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[年轻女性妇科癌症的经历:一项定性研究]

[The Experience of Gynecologic Cancer in Young Women: A Qualitative Study].

作者信息

Kim Sung-Jin, Shin Hyunjeong

机构信息

Department of Hemato-Oncology, Samsung Medical Center, Seoul, Korea.

College of Nursing, Korea University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2023 Feb;53(1):115-128. doi: 10.4040/jkan.22119.

DOI:10.4040/jkan.22119
PMID:36898689
Abstract

PURPOSE

This study aimed to understand the experiences of women under 40 years of age with gynecologic cancer.

METHODS

Semi-structured individual in-depth interviews were conducted with 14 Korean female patients aged 21~39 years with gynecologic cancer. The data were analyzed using Corbin and Strauss' grounded theory approach, including open coding, context analysis, and integrating categories.

RESULTS

Grounded theory analysis revealed nine categories and a core category of 'the journey to find my life after losing the life as a typical woman.' The categories that emerged as the conditions are 'Unwelcomed guest, cancer,' 'Completely devastated life as an ordinary woman,' 'Uncertain future,' 'Losing my physical characteristics as a woman,' and 'Life tied with treatments.' The actions/interactions were'Decrease of interpersonal relationships,' 'A lonely battle to overcome alone,' and 'The power to overcome hardships.' The consequence was 'Live my own life.'

CONCLUSION

This study contributes to the development of a substantive theory of the experience of gynecologic cancer in young women, which has been on the rise in recent years. The study's results are expected to be used as a basis for providing nursing care to help young women with gynecologic cancer adapt to their disease.

摘要

目的

本研究旨在了解40岁以下妇科癌症女性的经历。

方法

对14名年龄在21至39岁之间患有妇科癌症的韩国女性患者进行了半结构化的个人深度访谈。使用Corbin和Strauss的扎根理论方法对数据进行分析,包括开放式编码、情境分析和类别整合。

结果

扎根理论分析揭示了九个类别和一个核心类别“失去典型女性生活后寻找自我生活的旅程”。作为条件出现的类别有“不受欢迎的客人,癌症”“作为普通女性的生活完全被摧毁”“不确定的未来”“失去女性身体特征”以及“与治疗捆绑的生活”。行动/互动有“人际关系的减少”“独自克服的孤独战斗”以及“克服困难的力量”。结果是“过自己的生活”。

结论

本研究有助于发展近年来呈上升趋势的年轻女性妇科癌症经历的实质性理论。该研究结果有望作为为患有妇科癌症的年轻女性提供护理以帮助她们适应疾病的依据。

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Eur J Oncol Nurs. 2021 Jun;52:101927. doi: 10.1016/j.ejon.2021.101927. Epub 2021 Feb 27.
2
Understanding breast cancer survivors' financial burden and distress after financial assistance.了解乳腺癌幸存者在获得经济援助后的经济负担和困扰。
Support Care Cancer. 2020 Sep;28(9):4241-4248. doi: 10.1007/s00520-019-05271-5. Epub 2020 Jan 3.
3
Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors.
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Eur J Oncol Nurs. 2020 Feb;44:101708. doi: 10.1016/j.ejon.2019.101708. Epub 2019 Dec 4.
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Global patterns and trends in ovarian cancer incidence: age, period and birth cohort analysis.全球卵巢癌发病率的模式和趋势:年龄、时期和出生队列分析。
BMC Cancer. 2019 Oct 22;19(1):984. doi: 10.1186/s12885-019-6139-6.
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Experiences of Low Mood in Young People With Cancer: A Qualitative Study.癌症青少年的情绪低落经历:一项定性研究。
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