The social impact of cancer.

S F Pardue, M V Fenton, L R Rounds
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Abstract

Patients with cancer and their families often experience an enhanced need for "social support." Social support has been found to be empirically related to influencing health outcomes. It was noted that there are nine different types of social support, with "emotional support" being one of the most important. There are also different providers of social support, with the immediate family being the most common provider. Examples of interventions for nurses as providers of social support were outlined. In addition, the processes involved in the provision of social support, and the costs and consequences of providing social support were discussed. "Ironically, cancer may often undermine one of the strongest potential resources people have in coping with the disease--their social relationships. In fact, the social relationships of the cancer patient may not only fail to buffer them against the stress of cancer, but may provide additional sources of distress" (Wortman, 1984, p. 2341).

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癌症的社会影响。
癌症患者和他们的家人通常对“社会支持”的需求增加。经验表明,社会支持与影响健康结果有关。有人指出,有九种不同类型的社会支持,其中“情感支持”是最重要的一种。社会支持也有不同的提供者,直系亲属是最常见的提供者。概述了护士作为社会支持提供者的干预措施的例子。此外,还讨论了提供社会支助所涉及的过程,以及提供社会支助的成本和后果。具有讽刺意味的是,癌症往往会破坏人们在应对疾病时最强大的潜在资源之一——他们的社会关系。事实上,癌症患者的社会关系可能不仅不能缓冲他们对癌症的压力,而且可能提供额外的痛苦来源”(Wortman, 1984, p. 2341)。
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