Perceived Barriers to Self-Management in Malaysian Women with Breast Cancer

Perceived Barriers to Self-Management in Malaysian Women with Breast Cancer
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DOI:
10.1177/101053950701900309
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发表时间:
2007-07-01
影响因子:
2.5
通讯作者:
Low, W. Y.
Low, W. Y.
中科院分区:
医学4区
文献类型:
--
作者:
Loh, S. Y.;Packer, T.;Low, W. Y.

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采用焦点小组访谈的自然主义调查,探讨乳腺癌妇女自我管理的经验和感知障碍。其目的是确定他们认为的自我管理障碍,以帮助制定康复方案。成功的方案与患者的感知需求密切相关。有目的地招募了由39名女性组成的四个焦点小组。探讨了妇女在乳腺癌的医疗、情感和角色管理三个领域的需求。主要障碍是缺乏信息、无法获得服务和支持以及社会经济文化问题(根深蒂固的神话、社会经济地位低下以及保险-保健立法覆盖面不足)。调查结果提供了幸存者严重缺乏的“专家观点”,他们证实了医疗,情感和角色管理任务的重要性,并强调了障碍和结构性解决方案。随着乳腺癌被认为是一种慢性疾病,这项研究是及时的。Asia Pac J Public Health 2007; 19(3):52-57.
Naturalistic inquiry using focus group interviews was undertaken to explore experiences and perceived barriers to self management in women with breast cancer. The aim was to identify their perceived barriers to self management to aid the development of rehabilitation programmes. Successful programmes are strongly linked to patients' perceived needs. Four focus groups consisted of 39 women, were purposively recruited. Women's needs within the three areas of medical, emotional and role management of breast cancer were explored. The main barriers were unavailability of information, inability to access services-and-support, and socio-economic-cultural issues (entrenched myths, low-socioeconomic status, and inadequate insurance-health legislative coverage). The findings provide the critically lacking 'expert-view' of survivors, who verified the importance of the medical, emotional and role management tasks, and highlighted barriers and structural solutions. With breast cancer becoming recognised as a form of chronic illness, this study is timely. Asia Pac J Public Health 2007; 19(3): 52-57.