一项关于女性从疑似乳腺癌到开始治疗经历的描述性现象学研究。
A Descriptive Phenomenological Study of the Women's Experiences From the Suspicion of Breast Cancer to the Initiation of Treatment.
作者信息
Touzi Rawdha, Ben Daly Amal, Ben Amor Awatef, Ben Dhiab Mohamed, Debout Christophe
机构信息
University of Sousse, Faculty of Medicine of Sousse, Sousse, Tunisia.
Department of Forensic Medicine, Farhat Hached University Hospital, Research Laboratory, Sousse, Tunisia.
出版信息
Scand J Caring Sci. 2025 Jun;39(2):e70023. doi: 10.1111/scs.70023.
INTRODUCTION
Breast cancer is the most common malignancy among women worldwide. However, scientific research has paid little attention to the lived experiences of these women, from the onset of concerning symptoms to the initiation of curative treatment. This study aimed to explore and understand the experiences of Tunisian women, from the appearance of the first symptoms of suspected breast cancer to the initiation of curative treatment.
METHOD
This descriptive phenomenological qualitative study, inspired by Husserl's philosophy, is the first of its kind in Tunisia to explore the feelings and experiences of women with breast cancer during the early stages of care. Individual interviews were conducted with 13 women diagnosed with breast cancer who had visited the Farhat Hached University Hospital in Sousse. Participants were selected through purposive sampling. Data collection was carried out in September and October 2022. The Giorgi analysis method was used, allowing for the emergence of three main themes.
RESULTS
The analysis of the interviews revealed three themes: Waiting for diagnostic test results, the announcement of the diagnosis, and waiting for treatments. Together, these themes encapsulated the essence of the phenomenon: a balance between vulnerability to various challenges and resilience in managing the journey from diagnosis to treatment, reflecting a life of both struggle and strength. Participants highlighted the psychological, physical and economic challenges they faced and expressed specific needs related to their condition. These needs were particularly evident during the pre-diagnosis phase, the moment of diagnosis disclosure and the waiting period before treatment began.
CONCLUSION
The practical implications derived from the results of this study could help inform medical and nursing practices and guide the development of care delivery strategies to better support women with breast cancer.
引言
乳腺癌是全球女性中最常见的恶性肿瘤。然而，从出现相关症状到开始进行根治性治疗，科学研究很少关注这些女性的生活经历。本研究旨在探索和了解突尼斯女性从疑似乳腺癌首次出现症状到开始进行根治性治疗的经历。
方法
这项描述性现象学定性研究受胡塞尔哲学启发，是突尼斯同类研究中首个探索乳腺癌女性在护理早期阶段的感受和经历的研究。对13名在苏塞的法哈特·哈谢德大学医院就诊的确诊乳腺癌女性进行了个体访谈。参与者通过目的抽样选取。数据收集于2022年9月和10月进行。采用 Giorgi 分析方法，得出了三个主要主题。
结果
访谈分析揭示了三个主题：等待诊断测试结果、诊断告知以及等待治疗。这些主题共同概括了该现象的本质：在面对各种挑战的脆弱性与从诊断到治疗过程中的应对韧性之间取得平衡，反映了既有挣扎又有力量的生活。参与者强调了他们面临的心理、身体和经济挑战，并表达了与自身状况相关的特定需求。这些需求在诊断前阶段、诊断披露时刻以及治疗开始前的等待期尤为明显。
结论
本研究结果产生的实际意义有助于为医疗和护理实践提供信息，并指导护理提供策略的制定，以更好地支持乳腺癌女性。
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