Breast cancer diagnosis and its treatment affecting the self -: A meta-synthesis
Breast cancer diagnosis and its treatment affecting the self -: A meta-synthesis
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DOI：
10.1097/01.ncc.0000270707.80037.4c
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发表时间：
2007-05-01
期刊：
影响因子：
2.6
通讯作者：
Wilmoth, Margaret Chamberlain
中科院分区：
文献类型：
--
作者：
Bertero, Carina;Wilmoth, Margaret Chamberlain
已经有大量的定性研究研究了乳腺癌对自我的影响，然而，很少有人从元视角分析这些发现。本研究试图通过对乳腺癌及其影响自我的治疗方法的定性研究进行综合合成来填补这一空白。元方法和元合成技术被用来整合在1990年和2003年之间进行的30个定性研究报告的结果，共有795名妇女，来自几个不同的国家。从这个综合集成中识别出的融合揭示了乳腺癌诊断及其治疗影响自我的4个方面：对自己死亡率的认识，生活在不确定的确定性中，依恋验证和自我的重新定义。这些发现是通过使用比较研究进行验证。这些女性适应了成为乳腺癌患者，重新定义了她们的生活和自我。这项研究强调了许多文化中的女性在将乳腺癌的意义融入生活中时所经历的存在过程。了解这些过程的护士能够更好地将妇女与资源联系起来，帮助她们适应乳腺癌患者的生活。
There has been a great deal of qualitative research conducted that has examined the impact of breast cancer on the Self, however, there has been little effort to analyze these findings from a meta-perspective. This study sought to fill this gap by conducting a meta-synthesis of the qualitative research on breast cancer and its treatments affecting the Self. Meta-method and meta-synthesis techniques were used to integrate findings across 30 qualitative research reports conducted between 1990 and 2003 with a total of 795 women, from several different countries. The fusions identified from this meta-synthesis revealed 4 aspects of the Self affected by the diagnosis of breast cancer and its treatment: awareness of their own mortality, living with an uncertain certainty, attachment validation, and redefinition of Self. These findings were validated through use of a comparison study. The women adapt to being a breast cancer patient; redefining their lives and their self. This study highlights the existential process that women of many cultures move through as they incorporate the meaning of breast cancer into their lives. Nurses who are aware of these processes are better able to link women with resources to help them in their adaptation to living with breast cancer.