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乳腺癌治疗后年轻女性作为妻子的角色期望:一项定性研究。

The role expectations of young women as wives after breast cancer treatment: A qualitative study.

作者信息

Gao Wenjuan, Zhang Qian, Wang Dan, Li Xiaoxu, Zhang Linping, Xu Mengjiao, Han Jing

机构信息

School of Nursing, Xuzhou Medical University, Jiangsu, China.

Department of Oncology Center, Affiliated Hospital of Xuzhou Medical University, Jiangsu, China.

出版信息

Int J Nurs Sci. 2024 May 29;11(3):366-373. doi: 10.1016/j.ijnss.2024.05.001. eCollection 2024 Jul.

Abstract

OBJECTIVES

Through the reflection of young breast cancer women on their selves and identities, we explored expectations of the wife role that they need to fulfill to return to their families, aimed to provide a reference basis for medical professionals to develop interventions related to cancer family rehabilitation.

METHODS

Descriptive phenomenological methods and purposive sampling were used. Young breast cancer patients and their spouses were selected for semi-structured face-to-face interviews in the study from March to April 2023 at the department of breast surgery and oncology center of a Class A tertiary hospital in Xuzhou City, China. The interviews were transcribed verbatim and analyzed using Colaizzi's phenomenological approach.

RESULTS

Twenty patients and six spouses were interviewed. The mean patient age was (35.95 ± 3.36) years, and the mean spouse was (37.67 ± 5.28) years. Young breast cancer patients were concerned about three main wife expectations during their treatment and rehabilitation: preserving self-love and self-esteem (paying attention to physical health, embracing the disease, and regaining confidence in female characters); adjustment of conjugal relationships (harmonious and effective couple communication, providing support for marriage and love, and creating a beautiful married life together); assisting in family recovery (relieving stress on spouses from caregiving and finances, and management of daily household chores).

CONCLUSIONS

The wife role expectations of young breast cancer women and their spouses encompass three core aspects: self, couple, and family. Self-esteem and self-love are the most fundamental expectations of the wife role, while adjusting the couple's relationship and assistance in family rehabilitation represent higher expectations. This study can help healthcare professionals and cancer families gain a more comprehensive understanding of the wife role expectations for young cancer women, thereby enabling the development of couple-centered interventions to promote patient recovery and enhance the resilience of marriages and families.

摘要

目的

通过年轻乳腺癌女性对自我及身份的反思,探讨她们回归家庭所需履行的妻子角色期望,旨在为医学专业人员开展癌症家庭康复相关干预措施提供参考依据。

方法

采用描述性现象学方法及目的抽样法。2023年3月至4月,在中国徐州市某三甲甲等医院乳腺外科及肿瘤中心选取年轻乳腺癌患者及其配偶进行半结构式面对面访谈。访谈内容逐字转录,并采用科莱齐现象学方法进行分析。

结果

共访谈了20名患者及6名配偶。患者平均年龄为(35.95 ± 3.36)岁,配偶平均年龄为(37.67 ± 5.28)岁。年轻乳腺癌患者在治疗及康复期间关注妻子角色的三个主要期望:保持自爱与自尊(关注身体健康、接纳疾病、重拾对女性特质的信心);调整夫妻关系(夫妻沟通和谐有效、为婚姻与爱情提供支持、共同创造美好的婚姻生活);协助家庭恢复(减轻配偶在照顾及经济方面的压力、管理日常家务)。

结论

年轻乳腺癌女性及其配偶对妻子角色的期望涵盖自我、夫妻及家庭三个核心方面。自尊与自爱是妻子角色最基本的期望,而调整夫妻关系及协助家庭康复则代表了更高的期望。本研究有助于医护人员及癌症家庭更全面地了解年轻癌症女性对妻子角色的期望,从而制定以夫妻为中心的干预措施,促进患者康复,增强婚姻及家庭的复原力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0b/11329045/783dc0a314f3/gr1.jpg

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