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评估乳腺癌康复期患者的情绪表达:来自焦点小组的观点。

Assessing the Expression of Emotions in Breast Cancer Survivors during the Time of Recovery: Perspective from Focus Groups.

机构信息

Department of Nursing and Physical Therapy, Faculty of Nursing, University of Leon, 24071 Leon, Spain.

Department of Biomedical Sciences, Institute of Biomedicine (IBIOMED), Faculty of Nursing, University of Leon, 24071 Leon, Spain.

出版信息

Int J Environ Res Public Health. 2022 Aug 5;19(15):9672. doi: 10.3390/ijerph19159672.

DOI:10.3390/ijerph19159672
PMID:35955033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9368609/
Abstract

Breast cancer has major public health implications, as it is the most frequent malignant tumor and the leading cause of cancer death in women. Survivors have many needs, including strategies to cope with the associated distress. We explore whether focus groups are useful for nurses to obtain information about the emotional state of breast cancer women, and develop strategies for coping with the stress that this disease entails. A qualitative study was carried out, involving 25 focus groups with 83 women treated for breast cancer, recruited from the local Breast Cancer Association (ALMOM). Four open-ended questions were employed, and 60-min discussions were carried out. They were transcribed, analyzed, coded, and the themes identified. Four major themes emerged, including "complex emotional evolution", "emotional isolation", "lack of information" and "inability to give advice". Women admitted that this disease had been a stressful factor for them, causing emotional (anxiety, irritability, anger or guilt) and cognitive disorders (confusion, lack of concentration, forgetfulness). The use of focus groups in breast cancer survivors allows nurses to evaluate the expression of emotions in these women, and collect and share information about their feelings, thoughts and experiences, so that survivors can cope more easily with the stress related to their illness.

摘要

乳腺癌具有重大的公共卫生意义,因为它是最常见的恶性肿瘤,也是女性癌症死亡的主要原因。幸存者有许多需求,包括应对相关痛苦的策略。我们探讨了焦点小组是否有助于护士了解乳腺癌女性的情绪状态,并制定应对这种疾病带来的压力的策略。这是一项定性研究,涉及 25 个焦点小组,共 83 名接受乳腺癌治疗的女性,这些女性是从当地乳腺癌协会(ALMOM)招募的。采用了四个开放式问题,并进行了 60 分钟的讨论。将其转录、分析、编码,并确定主题。出现了四个主要主题,包括“复杂的情绪演变”、“情绪孤立”、“缺乏信息”和“无法提供建议”。女性承认这种疾病给她们带来了压力,导致情绪(焦虑、烦躁、愤怒或内疚)和认知障碍(困惑、注意力不集中、健忘)。在乳腺癌幸存者中使用焦点小组可以让护士评估这些女性的情绪表达,并收集和分享有关她们的感受、想法和经历的信息,以便幸存者更容易应对与疾病相关的压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5491/9368609/2c868c76e906/ijerph-19-09672-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5491/9368609/2c868c76e906/ijerph-19-09672-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5491/9368609/2c868c76e906/ijerph-19-09672-g001.jpg

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本文引用的文献

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Experiences of Female Breast Cancer Survivors Concerning Their Return to Work in Spain.西班牙女性乳腺癌幸存者重返工作岗位的经历。
Behav Sci (Basel). 2021 Oct 2;11(10):135. doi: 10.3390/bs11100135.
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Fatigue among Long-Term Breast Cancer Survivors: A Controlled Cross-Sectional Study.长期乳腺癌幸存者的疲劳:一项对照横断面研究。
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Who Can Help Us on This Journey? African American Woman with Breast Cancer: Living in a City with Extreme Health Disparities.
谁能在这条道路上帮助我们? 患有乳腺癌的非裔美国女性:生活在健康严重不平等的城市中。
Int J Environ Res Public Health. 2020 Feb 11;17(4):1126. doi: 10.3390/ijerph17041126.
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Long-term treatment for emotional distress in women with breast cancer.乳腺癌女性情绪困扰的长期治疗。
Eur J Oncol Nurs. 2019 Oct;42:126-133. doi: 10.1016/j.ejon.2019.09.002. Epub 2019 Sep 7.
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A Qualitative Focus Group Study to Illuminate the Lived Emotional and Social Impacts of Cancer and Its Treatment on Young Adults.一项定性焦点小组研究,旨在阐明癌症及其治疗对年轻成年人的生活情感和社会影响。
J Adolesc Young Adult Oncol. 2019 Dec;8(6):649-659. doi: 10.1089/jayao.2019.0028. Epub 2019 Jul 22.
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Emotions and Coping Strategies During Breast Cancer in Latina Women: A Focus Group Study.拉丁裔女性乳腺癌患者的情绪与应对策略:一项焦点小组研究
Hisp Health Care Int. 2019 Sep;17(3):96-102. doi: 10.1177/1540415319837680. Epub 2019 Mar 28.
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Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018:GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.
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J Geriatr Oncol. 2018 Sep;9(5):469-475. doi: 10.1016/j.jgo.2018.05.002. Epub 2018 Aug 6.
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Depression and anxiety in patients with cancer.癌症患者的抑郁和焦虑。
BMJ. 2018 Apr 25;361:k1415. doi: 10.1136/bmj.k1415.
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Hoping to reach a safe haven - Swedish families' lived experience when a family member is diagnosed with breast cancer.希望找到一个安全的港湾——瑞典家庭中一名家庭成员被诊断出患有乳腺癌时的生活经历。
Eur J Oncol Nurs. 2017 Dec;31:52-58. doi: 10.1016/j.ejon.2017.10.003. Epub 2017 Nov 6.