McQuestion Maurene, Fitch Margaret
Clinical Nurse Specialist, Princess Margaret Cancer Centre, University Health Network; Adjunct Faculty, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
Can Oncol Nurs J. 2016 Oct 1;26(4):325-335. doi: 10.5737/23688076264325335. eCollection 2016 Fall.
Most research to date in the area of head and neck cancer has focused on the efficacy of treatment modalities and the assessment and management of treatment side effects and toxicities. Little or no attention has been directed toward understanding patients' experience of receiving radiation treatment for the management of their cancer. The purpose of this qualitative study was to explore the experience of individuals receiving radiation treatment for a cancer of the head and neck. Face-to-face interviews were conducted with 17 individuals. Thorne's (1997) approach of interpretive description along with Giorgi's analytical technique for analysis were used. Experiences across interviews revealed five main themes: 1) making sense of the diagnosis, 2) distress from disrupted expectations, 3) heightened awareness of self, others and the health care system, 4) strategies to 'get through' treatment, and 5) living with uncertainty. Findings from the study have contributed to the development of head and neck cancer-specific patient support and education programs for patients and families.
迄今为止,头颈部癌症领域的大多数研究都集中在治疗方式的疗效以及治疗副作用和毒性的评估与管理上。很少或几乎没有关注去了解患者接受放射治疗来管理其癌症的经历。这项定性研究的目的是探索头颈部癌症患者接受放射治疗的经历。对17名个体进行了面对面访谈。采用了索恩(1997年)的解释性描述方法以及 Giorgi 的分析技术进行分析。访谈中的经历揭示了五个主要主题:1)理解诊断,2)期望破灭带来的痛苦,3)对自我、他人和医疗保健系统的更高认识,4)“挺过”治疗的策略,以及5)在不确定性中生活。该研究的结果有助于为患者及其家属制定头颈部癌症特定的患者支持和教育项目。