School of Nursing, Peking University, Beijing, Beijing, China.
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
BMJ Open. 2022 Oct 28;12(10):e061994. doi: 10.1136/bmjopen-2022-061994.
To explore the patients' experiences on character strengths that Chinese patients experience after the diagnosis of breast cancer.
A qualitative, exploratory study using semistructured interviews based on the patients' lived experience after being diagnosed with breast cancer. Ethics approval was granted. Interviews were audiorecorded and transcribed verbatim. Values in Action Classification of Strengths provided conceptual framework for analysing strengths. Directed content analysis based on the classification of strengths and framework analysis were used to analyse transcribed data. The Standards for Reporting Qualitative Research guideline was followed.
The Second Affiliated Hospital of Zhengzhou University and Henan Provincial Cancer Hospital in China.
Adult patients over 18 years, diagnosed with breast cancer between October 2019 and December 2020 were recruited. We used purposive sample method to collected data from 24 participants diagnosed with breast cancer.
Six themes (virtues) emerged from our analysis. In addition, two new subthemes (character strengths) emerged in this study, selflessness and pragmatism, respectively. Patients with breast cancer described a large repertoire of character strengths they used or wished for during survivorship, including gratitude, hope, humility, kindness, humour, honesty and forgiveness. Cultural values (eg, collectivism, familyism, Confucianism and Buddhist beliefs) helped structure the experiences of Chinese patients' character strengths. Patients wanted their character strengths to be more noticed, appreciated and encouraged by others and reported their psychological trajectory of using personal strengths.
The findings indicated that patients with breast cancer believing character strengths are important to them. Medical staff should pay more attention to motivating and cultivating character strengths of patients with breast cancer. Attention to make strength-based practices workable in clinical health promotion programmes is necessary. The healthcare system should develop tailored individualised psychological services that specifically address patients' needs for the application of personalised character strengths.
NCT04219267, Pre-results.
探索中国乳腺癌患者确诊后在性格优势方面的体验。
一项定性、探索性研究，采用基于乳腺癌确诊后患者生活体验的半结构式访谈。本研究获得了伦理批准。访谈进行了录音，并逐字转录。价值观行动分类（Values in Action Classification of Strengths）为分析优势提供了概念框架。采用基于优势分类的定向内容分析和框架分析对转录数据进行分析。本研究遵循了定性研究报告标准。
中国郑州大学第二附属医院和河南省肿瘤医院。
2019 年 10 月至 2020 年 12 月期间确诊为乳腺癌的 18 岁以上成年患者。我们采用目的抽样法从 24 名确诊为乳腺癌的患者中收集数据。
从我们的分析中出现了六个主题（美德）。此外，本研究还出现了两个新的亚主题（性格优势），分别是无私和务实。乳腺癌患者描述了他们在生存期间使用或希望使用的大量性格优势，包括感恩、希望、谦逊、善良、幽默、诚实和宽恕。文化价值观（如集体主义、家庭主义、儒家思想和佛教信仰）有助于构建中国患者性格优势体验的结构。患者希望他人更多地注意、欣赏和鼓励他们的性格优势，并报告了他们使用个人优势的心理轨迹。
研究结果表明，乳腺癌患者认为性格优势对他们很重要。医务人员应更加关注激励和培养乳腺癌患者的性格优势。有必要关注使基于优势的实践在临床健康促进计划中可行。医疗保健系统应制定针对患者个性化需求的个体化心理服务，专门解决患者对个性化性格优势应用的需求。
NCT04219267，预注册。
