与卵巢癌一起生活:在翻译中迷失的转变

Karen Rosnes Gissum, S. Drageset, L. Thomsen, L. Bjørge, R. Strand
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摘要

目的:探讨卵巢癌患者的经历及其与医护人员的互动。方法:在2018年至2020年期间,对相同的4名女性进行了5次焦点小组访谈。使用系统的文本浓缩对访谈进行分析。结果:卵巢癌患者经历了一系列从健康到疾病和疾病的转变。这些转变对妇女来说很难向卫生保健专业人员、朋友和家人以及她们自己表达出来。所有的参与者都表达了存在和情感上的混乱和矛盾。随着病情的发展,他们表达身体、自我意识和自我身份变化的能力受到了负面影响。因此,这些妇女认为,随着疾病的发展,她们向他人(包括向保健专业人员)表达需求的能力也在恶化。结论:患有卵巢癌的妇女在自身和与个人、家庭和医疗领域的人的交流中失去了转换。对实践的启示:更好地了解她们存在的痛苦,以及这种痛苦是如何在翻译中容易丢失的,可能会在这些妇女的整个疾病和疾病轨迹中改善对她们的护理和支持。基础:沟通和了解卵巢癌的疾病和疾病是为卵巢癌患者提供个性化护理和支持的必要条件。
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Living With Ovarian Cancer: Transitions Lost in Translation
Objective: To explore experiences of women living with ovarian cancer and their interactions with health care professionals. Methods: Five focus group interviews were conducted with the same 4 women, between 2018 and 2020. The interviews were analyzed using systematic text condensation. Results: Living with ovarian cancer involved a set of transitions from health to illness and disease. These transitions were difficult for the women to articulate to health care professionals, friends and family, and to themselves. All participants expressed the experiencing of existential and emotional chaos and paradoxes. As their illness developed, it impacted their ability to articulate changes to their body and sense of self and to their own identity negatively. Consequently, the women felt that their ability to communicate their needs to others, including to health care professionals, deteriorated as the disease progressed. Conclusions: Women living with ovarian cancer experience transitions lost in translation within themselves and in communication with persons in their personal, familial, and medical realms. Implications for Practice: A better understanding of their existential suffering and how it is easily lost in translation may refine care and support for these women throughout their illness and disease trajectory. Foundational: Communicating and understanding illness and disease in ovarian cancer is essential to provide personalized care and support to ovarian cancer patients.
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