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患者视角下的癌症护理中的亲属和重要他人:一项访谈研究。

Patient perspectives on relatives and significant others in cancer care: An interview study.

机构信息

Department of Gynaecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark.

Department of Gynaecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark; Institute for Nursing and Health Research, University of Greenland, Nuuk, Greenland.

出版信息

Eur J Oncol Nurs. 2021 Jun;52:101964. doi: 10.1016/j.ejon.2021.101964. Epub 2021 Apr 17.

Abstract

PURPOSE

In this study, patient perspectives on their relative's involvement in gynaecological cancer treatment and care are investigated.

METHODS

In total 17 women participated in two qualitative research interviews each during their treatment period. By applying a phenomenological-hermeneutic text interpretation methodology, the findings were systematically identified, interpreted, and discussed. This process gave rise to two main themes: "Relatives include more than family members" and "Interactions with relatives and significant others".

RESULTS

The findings showed that, besides family members, in particular neighbours and people who had experienced cancer themselves were an important and valuable support to the patients. Help with daily activities and errands, and providing informal company, represented a substantial support in difficult times, and generated a sense of social belonging and the experience of fellowship. Interactions with relatives were influenced by the patients' personal reflections and experiences and posed several positive as well as negative challenges. Firstly, the patients had many concerns about passing on the news of their cancer disease to their social network. Loneliness, in various representations, was a persistent theme, which reflected various experiences of vulnerability.

CONCLUSION

Positive family relations represented a unique resource during cancer treatment; however, due to relatives' worries or lack of support, patients could experience strain. This perspective on relatives' involvement - from the patient's point of view - seems to be understudied.

摘要

目的

本研究调查了患者对其亲属参与妇科癌症治疗和护理的看法。

方法

共有 17 名女性在治疗期间参与了两次定性研究访谈。通过应用现象学-解释学文本解释方法,系统地识别、解释和讨论了研究结果。这一过程产生了两个主要主题:“亲属不仅包括家庭成员”和“与亲属和重要他人的互动”。

结果

研究结果表明,除了家庭成员外,特别是邻居和自己经历过癌症的人,也是患者的重要和有价值的支持。帮助处理日常活动和差事,并提供非正式的陪伴,在困难时期提供了实质性的支持,产生了一种社会归属感和友谊的体验。与亲属的互动受到患者个人反思和经验的影响,并带来了一些积极和消极的挑战。首先,患者对向其社交网络传递癌症疾病的消息有很多担忧。孤独感以各种形式存在,是一个持续的主题,反映了各种脆弱的经历。

结论

积极的家庭关系在癌症治疗期间是一种独特的资源;然而,由于亲属的担忧或缺乏支持,患者可能会感到压力。从患者的角度来看,这种对亲属参与的看法似乎研究不足。

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