Al-Azri Mohammed, Al-Kiyumi Zayana, Al-Bimani Khalid, Al-Awaisi Huda
Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat 123, Oman.
Sultan Qaboos Comprehensive Cancer Care and Research Centre, University Medical City, Muscat 123, Oman.
Curr Oncol. 2024 Dec 16;31(12):7979-7993. doi: 10.3390/curroncol31120589.
Young women diagnosed with breast cancer (BC) face considerable psychological and emotional distress, impacting their interactions with themselves, their families, and the wider community. This study sought to explore the interaction patterns of young Omani BC survivors following their diagnosis and during treatment.
Semi-structured individual interviews were conducted with 11 Omani women diagnosed with BC, recruited from the Sultan Qaboos Comprehensive Cancer Care and Research Centre in Muscat, Oman. Participants were selected using purposive sampling to target Omani BC survivors aged under 45 years, with one to five years of survivorship post-diagnosis. Framework analysis was employed to analyse the qualitative data.
Six key types of interactions with various groups were identified: self, children, spouses, family, friends, and society. While many BC survivors demonstrated resilience through their strong faith, viewing the illness as part of a divine plan, others experienced diminished confidence and social withdrawal due to body image issues. Interactions with children centred on maintaining normalcy, while spouses typically provided emotional support despite challenges with intimacy. Family and friends offered crucial support, although concerns regarding societal stigma led some women to conceal their diagnosis.
Participants in this study demonstrated a strong sense of acceptance of their cancer diagnosis as a result of their faith, viewing it as part of a divine plan. Their belief in divine guidance, paired with optimism about the available treatments, fostered resilience, allowing them to maintain a calm and hopeful outlook during their journey of treatment and recovery. However, some participants experienced a decline in self-confidence, particularly after treatment. This affected their willingness to socialise and interact with others, leading to introversion and a marked withdrawal from social interactions, often related to changed self-perception or fear of judgment following changes in appearance.
被诊断患有乳腺癌（BC）的年轻女性面临着相当大的心理和情绪困扰，这影响着她们与自己、家人以及更广泛社区的互动。本研究旨在探讨阿曼年轻乳腺癌幸存者在诊断后及治疗期间的互动模式。
对11名被诊断患有乳腺癌的阿曼女性进行了半结构化个人访谈，这些女性是从阿曼马斯喀特的苏丹·卡布斯综合癌症护理与研究中心招募的。采用目的抽样法选取年龄在45岁以下、诊断后存活一至五年的阿曼乳腺癌幸存者。运用框架分析法对定性数据进行分析。
确定了与不同群体的六种关键互动类型：自我、孩子、配偶、家人、朋友和社会。虽然许多乳腺癌幸存者通过坚定的信念展现出复原力，将疾病视为神意的一部分，但也有其他人因身体形象问题而信心下降并退出社交。与孩子的互动集中在维持正常生活，而配偶通常尽管在亲密关系方面面临挑战，但仍提供情感支持。家人和朋友提供了至关重要的支持，不过对社会污名的担忧导致一些女性隐瞒自己的诊断。
本研究的参与者因信仰而对自己的癌症诊断表现出强烈的接受感，将其视为神意的一部分。她们对神的指引的信念，再加上对现有治疗方法的乐观态度，培养了复原力，使她们在治疗和康复过程中能够保持冷静和充满希望的心态。然而，一些参与者自信心下降，尤其是在治疗后。这影响了她们社交和与他人互动的意愿，导致内向和明显退出社交互动，这通常与自我认知的改变或对外表变化后被评判的恐惧有关。
