , Chestertown , Maryland , USA.
出版信息
J Psychosoc Oncol. 2019 Jul-Aug;37(4):509-525. doi: 10.1080/07347332.2018.1563581. Epub 2019 Feb 4.
OBJECTIVES
In this paper, we analyze narratives from a Photovoice project on colorectal cancer screening that was carried out with people who had undergone screening and were found to not have cancer.
METHODS
Three groups, totaling eighteen participants, took part in the project, meeting multiple times over the course of approximately 10 weeks, and discussing photos they took about colorectal cancer screening.
RESULTS
A common way in which the participants conveyed their screening experiences was through reflection on their own or other people's illnesses. Our findings highlight the multiple meanings of receiving a "good" or noncancerous screening result after undergoing cancer screening.
CONCLUSION
Such findings suggest that framing noncancerous results only in terms of relief or other positive emotions may ignore the realities people and their families face and their remaining concerns. This paper has broader implications for policies to reduce cancer disparities as well as public health and patient-provider communication about screening.
目的
在本文中，我们分析了一项大肠癌筛查摄影活动的叙事内容，该活动针对的是已接受筛查且结果无癌症的人群。
方法
该项目共有三组参与者，总计 18 人，他们多次会面，历时约 10 周，讨论他们拍摄的与大肠癌筛查相关的照片。
结果
参与者传达其筛查经历的一种常见方式是反思自己或他人的疾病。我们的研究结果突出表明，在接受癌症筛查后收到“良好”或非癌性筛查结果有多种含义。
结论
这些发现表明，将非癌性结果仅解释为缓解或其他积极情绪，可能会忽略人们及其家人所面临的现实和他们仍然存在的担忧。本文对减少癌症差异的政策以及有关筛查的公共卫生和医患沟通具有更广泛的意义。
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