Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study

Yesiana Dwi Wahyu Werdani, Arief Widya Prasetya
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Abstract

 

Background: Cancer is perceived as a deadly disease for most people, it will affect the hope and psychological well-being of long-term cancer survivors.

Objectives: This study aimed to explore changes in hope and psychological well-being after 5 years become breast cancer survivors.

Methods: This was a qualitative study with a phenomenological design. Samples were 23 breast cancer survivors in three health centers in Surabaya Indonesia taken by purposive sampling technique based on inclusion criteria. An in-depth interview was done when collecting the data. The interview was recorded with the permission of the participants. The data were inductively analyzed through conventional content analysis.

Results: The participant has an age range of 41 – 70 years old, and most of them are no longer working since being diagnosed with cancer. This study found 4 themes consisting of the first theme was positive hope about cancer with 3 sub-themes: hope to recover, hope no recurrence occurs, and hope to be healthier, the second theme was a good future with 3 sub-themes: long life, back to work, and optimism, the third theme was positive psychological well-being with 3 sub-themes: positive thinking, self-control ability, happy feeling, the last theme was a close relationship with God with 2 sub-themes: grateful and pray, repentance.

Conclusions: Breast cancer survivors who have been diagnosed for more than 5 years and have completed cancer therapy had a positive hope to recover, are optimistic about the future and are closer to God, this encourages the achievement of positive psychological well-being.

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希望和心理健康5年后成为乳腺癌幸存者:一项定性研究
背景:癌症对大多数人来说是一种致命的疾病,它会影响长期癌症幸存者的希望和心理健康。目的:本研究旨在探讨乳腺癌幸存者5年后希望和心理健康的变化。方法:采用现象学设计的定性研究。样本为印度尼西亚泗水三个保健中心的23名乳腺癌幸存者,采用基于纳入标准的有目的抽样技术。在收集数据时进行了深度访谈。采访是在参与者的许可下录制的。采用常规含量分析法对数据进行归纳分析。结果:参与者的年龄范围在41 - 70岁之间,其中大多数人在被诊断为癌症后不再工作。本研究发现了4个主题,其中第一个主题是对癌症的积极希望,有3个子主题:希望康复,希望不再复发,希望更健康;第二个主题是美好的未来,有3个子主题:长寿,重返工作,乐观;第三个主题是积极的心理健康,有3个子主题:积极思考,自我控制能力,快乐感觉;最后一个主题是与上帝的亲密关系,有2个子主题:感恩祈祷,悔改。结论:确诊5年以上并完成癌症治疗的乳腺癌幸存者对康复有积极的希望,对未来持乐观态度,更接近上帝,这鼓励了积极心理健康的实现。
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审稿时长
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