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女性乳腺癌诊断中灵性关怀的重要性:一项定性研究。

The Importance of Spirituality for Women Facing Breast Cancer Diagnosis: A Qualitative Study.

机构信息

Faculty of Nursing, Fluminense Federal University, Niterói, Rio de Janeiro 24020091, Brazil.

Department of Nursing, Mind Brain and Behavior Research Center (CIMCYC), University of Granada, 18071 Granada, Spain.

出版信息

Int J Environ Res Public Health. 2021 Jun 13;18(12):6415. doi: 10.3390/ijerph18126415.

Abstract

Breast cancer remains significantly distressing and produces profound changes in women's lives. Spirituality is an important resource at the time of diagnosis and treatment decisions. This qualitative study aimed to explore the spiritual experience of women diagnosed with breast cancer and the considerations of spirituality in health care using the existential phenomenology approach. The sampling procedure was intentional, based on the study's exclusion and inclusion criteria. Forty women participated in individual interviews. The research was conducted in the outpatient clinic of a reference federal university hospital in South-Eastern Brazil. Throughout the research process, ethical principles were carefully followed. Five themes were identified: (1) meaning of spirituality-source of spiritual strength, (2) well-being in the relationship with God, (3) well-being in religious fellowship, (4) values and purpose of life-meaning in life, and (5) spirituality as a foundation to continue. Respect for patient's spiritual values was recognised as a fundamental principle in health care. Spirituality was revealed as a source of support during the complex process of being diagnosed with breast cancer. Thus, health care professionals that value and encourage spirituality are needed, favouring better patient response to the diagnosis.

摘要

乳腺癌仍然令人深感痛苦,并给女性的生活带来深刻的变化。在诊断和治疗决策时,灵性是一个重要的资源。本定性研究采用存在现象学方法,旨在探讨被诊断患有乳腺癌的女性的灵性体验,以及在医疗保健中考虑灵性的问题。抽样程序是有目的的,基于研究的排除和纳入标准。40 名女性参加了个人访谈。该研究在巴西东南部一家联邦大学附属医院的门诊进行。在整个研究过程中,严格遵循了伦理原则。确定了五个主题:(1)灵性的意义-精神力量的源泉,(2)与上帝关系中的幸福,(3)宗教团契中的幸福,(4)价值观和生活目的-生命的意义,以及(5)灵性是继续的基础。尊重患者的灵性价值观被认为是医疗保健的基本原则。灵性在被诊断患有乳腺癌的复杂过程中被揭示为一种支持来源。因此,需要重视和鼓励灵性的医疗保健专业人员,以促进患者更好地应对诊断。

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