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探讨宫颈癌治疗后短期和长期的身体和心理社会健康状况。

A qualitative exploration of physical and psychosocial well-being in the short and long term after treatments for cervical cancer.

机构信息

School of Sport, Exercise and Health Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK.

Leicester Cancer Research Centre, University of Leicester, Leicester, UK.

出版信息

Eur J Cancer Care (Engl). 2022 Mar;31(2):e13560. doi: 10.1111/ecc.13560. Epub 2022 Feb 15.

Abstract

OBJECTIVE

Cervical cancer is predominantly a cancer of younger women, and improvements in oncological outcomes have led to an increase in cervical cancer survivors living with the long-term effects of treatment. Understanding the recovery process after treatment is essential to increase awareness of the short- and long-term needs of survivors. The aim of this study was to qualitatively explore the recovery process and return to daily activity of cervical cancers survivors from a biopsychosocial perspective.

METHODS

Participants were 21 women treated for cervical cancer between the ages of 18 and 60 years, living in the United Kingdom. Interviews were undertaken face to face and via the telephone using a semi-structured interview schedule.

RESULTS

Data analysis revealed themes which represented participants' experience and perceptions of treatment as a paradox; emotional needs after treatment; and a journey of adversarial growth. A key finding from this analysis was the nuanced experiences between treatment modalities, with physical changes perceived to be more disruptive following radical treatments, whilst psychological repercussions were significant regardless of treatment type.

CONCLUSION

This study provides novel insight into the varied recovery experiences of those treated with surgery and/or chemoradiotherapy for cervical cancer, which can be used to improve the survivorship experience.

摘要

目的

宫颈癌主要发生在年轻女性中,由于肿瘤学治疗效果的提高,越来越多的宫颈癌幸存者需要长期应对治疗的副作用。了解治疗后的恢复过程对于提高对幸存者短期和长期需求的认识至关重要。本研究旨在从生物心理社会角度定性探讨宫颈癌幸存者的恢复过程和回归日常活动的情况。

方法

参与者为 21 名年龄在 18 至 60 岁之间、居住在英国的宫颈癌女性患者。采用半结构式访谈提纲,通过面对面和电话访谈的方式进行访谈。

结果

数据分析揭示了参与者对治疗的体验和看法,治疗既是一个悖论,也是一种情感需求;以及在对抗中成长的旅程。分析的一个主要发现是,治疗方式之间存在细微的差异,根治性治疗后身体变化被认为更具破坏性,而无论治疗类型如何,心理影响都是显著的。

结论

本研究为接受手术和/或放化疗治疗的宫颈癌患者的多样化恢复体验提供了新的见解,可以用于改善生存体验。

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