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癌症患者的康复动机:一项定性研究。

Motivation for Healing in Cancer Patients: A Qualitative Study.

作者信息

Hosseini Fatemeh, Alavi Negin Masoudi, Mohammadi Eesa, Sadat Zohreh

机构信息

Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.

Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Kashan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2021 Oct 22;26(6):555-561. doi: 10.4103/ijnmr.IJNMR_232_20. eCollection 2021 Nov-Dec.

DOI:10.4103/ijnmr.IJNMR_232_20
PMID:34900657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8607888/
Abstract

BACKGROUND

Studies have revealed that motivation plays a vital role in a person's ability to heal. The nature of motivation for healing in cancer patients is unknown. The aim of this study was to explore the meaning of motivation for healing in cancer patients.

MATERIALS AND METHODS

A qualitative research approach was used as the study design. Data were collected using individual semi-structured interviews and the themes were derived from the data using the inductive content analysis method. The patients consisted of 34 cancer patients, 4 family members, 1 psychologist, 1 oncologist, and 3 nurses. The participants were interviewed in the cancer clinics or chemotherapy wards.

RESULTS

Based on the results of the interviews, three main themes and seven categories were determined. The themes were identified as (i) the desire to survive, (ii) a spirit of optimism, and (iii) belongingness and responsibility.

CONCLUSIONS

The results of this study could be used by researchers to develop tools to measure motivation in cancer patients, and to design intervention mechanisms to enhance the patients' motivation in cancer care. Moreover, a better understanding of motivation can improve psychosocial support in oncology nursing.

摘要

背景

研究表明,动机在一个人的康复能力中起着至关重要的作用。癌症患者康复动机的本质尚不清楚。本研究的目的是探讨癌症患者康复动机的意义。

材料与方法

采用定性研究方法作为研究设计。通过个体半结构化访谈收集数据,并使用归纳性内容分析法从数据中提炼主题。患者包括34名癌症患者、4名家庭成员、1名心理学家、1名肿瘤学家和3名护士。参与者在癌症诊所或化疗病房接受访谈。

结果

根据访谈结果,确定了三个主要主题和七个类别。这些主题被确定为:(i)生存欲望,(ii)乐观精神,以及(iii)归属感和责任感。

结论

本研究结果可供研究人员用于开发测量癌症患者动机的工具,并设计干预机制以增强患者在癌症护理中的动机。此外,更好地理解动机可以改善肿瘤护理中的心理社会支持。

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本文引用的文献

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Scoping Review on the Concept of Patient Motivation and Practical Tools to Assess it.患者动机概念及评估实用工具的范围综述
Iran J Nurs Midwifery Res. 2021 Jan 18;26(1):1-10. doi: 10.4103/ijnmr.IJNMR_15_20. eCollection 2021 Jan-Feb.
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How palliative care patients' feelings of being a burden to others can motivate a wish to die. Moral challenges in clinics and families.姑息治疗患者感到自己是他人的负担,这如何会促使他们产生想死的愿望。临床和家庭中的道德挑战。
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Cancer statistics, 2019.癌症统计数据,2019 年。
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Fear of cancer recurrence: A qualitative systematic review and meta-synthesis of patients' experiences.癌症复发恐惧:患者体验的定性系统评价和元综合。
Clin Psychol Rev. 2019 Mar;68:13-24. doi: 10.1016/j.cpr.2018.12.001. Epub 2018 Dec 21.
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Reciprocal relationships between the will-to-live and successful aging.生存意志与成功老龄化之间的相互关系。
Aging Ment Health. 2019 Oct;23(10):1350-1357. doi: 10.1080/13607863.2018.1499011. Epub 2018 Nov 18.
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Too much medicine: not enough trust?过度医疗:缺乏信任?
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Examining the Relationship Between Religious and Spiritual Motivation and Worry About Alzheimer's Disease in Later Life.探究宗教与精神动机和晚年对阿尔茨海默病的担忧之间的关系。
J Relig Health. 2018 Dec;57(6):2500-2514. doi: 10.1007/s10943-018-0635-x.
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The will to live - breast cancer patients perceptions' of palliative chemotherapy.生存意愿——乳腺癌患者对姑息性化疗的认知
Acta Oncol. 2017 Sep;56(9):1168-1174. doi: 10.1080/0284186X.2017.1327719. Epub 2017 May 19.
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A Concept Analysis of Holistic Care by Hybrid Model.混合模式下整体护理的概念分析
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