Psychosocial Support Needs of Small Cell Lung Cancer Patients in China: A Qualitative Study From a Cultural Adaptation Perspective.

IF 1.3 4区 医学 Q4 PSYCHIATRY
Li-Li Zhang, Lu Tian, Yan-Hua Teng, Ning Ma, Ya-Jing Yang
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引用次数: 0

Abstract

ObjectiveThis qualitative study examined the psychosocial support needs of small cell lung cancer (SCLC) patients within China's family-oriented cultural context. Guided by cultural adaptation theory, the study explored how cultural values shape patients' psychological experiences and treatment decision-making.MethodsUsing a phenomenological purposive sampling strategy, 32 SCLC patients from a tertiary oncology hospital in Tianjin, China (May 2024-March 2025) participated in semi-structured, in-depth interviews. Transcripts were managed with NVivo 12, and themes were identified using Colaizzi's phenomenological analysis.ResultsDistinct cultural factors influenced patient needs. Six major themes emerged: (1) dual psychological crises stemming from disease stigma and prognostic dread; (2) pervasive insecurity due to recurrence uncertainty; (3) heightened decision-making stress and information asymmetry; (4) Ethical and Familial Complexities in Treatment Choices-patients struggled to balance personal survival with family responsibilities and financial constraints; (5) an imbalance between the desire for professional psychological support and reliance on informal peer networks; and (6) deliberate suppression of negative emotions to maintain family stability.ConclusionsThe findings revealed a conflict between medical imperatives and entrenched family-oriented cultural values, underscoring the complexity of providing psychosocial support in SCLC care to Chinese patients.

文化适应视角下中国小细胞肺癌患者心理社会支持需求的定性研究
目的研究中国家庭文化背景下小细胞肺癌(SCLC)患者的心理社会支持需求。本研究以文化适应理论为指导,探讨文化价值观如何影响患者的心理体验和治疗决策。方法采用现象学目的抽样方法,对天津市某三级肿瘤医院的32例SCLC患者(2024年5月- 2025年3月)进行半结构化深度访谈。使用NVivo 12处理转录本,并使用Colaizzi的现象学分析确定主题。结果不同的文化因素影响患者的需求。出现了六个主要主题:(1)疾病耻辱和预后恐惧引发的双重心理危机;(2)由于复发性不确定性导致的普遍不安全感;(3)决策压力和信息不对称加剧;(4)治疗选择中的伦理和家庭复杂性——患者努力平衡个人生存与家庭责任和经济约束;(5)对专业心理支持的渴望与对非正式同伴网络的依赖之间的不平衡;(6)刻意抑制负面情绪,维护家庭稳定。研究结果揭示了医疗需求与根深蒂固的以家庭为导向的文化价值观之间的冲突,强调了向中国SCLC患者提供社会心理支持的复杂性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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