年轻乳腺癌幸存者在治疗后对生殖问题的关注：描述性现象学研究。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2024-10-01 DOI:10.1016/j.anr.2024.09.003

Wenjing Xu , Xiangyu Liu , Cuicui Zhang , Lili Zhu , Yuxiu Zhao , Changju Liao

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引用次数: 0

摘要

目的：对于年轻的乳腺癌幸存者来说，癌症治疗对生育的长期影响是一个重大问题。这些生殖问题往往成为持续的压力来源，对她们的生活质量产生负面影响。本研究旨在探讨年轻乳腺癌幸存者在治疗后所经历的生殖问题以及影响其看法的因素：本现象学研究采用半结构式访谈收集数据。方法：本研究采用半结构式访谈收集数据，从中国大陆一家三甲医院招募了 18 名参与者。对访谈内容进行了逐字记录，并采用科莱兹方法对访谈内容进行了分析：数据分析揭示了五个主题和十四个次主题：(1) 多重情感负担与对生育的担忧交织在一起；(2) 对生育风险的担忧；(3) 养育子女的困境；(4) 生育的意义；(5) 需要来自家庭、同伴和专业人士的支持：结论：中国年轻的乳腺癌幸存者面临着与生殖问题相关的重大挑战。生殖健康是乳腺癌幸存者护理的一个重要方面。医疗服务提供者必须关注幸存者的生殖问题，认识到多方面支持对积极适应的重要性，并提供有针对性的持续干预，以管理年轻乳腺癌幸存者的生殖健康。

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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Post-Treatment Experiences of Reproductive Concerns Among Young Breast Cancer Survivors: A Descriptive Phenomenological Study

Purpose

The long-term fertility impact of cancer treatments is a significant concern for young breast cancer survivors. These reproductive concerns often become a persistent source of stress, negatively affecting their quality of life. This study aims to explore the reproductive concerns experienced by young breast cancer survivors post-treatment and the factors influencing their perceptions.

Methods

This phenomenological study utilized semi-structured interviews to collect data. Eighteen participants were recruited from a tertiary hospital in Mainland China. The interviews were transcribed verbatim and analyzed using Colaizzi's method.

Results

Data analysis revealed five themes and fourteen subthemes: (1) multiple emotional burdens interwoven with concerns about fertility; (2) concerns about risks associated with reproduction; (3) dilemma of childrearing; (4) the significance of reproduction; (5) support needs from family, peers, and professionals.

Conclusion

Young breast cancer survivors in China face significant challenges related to reproductive issues. Reproductive health is a crucial aspect of breast cancer survivorship care. Healthcare providers must be attentive to the reproductive concerns of survivors, recognize the importance of multidimensional support for positive adaptation, and offer tailored and ongoing interventions to manage reproductive health in young breast cancer survivors.

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.