肺癌治疗背景下日常生活的意义——门诊患者观点的定性研究

IF 1.9 4区 医学 Q2 REHABILITATION Scandinavian Journal of Occupational Therapy Pub Date : 2023-11-01 Epub Date: 2023-08-25 DOI:10.1080/11038128.2023.2249043
Maria Bensen Joensen, Line Lindahl-Jacobsen, Marianne Lindahl, Jesper Larsen Maersk
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引用次数: 0

摘要

背景:肺癌诊断后生存率的提高意味着患者的生存时间更长,这意味着治疗的症状和副作用成为日常生活的一部分。目的:这项研究探讨了老年人在接受肺癌治疗时如何使日常生活有意义。材料与方法:采用半结构化访谈法对12例接受不同治疗的老年肺癌患者进行定性研究。分析遵循Giorgi的现象学五步法。结果:分析揭示了三个部分重叠的主题:满足医疗保健系统,失去身份,以及为日常生活的意义而奋斗。病人喜欢肿瘤诊所里清晰连贯的沟通。他们对有组织的支持团体、朋友、社区或亲戚的支持有不同的需求,以使日常生活有意义。结论:尽管疾病和治疗的副作用,在日常生活中创造意义是必不可少的。人际关系通过有益健康的角度在日常生活中创造意义,使日常生活易于理解和管理。意义:患者需要一个日常生活的角度来看待疾病和副作用,这是一个与卫生保健系统相遇的有益健康的方法可以支持的。
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Making meaning of everyday life in the context of lung cancer treatment-a qualitative study of outpatients' perspectives.

Background: The increasing survival after a lung cancer diagnosis implies that patients live longer with the disease, which means that symptoms and side effects of the treatment become part of everyday life.

Aim: The study explored how older adults make meaning of everyday life when undergoing treatment for their lung cancer.

Material and methods: A qualitative study using semi-structured interviews was conducted with 12 older adults with lung cancer undergoing various treatments. The analysis followed Giorgi's phenomenologic five-step method.

Results: The analysis revealed three partly overlapping themes: meeting the health care system, losing identity, and struggling for meaning in everyday life. The patients appreciate clear and coherent communication at the oncology clinic. They had different needs for support from organised support groups, friends, communities, or relatives to make meaning of everyday life.

Conclusion: Creating meaning in everyday life is essential despite the disease and the treatments' side effects. Interpersonal relationships create meaningfulness in everyday life through a salutogenic perspective that makes everyday life comprehensible and manageable.

Significance: The patients need an everyday life perspective on the disease and the side effects, which a salutogenic approach in the encounter with the health care system could support.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
期刊最新文献
Occupational therapy's oversight: How science veiled our humanity. Cognitive interviews on the Swedish occupational balance questionnaire. Occupational therapy in the space of artificial intelligence: Ethical considerations and human-centered efforts. Evaluation of a driving clinical decision pathway for generalist occupational therapists: Pilot test of practice change. Developmental coordination disorder questionnaire - translation and adaptation into Danish.
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