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乳腺癌幸存者的生活体验:一项现象学研究。

Lived Experience of Breast Cancer Survivors: A Phenomenological Study.

机构信息

PhD, RN, Associate Professor, Institute of Nursing, Suranaree University of Technology, Thailand.

PhD, RN, Assistant Professor, Institute of Nursing, Suranaree University of Technology, Thailand.

出版信息

J Nurs Res. 2022 Dec 1;30(6):e247. doi: 10.1097/jnr.0000000000000518.

Abstract

BACKGROUND

Breast cancer (BrCa) is the most common cancer worldwide. Five-year survival rates among individuals with BrCa are the highest of all types of cancer, yet there is a paucity of knowledge about the experiences of survivors regarding living through their diagnosis and treatment. In-depth interviews and the systematic analysis of self-reported experiences may provide in-depth information about the BrCa survivorship experience.

PURPOSE

This qualitative study was designed to identify and elucidate the lived experiences of Thai women with BrCa who successfully completed their treatment program for BrCa and/or treatment with chemotherapy for over 5 years and are currently cancer-free.

METHODS

A phenomenological method was employed. Survivors of BrCa who met the inclusion criteria were purposively selected and invited to take part in the study. Study data were collected between January and March 2019. An open-ended, in-depth interview guide was used to direct the conversation concerning the participants' experiences and perceptions. Thematic analysis was used for data analysis.

RESULTS

Data saturation was reached after 12 interviews. The five themes derived from the data include (a) being distressed, (b) accepting treatments and seeking alternative treatments, (c) going through difficult times, (d) becoming a stronger person, and (e) becoming thankful.

CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The experiences and themes identified enhance scholarly understanding regarding the experience of survivors of BrCa. A true understanding of this experience enables healthcare providers to craft and deliver appropriate interventions that provide quality care and improve women's health, thereby enhancing their quality of life. The results of this study may contribute to the development of new theories by using different qualitative approaches such as grounded theory.

摘要

背景

乳腺癌(BrCa)是全球最常见的癌症。BrCa 患者的五年生存率是所有癌症类型中最高的,但人们对幸存者在诊断和治疗过程中的经历知之甚少。深入的访谈和对自我报告经验的系统分析可能会提供有关 BrCa 生存体验的深入信息。

目的

本定性研究旨在确定和阐明成功完成 BrCa 治疗方案和/或接受化疗超过 5 年且目前无癌症的泰国 BrCa 女性幸存者的生活经历。

方法

采用现象学方法。根据纳入标准,有针对性地选择 BrCa 幸存者并邀请他们参加研究。研究数据于 2019 年 1 月至 3 月期间收集。使用开放式深入访谈指南来指导有关参与者经历和看法的对话。采用主题分析进行数据分析。

结果

在 12 次访谈后达到数据饱和。从数据中得出的五个主题包括(a)感到痛苦,(b)接受治疗和寻求替代治疗,(c)度过困难时期,(d)变得更坚强,和(e)变得感激。

结论/对实践的意义:所确定的经验和主题增强了对 BrCa 幸存者经历的学术理解。对这种经历的真正理解使医疗保健提供者能够制定和提供适当的干预措施,提供优质的护理并改善女性的健康,从而提高她们的生活质量。本研究的结果可以通过使用不同的定性方法(例如扎根理论)为新理论的发展做出贡献。

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