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性别与间皮瘤生存体验:主题分析。

Gender and the experiences of living with mesothelioma: A thematic analysis.

机构信息

Division of Nursing and Midwifery, Health Sciences School, University of Sheffield, Sheffield, United Kingdom.

Division of Nursing and Midwifery, Health Sciences School, University of Sheffield, Sheffield, United Kingdom.

出版信息

Eur J Oncol Nurs. 2021 Jun;52:101966. doi: 10.1016/j.ejon.2021.101966. Epub 2021 Apr 28.

Abstract

PURPOSE

Mesothelioma is a terminal cancer caused by exposure to asbestos. As a cancer with a higher rate in men than women, women's experiences of living with mesothelioma are often underexplored. Furthermore, men's experiences are often taken for granted and therefore have remained underexplored. This paper considers men's and women's experiences across the mesothelioma pathway.

METHODS

This qualitative study incorporated semi-structured interviews with 13 men and 11 women living with mesothelioma. Telephone interviews took place between July and December 2019, and were audio recorded, transcribed and anonymised. Thematic analysis was used to analyse the data.

RESULTS

Three themes were developed in relation to the gendered experience of mesothelioma: familial responsibility and social perceptions; support preferences; and treatment and trials. Analysis suggests that men and women's sense of familial responsibility varied. Differences in priorities and motivations influenced approaches to seeking support, compensation and, making decisions around treatments and clinical trials.

CONCLUSIONS

The current study reports on how gender can influence the experience of living with mesothelioma. The findings indicate how the patients' role in their families and society can more broadly influence their experiences, choices and preferences. Nurses caring for mesothelioma patients need high quality research on which to base their practice. Recognition and an understanding of the underlyingfactors influencing patients' decision-making will enable nurses and other professionals to support their patients better.

摘要

目的

间皮瘤是一种由接触石棉引起的绝症。由于这种癌症在男性中的发病率高于女性,因此女性患间皮瘤的经历往往未得到充分探索。此外,男性的经历通常被视为理所当然,因此也未得到充分探索。本文考虑了男性和女性在间皮瘤病程中的经历。

方法

这项定性研究纳入了 13 名男性和 11 名女性间皮瘤患者的半结构式访谈。电话访谈于 2019 年 7 月至 12 月进行,并进行了音频记录、转录和匿名处理。采用主题分析法对数据进行分析。

结果

与间皮瘤的性别体验相关,确定了三个主题:家庭责任和社会认知;支持偏好;以及治疗和试验。分析表明,男性和女性的家庭责任感存在差异。优先事项和动机的差异影响了寻求支持、赔偿以及在治疗和临床试验方面做出决策的方式。

结论

本研究报告了性别如何影响间皮瘤患者的生活体验。研究结果表明,患者在家庭和社会中的角色如何更广泛地影响他们的经历、选择和偏好。护理间皮瘤患者的护士需要高质量的研究作为实践基础。认识和理解影响患者决策的潜在因素,将使护士和其他专业人员能够更好地为患者提供支持。

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