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40 岁以下乳腺癌患者的生活体验:一项现象学研究。

Lived experiences of breast cancer in patients under the age of 40: A phenomenological study.

机构信息

Department of Nursing, Inha University, Incheon, South Korea.

College of Nursing, Baekseok University, Cheonan, South Korea.

出版信息

Eur J Oncol Nurs. 2023 Aug;65:102336. doi: 10.1016/j.ejon.2023.102336. Epub 2023 May 15.

Abstract

PURPOSE

The purpose of this study was to understand and describe the experiences of breast cancer in patients under age 40 years in South Korea.

METHODS

Data were collected from December 2020 to January 2021 through individual in-depth semi-structured interviews with 10 patients aged <40 years less than one year after they had completed treatment for breast cancer. We performed a qualitative study using Colaizzi's phenomenological method.

RESULTS

The six theme clusters for intrapersonal, interpersonal, and sociocultural categories were as follows: 1) physical pain, 2) psychological response and need, 3) positive relationships with family members, 4) non-familial support system, 5) age stereotypes of cancer, and 6) Confucian culture in Korea.

CONCLUSIONS

The study provides insights into the specific issues and major concerns of young breast cancer patients from multiple perspectives. Based on the results, optimized support should be developed to relieve the physical, psychological, and social burden on young breast cancer patients. Specific information and communication training should be offered to oncology nurses to provide counseling in order to reduce patient anxiety and fear related to these issues. The study emphasizes the importance of positive relationships with family and the non-familial support system and suggests that nursing intervention can help support these relationships to prevent social isolation.

摘要

目的

本研究旨在了解和描述韩国 40 岁以下乳腺癌患者的患病经历。

方法

本研究于 2020 年 12 月至 2021 年 1 月采用 Colaizzi 的现象学方法,通过对 10 名年龄<40 岁且在完成乳腺癌治疗后不到 1 年的患者进行个人深入半结构化访谈收集数据。

结果

从个体、人际和社会文化三个方面,共得出 6 个主题群:1)身体疼痛,2)心理反应和需求,3)与家庭成员的积极关系,4)非家庭支持系统,5)癌症的年龄刻板印象,6)韩国的儒家文化。

结论

本研究从多个角度深入了解了年轻乳腺癌患者的具体问题和主要关注点。基于研究结果,应制定优化的支持方案以减轻年轻乳腺癌患者的身体、心理和社会负担。应为肿瘤护士提供特定的信息和沟通培训,以提供咨询,减轻患者对这些问题的焦虑和恐惧。本研究强调了与家人和非家庭支持系统建立积极关系的重要性,并建议护理干预可以帮助支持这些关系,防止社会孤立。

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