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土耳其接受阴道镜检查的癌症幸存者对癌症复发恐惧的定性探索。

A qualitative exploration of fear of cancer recurrence in Turkish cancer survivors who were referred for colposcopy.

机构信息

Department of Obstetrics and Gynecological Nursing, Faculty of Health, Alaaddin Keykubat University, Alanya, Turkey.

Department of Obstetrics and Gynecological Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.

出版信息

Health Soc Care Community. 2021 May;29(3):729-737. doi: 10.1111/hsc.13326. Epub 2021 Mar 4.

Abstract

We aimed to qualitatively explore factors related to fear of cancer recurrence in women who had a risk of cervical cancer relapse/metastasis and to identify the psychological effect of gynaecological examination and colposcopy in cancer survivors. We conducted the present descriptive study with a qualitative design based on the thematic analysis approach on ten women who under suspicion of new cancer and were admitted to the Gynaecological Oncology Polyclinic of Akdeniz University for colposcopy between July and October 2017 via in-depth interviews. As a result of the interviews, we identified three main themes: colposcopy-related fear, emotions associated with fear of cancer recurrence, and fear of being diagnosed with cancer. Moreover it was determined that women experienced a fear of death, fear of family being affected, fear of stigmatisation by society, and fear of not coping with the treatment process. We found that women with cancer history and undergoing colposcopy because of abnormal cervical cytology in routine oncology controls experienced a significant fear of cancer recurrence. We found that gynaecological examination and colposcopy caused anxiety in patients. Healthcare professions should be aware and help women to cope with the fear of cancer recurrence in the colposcopy process and should determine the social care needs of these patients.

摘要

我们旨在定性探讨与有宫颈癌复发/转移风险的女性对癌症复发恐惧相关的因素,并确定妇科检查和阴道镜检查对癌症幸存者的心理影响。我们进行了本项描述性研究,采用基于主题分析方法的定性设计,对 2017 年 7 月至 10 月间因疑似新发癌症而入住阿克登兹大学妇科肿瘤科并接受阴道镜检查的 10 名女性进行了深入访谈。通过访谈,我们确定了三个主要主题:阴道镜检查相关恐惧、与癌症复发恐惧相关的情绪以及对癌症诊断的恐惧。此外,研究还发现,女性经历了对死亡的恐惧、对家庭受影响的恐惧、对社会污名化的恐惧以及对无法应对治疗过程的恐惧。我们发现,有癌症病史且因常规肿瘤控制中的宫颈细胞学异常而接受阴道镜检查的女性对癌症复发有明显的恐惧。我们发现妇科检查和阴道镜检查会引起患者的焦虑。医疗保健专业人员应该意识到这一点,并帮助女性应对阴道镜检查过程中对癌症复发的恐惧,还应确定这些患者的社会护理需求。

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