化疗期间肿瘤患者过去的幸福和破碎的未来视野--对现象学假设的定量探索

Cancers Pub Date : 2024-06-02 DOI:10.3390/cancers16112124
Magdalena Fryze, Patrycja Wisniewska, Jadwiga Wiertlewska-Bielarz, M. Moskalewicz
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摘要

了解癌症对时间体验的影响对于希望和康复至关重要。本研究是之前一项卵巢癌患者定性研究的后续研究,探讨了两种类型的时间体验--对过去幸福的回忆和有限的未来规划。本研究对 202 名不同癌症患者(主要是乳腺癌、卵巢癌和宫颈癌女性患者)进行了抽样调查,调查问卷包含九个有关时间体验的问题。调查发现,受访者越来越关注当下,对未来的关注有所减少,并有一种不可预测性,时间跨度相对较短,以周或月为单位,而不是以年为单位。近一半的受访者(46%)以化疗和检查的节奏来衡量治疗期间的时间,因此化疗和检查似乎是最有意义的事件。患者接受化疗的频率增加,轻微影响了他们对当下的关注(R = 0.25,p < 0.05),这可能是因为副作用带来的不适。年龄和治疗时间与时间体验之间的相关性微乎其微。化疗过程中的时间体验变化是影响患者健康和应对疾病能力的一个因素。因此,在规划肿瘤治疗时应考虑到这一点。
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Past Happiness and Broken Future Horizon of Oncological Patients during Chemotherapy—A Quantitative Exploration of a Phenomenological Hypothesis
Understanding the impact of cancer on the experience of time is crucial in the context of hope and recovery. This study, a follow-up to a previous qualitative study of ovarian cancer patients – explored two types of such experiences—the memory of past happiness and the limited future planning. A sociodemographic questionnaire with nine questions about the experience of time was used on a convenience sample of 202 patients with various cancers, predominantly women with breast, ovarian, and cervical cancer. It was found that the respondents experienced increased focus on the present, decreased focus on the future, and a sense of unpredictability, with a relatively short temporal horizon measured in weeks and months, not years. Almost half of the respondents (46%) measured time during treatment by the rhythm of chemotherapy and check-ups, which thus appeared as the most meaningful events. The increase in the frequency with which patients underwent chemotherapy mildly affected their focus on the present (R = 0.25, p < 0.05), likely because of the discomfort of the side effects. The correlations between age and time in treatment, on the one hand, and the experience of time, on the other, were negligible. Changed temporal experience during chemotherapy is a factor that can have an impact on patients’ well-being and ability to cope with the disease. It thus should be taken into account when planning oncology care.
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