"你可以被治愈,但癌症永远不会离开你":哥伦比亚儿童/青少年癌症成年幸存者的癌症体验跨学科方法。

IF 1.5 4区 医学 Q4 PSYCHOLOGY, SOCIAL
Journal of Psychosocial Oncology Pub Date : 2024-01-01 Epub Date: 2024-05-02 DOI:10.1080/07347332.2024.2345112
Natalia Godoy-Casasbuenas, Yazmin Cadena-Camargo, Nicole Rodríguez, Esther de Vries, Gili Yaron
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引用次数: 0

摘要

目的:儿童或青少年癌症幸存者(CACS)是哥伦比亚乃至整个中南美洲研究不足的人群。在世界范围内,研究通常侧重于高收入环境,并从生物医学或心理学的角度探讨 CACS 的经历。然而,这两种视角都忽略了儿童或青少年癌症幸存者的一个重要方面:受影响个体对残疾身体的主观体验。这项定性研究旨在探讨哥伦比亚儿童或青少年时期癌症幸存者的身体体验,以更好地了解哥伦比亚儿童和青少年癌症幸存者如何与他们改变了的身体和世界联系在一起:通过整合现象学观点和进行全面的生命历程访谈,我们探索了癌症幸存者的经历对其从疾病急性期直至成年期的自我身体感的各种影响。我们对七位癌症幸存者进行了十次生命历程访谈和一次焦点小组讨论。所有参与者都是不同类型儿童/青少年癌症的幸存者。我们对访谈结果进行了主题分析,重点关注参与者经历的体现方面:结果:在参与的儿童和青少年癌症幸存者中,我们发现了有关癌症体验的三大主题:首先,参与者的身体因癌症及其治疗而发生变化,这让他们意识到自己的身体。其次,他们以不同的身体方式适应这种体验。最后,他们将癌症经历的身体痕迹带到现在和未来:参与本研究的 CACS 报告说,他们的癌症经历贯穿了他们的一生,改变了他们对自己身体的感觉以及他们与身体的关系,并在现在和想象中的未来留下了痕迹。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"You can be cured, but cancer never leaves you behind": an interdisciplinary approach into the embodied cancer experiences among adult Colombian childhood/adolescent cancer survivors.

Purpose: Childhood or adolescent cancer survivors (CACS) are an understudied population in Colombia and, in general, in Central and South America. Worldwide, studies typically focus on high-income settings while approaching CACS' experiences from a biomedical or psychological perspective. However, both perspectives miss an important aspect of survivorship after childhood or adolescent cancer: the affected individual's subjective experiences of having a disabled body. This qualitative study aimed to explore the embodied experiences of Colombian adults who survived cancer during their childhood or adolescence to better understand how CACS relate to their altered body and world.

Methods: By integrating phenomenological insights and conducting comprehensive life-story interviews, we explored the various ways in which survivors' cancer experiences affect their bodily sense of self-from the acute phase of the disease until well into adulthood. A total of ten life-stories interviews and one focus group were carried out with seven CACS. All participants were survivors of a different type of childhood/adolescent cancer. The results were analyzed thematically, focusing on the embodied aspects of participants' experiences.

Results: We developed three main themes regarding the embodied cancer experience among participating CACS: Firstly, participants' body changes because of the cancer and its treatment, which makes them aware of their body. Secondly, they adapt to this experience in different bodily ways. Finally, they carry bodily traces of their cancer experience in the present as well as into the future.

Conclusions: The CACS participating in this study report that their experience with cancer has been embodied throughout their lives, changing their sense of their body and how they relate to it, and leaving traces into the present and their imagined future.

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来源期刊
Journal of Psychosocial Oncology
Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-
CiteScore
4.20
自引率
0.00%
发文量
36
期刊介绍: Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.
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