乳腺癌女性应对身体形象改变的促进因素和障碍

Sharareh Zeighami Mohammadi, Sima Mohammad Khan kermanshahi, Z. Vanaki, M. Assadi
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引用次数: 1

摘要

背景:应对身体形象的改变是最具挑战性的乳腺癌治疗之一。确定促进因素和障碍对于制定综合护理计划以改善乳腺癌妇女的身体形象至关重要。目的:本研究旨在探讨乳腺癌患者身体形象改变的促进因素和障碍。方法:本研究于2016年3月至2017年10月采用定性方法进行。参与者(36名患有乳腺癌的妇女)通过有目的的抽样和最大变异从伊朗阿尔博尔兹省的医疗保健中心选择。数据收集方法为半结构化访谈,采用Graneheim和Lundman定义的传统内容分析方法进行分析。结果:目前的研究发现,乳腺癌女性应对身体形象改变的辅助因素是“支持资源”,提取自“接受/理解配偶支持”、“感知家庭支持”、“现实生活或网络同伴支持”和“非政府组织支持”四个子类别。应对身体形象改变的障碍是“缺乏同情心的互动”和“卫生系统无法提供服务”。结论:根据本研究的结果,需要支持性指南和计划基于情境的综合护理来改善促进因素和消除障碍,使人们能够更好地应对身体形象的改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Facilitating Factors and Barriers to Coping with Body Image Altered in Women with Breast Cancer
Background: Coping with body image alteration is one of the most challenging breast cancer treatments. Identifying the facilitators and barriers is essential for integrative care planning to improve coping with body image in women with breast cancer. Objectives: This study aimed to explore facilitating factors and barriers to coping with body image altered in women with breast cancer. Methods: This study was done with a qualitative approach from March 2016 to October 2017. Participants (36 women with breast cancer) were selected using purposeful sampling and maximum variation from healthcare centers in Alborz province, Iran. The data collection method was a semi-structured interview analyzed by the conventional content-analysis approach defined by Graneheim and Lundman. Results: The current study found that the facilitators in coping with body image altered in women with breast cancer were "supportive resources" extracted from the four subcategories of "receive/understand spouse support," "perceived support by the family," "support by peers in real life or online" and "support by non-governmental organizations. "The barriers to coping with body image altered were "unsympathetic interactions" and "failure of the health system to provide services." Conclusions: According to the findings of the present study, supportive guidelines and planning context-based integrated care are needed to improve facilitators and remove barriers, which allow people to cope better with body image altered.
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