一项关于中国转移性乳腺癌化疗女性应对策略的定性研究。
A Qualitative Study on Coping Strategies of Chinese Women With Metastatic Breast Cancer Undergoing Chemotherapy.
作者信息
Guo Yi-Qiang, Ju Qing-Mei, You Miaoning, Yusuf Azlina, Wu Ying, Soon Lean Keng
机构信息
School of Nursing, Capital Medical University, Beijing, China.
Emergency General Hospital, Beijing, China.
出版信息
Front Psychol. 2022 Mar 11;13:841963. doi: 10.3389/fpsyg.2022.841963. eCollection 2022.
OBJECTIVES
Women who underwent chemotherapy (CT) for metastatic breast cancer (MBC) used both adaptive and maladaptive coping strategies but had low implementation levels. The present study explores the qualitative experience of coping strategies for women with MBC undergoing CT in Beijing.
METHODS
A hermeneutic phenomenological approach was employed on twenty Chinese MBC women undergoing CT. These interviews were transcribed verbatim, coded using thematic analysis, and analyzed using NVivo 11.
RESULTS
Three themes are highlighted: Maintaining hope; Spiritual growth, and Self-perceived support resources.
CONCLUSION
The present study results have led to a greater understanding of the tremendous impact of CT on MBC women's lives. This research provides insight into the scope of maintaining hope. Spiritual growth and self-perceived support resources were crucial factors to coping strategies among MBC women to improve their quality of life.
CLINICAL RELEVANCE
By attaining the adaptive coping strategies and further understanding about Chinese MBC women, health care professionals are encouraged to appraise MBC women's specific problems and adopt effective interventions to improve MBC women's psychosocial wellbeing.
目的
接受转移性乳腺癌（MBC）化疗（CT）的女性同时使用适应性和适应不良的应对策略，但实施水平较低。本研究探讨了北京接受CT治疗的MBC女性应对策略的质性体验。
方法
对20名接受CT治疗的中国MBC女性采用诠释现象学方法。这些访谈逐字转录，使用主题分析进行编码，并使用NVivo 11进行分析。
结果
突出了三个主题：保持希望；精神成长和自我感知的支持资源。
结论
本研究结果使人们对CT对MBC女性生活的巨大影响有了更深入的了解。本研究为保持希望的范围提供了见解。精神成长和自我感知的支持资源是MBC女性应对策略中的关键因素，以提高她们的生活质量。
临床意义
通过获得适应性应对策略并进一步了解中国MBC女性，鼓励医护人员评估MBC女性的具体问题，并采取有效干预措施来改善MBC女性的心理社会福祉。
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