宫颈癌患者的压力与应对:一项质性调查

Katowa-Mukwato Patricia, Mwape Lonia, Maimbolwa C. Margaret, Muleya C. Mutinta, Namushi L. Beauty
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引用次数: 12

摘要

子宫颈癌是全世界妇女中第四大最常见的癌症,也是资源有限地区妇女中最常见的癌症。无论在哪个阶段被诊断出癌症,接受这种诊断的个体在心理和情感上都受到压力,因此他们需要运用某种机制来应对。采用Lazarus和Folkman的压力与应对的交易模型,对宫颈癌患者在诊断后的反应进行了定性描述现象学研究,探讨了他们为适应而采取的应对策略。共有19名宫颈癌患者接受了访问,他们的癌症生活时间均在3个月或以上。数据采用内容分析法进行分析。诊断时确定的三个主要特征反应/感受包括:害怕英年早逝,自怜自怜,难以置信。对英年早逝的恐惧是最深的。与此同时,患者如何应对他们的诊断出现了五个主题;对神的信心加上祷告,家人的支持,教会的支持,医务人员的支持,以及其他病人和癌症幸存者的保证。最后,人们承认,宫颈癌的诊断对受影响的人来说是一种压力,接受这种诊断的人的消极反应证明了这一点。因此,被诊断患有子宫颈癌的人,无论处于哪个阶段,都应该采取一定的应对机制来适应。关键词:压力;应对机制;宫颈癌患者;
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Stress and coping with cervical cancer by patients: A qualitative inquiry
Cervical cancer is the fourth most common cancer in women worldwide, and the most common cancer in women in resource limited settings. Regardless of the stage at which a diagnosis of cancer is made, individuals who receive such a diagnosis are stressed both psychologically and emotionally, thus they need to employee certain mechanism in order to cope. Using Lazarus and Folkman’s Transaction Model of Stress and Coping, a qualitative descriptive phenomenological research was conducted to explore how patients react to a diagnosis of cervical cancer, and the coping strategies they utilize in order to adapt. A total of 19 cervical cancer patients were interviewed who had lived with cancer for three months and above. Data were analyzed using content analysis. Three main characteristic reactions/feelings at the time of diagnosis were identified including; fear of eminent death, self-pity, and disbelief. Fear of eminent death was the most profound. Meanwhile five themes emerged on how the patients were coping with their diagnosis; faith in God coupled with prayer, support from family, support from Church, support from medical personnel, and assurance from fellow patients and cancer survivors. In conclusion it was acknowledged that a diagnosis of cervical cancer is a stressful to those affected as evidenced by negative reactions from those who receive such diagnosis is stressful. Therefore, individuals who are diagnoses with cervical cancer irrespective of the stage, ought to employee certain coping mechanisms in order to adapt.   Key words: Stress, coping mechanisms, cervical cancer patients, adaptation.
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