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以灵性重建与引导自我:一项关于青少年和青年癌症患者经历的扎根理论

Rebuilding and Guiding the Self With Spirituality: A Grounded Theory of Experiences of Adolescents and Young Adults With Cancer.

作者信息

Gürsu Orhan, Gürcan Meltem, Turan Sevcan

机构信息

Burdur Mehmet Akif Ersoy University.

Akdeniz University.

出版信息

Oncol Nurs Forum. 2023 Jun 15;50(4):487-497. doi: 10.1188/23.ONF.487-497.

DOI:10.1188/23.ONF.487-497
PMID:37677750
Abstract

PURPOSE

To clarify the experiences of spirituality among adolescents and young adults (AYAs) with cancer following diagnosis.

PARTICIPANTS & SETTING: Participants were recruited at a clinic and on an oncology unit in Turkey. A combination of purposive sampling and theoretical sampling strategy was used to identify 14 participants.

METHODOLOGIC APPROACH

A grounded theory design was used for this study. Semistructured interviews were conducted with each participant between October 2021 and January 2022. The data were analyzed using open, axial, and selective coding.

FINDINGS

All the participants were Muslim, were aged 15-39 years, spoke Turkish, and had undergone treatment for any type of cancer. The core category was identified as rebuilding and guiding the self with spirituality. AYAs connected more closely with their sense of spirituality after being diagnosed with cancer.

IMPLICATIONS FOR NURSING

This study demonstrated the importance of providing a supportive healing environment to address the spiritual dimension of the cancer experience for AYAs. Individualized interventions ensuring an appropriate level of spiritual care based on clinical standards are essential to meet the needs of patients and ensure positive long-term health outcomes.

摘要

目的

阐明青少年及青年癌症患者确诊后的精神体验。

参与者与研究背景

参与者在土耳其的一家诊所和一个肿瘤科招募。采用立意抽样和理论抽样策略相结合的方法确定了14名参与者。

方法学途径

本研究采用扎根理论设计。2021年10月至2022年1月期间,对每位参与者进行了半结构化访谈。使用开放式、轴心式和选择性编码对数据进行分析。

研究结果

所有参与者均为穆斯林,年龄在15 - 39岁之间,讲土耳其语,且均接受过任何类型癌症的治疗。核心类别被确定为通过精神重建和引导自我。青少年及青年癌症患者在被诊断出癌症后,与他们的精神意识联系更为紧密。

对护理的启示

本研究表明,为青少年及青年癌症患者提供支持性的康复环境以应对癌症经历中的精神层面非常重要。基于临床标准确保适当水平的精神护理的个性化干预对于满足患者需求并确保长期积极的健康结果至关重要。

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