Transition From Patient to Survivor in African American Breast Cancer Survivors
Transition From Patient to Survivor in African American Breast Cancer Survivors
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DOI：
10.1097/ncc.0000000000000120
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发表时间：
2015-01-01
期刊：
影响因子：
2.6
通讯作者：
Nemeth, Lynne
中科院分区：
文献类型：
--
作者：
Mollica, Michelle;Nemeth, Lynne
背景：乳腺癌是非裔美国 (AA) 女性中最常见的癌症，其生存率为 79%，低于美国其他族裔和种族群体。少数群体在护理的及时性、提供具有文化敏感性的护理和结果方面存在差异。从积极治疗到生存的转变提供了探索的机会。目的/目标：这项定性、扎根的理论研究考察了 AA 女性从乳腺癌患者转变为乳腺癌幸存者时的经历和应对方式。方法：本研究纳入了来自南卡罗来纳州查尔斯顿和纽约州布法罗的 15 名 35 至 75 岁社区 AA 女性，她们在 6 至 18 个月内完成了原发性乳腺癌的治疗。半结构化访谈探讨了他们完成治疗时的经历、家人的支持、精神角色、身体和情感问题、幸存者的需求，以及对其他幸存者可能采取的干预措施的建议。两名研究人员审查了转录本和编码，以确认和完善研究结果。结果：确定了四个主题：依靠信仰支持的坚持斗争、持续的身体问题、治疗后所需的预期指导以及与身体同等重要的情感需求。结论：从癌症患者到幸存者的转变是一个普遍充满压力、安全网丧失和重要应对措施的时期。参与者表示在完成治疗时需要得到另一位 AA 乳腺癌幸存者的支持。对实践的启示：护士和提供者可以评估和解决过渡期间的压力源。护士应设计以患者为中心的干预措施，利用同伴作为直接支持，以促进有效的应对策略。
Background: Breast cancer is the most common cancer among African American (AA) women, with a survival rate of 79%, lower than for other ethnic and racial groups in the United States. Minorities experience disparities in timeliness of care, delivery of culturally sensitive care, and outcomes. Transition from active treatment to survivorship presents an opportunity for exploration. Purpose/Objectives: This qualitative, grounded theory study examined the experiences and coping of AA women as they transition from being a breast cancer patient to being a breast cancer survivor. Methods: This study included 15 community-based AA women aged 35 to 75 years in Charleston, South Carolina, and Buffalo, New York, who had completed treatment for primary breast cancer between 6 and 18 months prior. A semistructured interview explored experiences as they finished treatment, support from family, role of spirituality, physical and emotional concerns, needs of the survivor, as well as suggestions for possible interventions for other survivors. Two investigators reviewed transcripts and coding to confirm and refine the findings. Results: Four main themes were identified: perseverance through struggles supported by reliance on faith, persistent physical issues, anticipatory guidance needed after treatment, and emotional needs as important as physical. Conclusions: The transition from cancer patient to survivor is a pervasive time filled with stress, loss of safety net, and significant coping measures. Participants expressed the need to have support from another AA breast cancer survivor as they complete treatment. Implications for Practice: Nurses and providers can assess and address stressors in transition. Nurses should design patient-centered interventions using peers as direct support to promote effective coping strategies.