Jones R V, Greenwood B
Institute of General Practice, University of Exeter.
Br J Gen Pract. 1994 Aug;44(385):370-1.
Previous investigations of the psychological consequences of having breast cancer have usually involved quantitative analysis within medical models.
This qualitative study set out to identify key events which had caused distress to women with breast cancer and to compare the frequency of these events with doctors' beliefs about their relative frequency.
The causes of distress in 26 women with breast cancer were identified by qualitative analysis of unstructured interviews. Subsequently, all hospital doctors and general practitioners in the Exeter health district were sent a list in random order of the eight events which had most commonly caused distress and were asked to rank them in order of frequency for patients with breast cancer.
The responses suggest a mismatch between the doctors' expectations and the experience of the patients.
Patients may suffer distress in areas of management doctors do not suspect are important; qualitative analysis can identify these areas.
以往对患乳腺癌的心理影响的调查通常涉及医学模型中的定量分析。
这项定性研究旨在确定给乳腺癌女性造成困扰的关键事件,并将这些事件的发生频率与医生对其相对频率的看法进行比较。
通过对非结构化访谈的定性分析,确定26名乳腺癌女性的困扰原因。随后,向埃克塞特健康区的所有医院医生和全科医生随机发送一份清单,列出最常导致困扰的八项事件,并要求他们按乳腺癌患者的发生频率对这些事件进行排序。
这些回答表明医生的期望与患者的经历之间存在差异。
患者可能在医生认为不重要的管理领域遭受困扰;定性分析可以识别这些领域。