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韩国癌症孕妇的生活体验:一项定性研究。

Lived Experiences of Pregnant Women With Cancer in South Korea: A Qualitative Study.

机构信息

College of Nursing, Seoul National University, Republic of Korea; The Research Institute of Nursing Science, College of Nursing, Seoul National University, Republic of Korea.

College of Nursing, Seoul National University, Republic of Korea; The Research Institute of Nursing Science, College of Nursing, Seoul National University, Republic of Korea; Center for World-Leading Human-Care Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, College of Nursing, Seoul National University, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2024 Aug;18(3):296-304. doi: 10.1016/j.anr.2024.07.009. Epub 2024 Aug 3.

Abstract

PURPOSE

The incidence of cancer during pregnancy is increasing, presenting several challenges to the treatment of cancer in pregnant women. However, research focusing on the lived experiences of pregnant women with cancer in South Korea is limited. This study aimed to explore and describe the day-to-day lived experiences of women diagnosed with or treated for cancer during pregnancy and their husbands.

METHODS

The study employed a qualitative descriptive design and utilized purposive sampling to recruit participants. The participants comprised six women living in Korea diagnosed with cancer during pregnancy and one husband of a female participant. In-depth semi-structured interviews were conducted, audiotaped, and transcribed. Five of the participants agreed to a second interview, resulting in a total of 12 individual interviews. A thematic analysis was then performed. The participants' ages ranged from 31 to 40 years, and their diagnoses during pregnancy were either breast or thyroid cancer.

RESULTS

Four main themes were identified: (1) Participants faced various heart-breaking difficulties maintaining their pregnancies throughout cancer treatment; (2) Pregnant women with cancer experienced complex but responsible feelings toward their children; (3) Patients with cancer also fulfilled their roles as parents even with their own diseases; and (4) Family support had a significant impact on the pregnant women to overcome the path.

CONCLUSIONS

These findings provide a comprehensive understanding of the lived experiences of being diagnosed with cancer during pregnancy. A recommended strategy is to develop a nursing education program for pregnant women with cancer to provide necessary information and support, and to help them cope positively with their situation.

摘要

目的

怀孕期间癌症的发病率不断增加,这给孕妇癌症的治疗带来了诸多挑战。然而,针对韩国癌症孕妇的生活体验进行研究的却很少。本研究旨在探讨和描述韩国癌症孕妇及其丈夫的日常生活体验。

方法

本研究采用定性描述设计,并采用目的性抽样招募参与者。参与者包括 6 名在韩国被诊断为妊娠期癌症的女性和 1 名女性参与者的丈夫。我们进行了深入的半结构化访谈,进行了录音和转录。其中 5 名参与者同意进行第二次访谈,总共进行了 12 次个人访谈。然后进行了主题分析。参与者的年龄在 31 至 40 岁之间,怀孕期间的诊断分别为乳腺癌或甲状腺癌。

结果

确定了四个主要主题:(1)参与者在癌症治疗过程中维持妊娠面临各种令人心碎的困难;(2)癌症孕妇对孩子怀有复杂但负责任的感觉;(3)癌症患者即使患有自身疾病,也能履行父母的角色;(4)家庭支持对孕妇克服困难有重大影响。

结论

这些发现提供了对妊娠期癌症诊断的生活体验的全面理解。建议制定针对癌症孕妇的护理教育计划,提供必要的信息和支持,帮助她们积极应对自身状况。

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