Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Stavanger University Hospital, Stavanger, Norway.
Scand J Caring Sci. 2021 Sep;35(3):701-709. doi: 10.1111/scs.12902. Epub 2020 Aug 18.
As a group, cancer survivors experience significant vulnerability and existential challenges. The biomedical approach dominating health care is insufficient to meet such existential challenges in an individualistic, holistic way.
This study aimed to explore the existential experiences of those treated for different cancers.
An exploratory phenomenological-hermeneutical design was used to obtain an understanding of existential experiences after cancer treatment. Data were collected through in-depth interviews with 21 individuals who represented a purposive sample and were recruited from a cancer organisation.
Three overriding themes emerged from the phenomenological-hermeneutical analysis are as follows: Experiencing an unfamiliar tiredness; Experiencing not being fully oneself; and Experiencing a feeling of being alone.
Existential suffering after cancer treatment involves living on the edge of the old homeworld and the experience of a new alienworld. Individuals undergoing such suffering need a transformational process, from the alienworld to the homeworld, which must be supported by the healthcare system.
To facilitate the transformational process, healthcare professionals should communicate with patients throughout their cancer journey about how their existential experiences have been integrated into their lifeworld, allowing them to tell their own story from the perspective of lifeworld brokenness.
作为一个群体，癌症幸存者经历着显著的脆弱性和存在性挑战。主导医疗保健的生物医学方法不足以以个体主义、整体主义的方式应对这些存在性挑战。
本研究旨在探讨不同癌症治疗者的存在体验。
采用探索性现象学-解释学设计，以了解癌症治疗后的存在体验。通过对来自癌症组织的 21 名有目的抽样的个体进行深入访谈来收集数据。
从现象学-解释学分析中出现了三个主要主题如下：体验到一种陌生的疲倦；体验到不完整的自我；体验到一种孤独感。
癌症治疗后的存在性痛苦涉及到在旧世界和新世界之间的边缘生活。经历这种痛苦的个体需要一个从异世界到家乡的转变过程，这必须得到医疗保健系统的支持。
为了促进转变过程，医疗保健专业人员应该在癌症治疗的整个过程中与患者沟通，了解他们的存在体验如何融入他们的生活世界，从而允许他们从生活世界破碎的角度讲述自己的故事。
