以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (23): 73-78.doi: 10.16460/j.issn1008-9969.2023.23.073

• 心理卫生 • 上一篇    

乳腺癌青年患者康复心理体验与益处发现的质性研究

谭健烽1, 王永存2a, 郑秀莹1, 王政烨1, 刘艳华2b   

  1. 1.广东医科大学 人文与管理学院心理学系,广东 湛江 524023;
    2.广东医科大学附属医院 a.肿瘤中心;b.护理部,广东 湛江 524023
  • 收稿日期:2023-07-31 出版日期:2023-12-10 发布日期:2024-01-09
  • 通讯作者: 刘艳华（1975-）,女,广东湛江人,本科学历,主任护师。E-Mail：gdzjlyh@163.com
  • 作者简介:谭健烽（1980-）,男,广东江门人,博士,副教授。
  • 基金资助:
    广东省哲学社会科学“十三五”规划项目（GD20XXL06）; 广东医科大学博士科研启动项目（B2019034）; 广东医科大学大学生创新实验项目（SZDR002）

Psychological experience and benefit finding in young breast cancer patients during convalescence: a qualitative study

TAN Jian-feng1, WANG Yong-cun2a, ZHENG Xiu-ying1, WANG Zheng-ye1, LIU yan-hua2b   

  1. 1. Department of Psychology, School of Humanity and Management, Guangzhou Medical University, Zhanjiang 524023, China;
    2a. Cancer Center; c. Dept. of Nursing Administration, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524023, China
  • Received:2023-07-31 Online:2023-12-10 Published:2024-01-09

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摘要： 目的 了解康复期乳腺癌青年患者康复过程的心理体验与益处发现,为促进患者康复提供依据。方法 采用目的取样法,选取广东省某三级甲等医院接受治疗的12例乳腺癌康复期青年患者,进行半结构式深度访谈。访谈资料采用Colaizzi 7步分析法进行整理分析,整理主题。结果 康复过程的心理体验提炼出4个主题：诊断的冲击与勉强接受、治疗的痛苦与忍耐坚持、康复的照顾与鼓励需求、感恩与癌症创伤后成长。益处发现提炼出5个主题：性格改变、他人关系改变、生活改变、疾病意义、感恩奉献。结论 康复期乳腺癌青年患者在经历疾病带来的负性情绪与压力的同时,也在经历着从性格、关系、生活改变和感恩奉献等多方面的益处发现与积极成长。医护人员应关注患者积极心理体验,以促进患者身心康复,提高生活质量。

关键词: 乳腺癌, 康复期, 心理体验, 益处发现, 质性研究

Abstract: Objective To understand the psychological experience and benefit finding in young breast cancer patients during the convalescence. Methods Purposive sampling was used to recruit 12 young breast cancer patients from a tertiary grade-A hospital in Zhanjiang, Guangdong Province. Semi-structured interviews were conducted and Colaizzi 7-step analysis was used to sort out the data. Results Four themes were extracted from the psychological experience during the rehabilitation, including impact of diagnosis and reluctant acceptance, pain and patience of treatment, need for care and encouragement during rehabilitation, and gratitude and post-traumatic growth after cancer. Five themes were extracted from the benefit finding, including personality change, changes in the relationships, change in the life, the meaning of illness, and gratitude and dedication. Conclusion The young breast cancer patients are experiencing negative emotions and pressures brought by the disease, as well as benefit discovery and positive growth. To enhance the physical and mental well-being of young breast cancer patients, healthcare providers should prioritize fostering positive psychological experiences and facilitating the discovery of benefits.

Key words: breast cancer, convalescence, psychological experience, benefit finding, qualitative study

中图分类号: 

