Mahon S M, Casperson D M
Cancer Screening Center, Deaconess Health System, St. Louis, Missouri, USA.
Cancer Nurs. 1997 Jun;20(3):178-86. doi: 10.1097/00002820-199706000-00003.
Many persons diagnosed with malignancy will experience one or more recurrences of malignancy. Little is known about the psychosocial meaning of recurrent cancer. Using Lazarus and Folkman's model of stress, appraisal and coping, the two purposes of this descriptive study were to (a) describe the meaning of a recurrence of cancer to the patient and (b) to explore if the patient perceives the diagnosis of recurrence as being different from the initial diagnosis of cancer. Purposeful sampling for persons with recent recurrent malignancy produced a sample (n = 20). Subjects completed an unstructured, indepth interview. The meaning of the recurrence was influenced by prior cancer-related experiences of the subjects and dominated by death and death-related concerns. Differences from the initial diagnosis included a deeper awareness of the significance of the "cancer diagnosis".
许多被诊断患有恶性肿瘤的人会经历一次或多次恶性肿瘤复发。关于复发性癌症的社会心理意义，人们知之甚少。运用拉扎勒斯和福克曼的压力、评估与应对模型，这项描述性研究的两个目的是：（a）描述癌症复发对患者的意义；（b）探究患者是否认为复发诊断与癌症初始诊断有所不同。对近期有恶性肿瘤复发的患者进行目的抽样，得到一个样本（n = 20）。研究对象完成了一次非结构化的深度访谈。复发的意义受到研究对象先前与癌症相关经历的影响，且主要受死亡及与死亡相关的担忧所主导。与初始诊断的差异包括对“癌症诊断”重要性有了更深刻的认识。