  • R473.73
[1] Pascoe L, Edvardsson D.Benefit finding in cancer: a review of influencing factors and health outcomes[J]. Eur J Oncol Nurs,2013, 17(6):760-766.DOI:10.1016/j.ejon.2013.03.005.
[2] Liu JE, Wang HY, Wang ML,et al.Posttraumatic growth and psychological distress in Chinese early-stage breast cancer survivors: a longitudinal study[J]. Psycho-Oncology,2014,23(4):437-443.DOI:10.1002/pon.3436.
[3] Lassmann I,Dinkel A,Marten-Mittag B,et al.Benefit finding in long-term prostate cancer survivors[J].Support Care Cancer,2021,29(8):4451-4460.dOI:10.1007/s00520-020-05971-3.
[4] Aderhold C,Morawa E,Paslakis G,et al.Protective factors of depressive symptoms in adult cancer patients: the role of sense of coherence and posttraumatic growth in different time spans since diagnosis[J]. J Psychosoc Oncol, 2019,37(4):1-20.DOI:10.1080/07347332.2019.1631931.
[5] Groarke A,Curtis R,Groarke JM,et al. Post-traumatic growth in breast cancer:how and when do distress and stress contribute?[J].Psycho-Oncology,2017, 26(7):967-974. 2017.DOI:10.1002/pon.4243.
[6] Darshit P,Paolo DI,Gail G,et al.Post-traumatic stress disorder and post-traumatic growth in breast cancer patients-a systematic review[J]. Asian Pac J Cancer Prev,2015,16(2):641-646. DOI:10.7314/APJCP.2015.16.2.641.
[7] Coroiu A, Koerner A, Burke SM, et al.Stress and posttraumatic growth among survivors of breast cancer: a test of curvilinear effects[J]. Int J Stress Manage,2016,23(1):84-97.DOI:10.1037/a0039247.
[8] Yuping W, Xiongzhao Z, Jinyao Y, et al.Benefit finding predicts depressive and anxious symptoms in women with breast cancer[J]. Qual Life Res,2015, 24(11):2681-2689.DOI:1010.1007/s11136-015-1001-z.
[9] Zsigmond O,Vargay A,E Józsa,et al. Factors contributing to post-traumatic growth following breast cancer: results from a randomized longitudinal clinical trial containing psychological interventions[J]. Developments in Health Sciences,2019,2(4):1-7.DOI:10.1556/2066.2.2019.005.
[10] Liu Z,Doege D,Thong MSY,et al.Distress mediates the relationship between cognitive appraisal of medical care and benefit finding/posttraumatic growth in long-term cancer survivors[J]. Cancer, 2021, 127(19):3680-3690.DOI:10.1002/cncr.33684.
[11] 郭素然,伍新春.反刍思维与心理健康[J].中国心理卫生杂志,2011,25(4):314-318.
[12] Lindstrom CM,Cann A,Calhoun LG,et al.The relationship of core belief challenge, rumination, disclosure, and sociocultural elements to posttraumatic growth[J].Psychol Trauma-Us,2013,5(1):50-55.DOI:10.1037/a0022030.
[13] 周宵,季林香,亓军军,等.癌症患者及其家庭陪护者癌症进展恐惧,反刍与PTSD症状的关系:基于配对数据的分析[J].中国临床心理学杂志,2022,30(3):658-662.
[14] Nina Ogińska-Bulik, Kobylarczyk M.The role of rumination in posttraumatic growth in people struggling with cancer[J].J Psychosoc Oncol, 2019, 37(2):1-13.DOI:10.1080/07347332.2019.1600628.
[15] 王静,刘维,李菲菲,等.书写表达对乳腺癌青年患者自我效能、躯体症状及心理健康的影响[J].中国健康心理学杂志,2021,29(7):973-978.
[16] 李惠萍,章毛毛,张婷,等.基于自我表露的乳腺癌患者益处发现干预方案的构建及初步验证[J].护理学杂志,2020,35(11):75-79.
[17] 吴丹燕,李惠萍,肖婷,等.自我表露对乳腺癌患者益处发现的影响:亲密关系和自我效能感的链式中介作用[J].中国临床心理学杂志,2019,27(2):388-391.
[18] Wang Y,Zhu X,Yang Y,et al.What factors are predictive of benefit finding in women treated for non-metastatic breast cancer? A prospective study[J]. Psycho-Oncology,2015,24(5):533-539.DOI:10.1002/pon.3685.
[19] Black N, Gruyter ED, Petrie D,et al.Altruism born of suffering? The impact of an adverse health shock on pro-social behaviour[J]. J Econ Behav Organ,2021,191:902-915. DOI:10.1016/J.JEBO.2021.09.038.
[20] 吕峰,皇甫刚.生于苦难的利他:概念、分类和影响因素[J].南开学报(哲学社会科学版),2018,(4):82-90.
[21] 张瑞芹,孙翠勇,康乃馨,等.康复期乳腺癌患者积极情绪与自我效能感及益处发现的关系[J].广东医学,2018,39(12):119-122.
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