Dismantling the present and future threats of testicular cancer: a grounded theory of positive and negative adjustment trajectories
Dismantling the present and future threats of testicular cancer: a grounded theory of positive and negative adjustment trajectories
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DOI：
10.1007/s11764-015-0466-7
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发表时间：
2016-02-01
影响因子：
3.7
通讯作者：
Watson, Eila
中科院分区：
文献类型：
--
作者：
Matheson, Lauren;Boulton, Mary;Watson, Eila
睾丸癌通常影响壮年男性。虽然生存率很高，但之前很少有研究考察男性适应生存的经历。我们的目的是在年轻的睾丸癌幸存者中探讨这个问题。在治疗完成后的一年中，在相隔约 6 个月的两个时间点对睾丸癌幸存者进行了深入的定性访谈。使用扎根理论方法对访谈进行分析。样本包括 18 名 22 至 44 岁（平均年龄 34）的睾丸癌幸存者。一个扎根的理论被提出，它解释了治疗完成后第一年的积极调整过程，即男性消除当前和未来癌症威胁的能力，包括获得远见、努力继续生活和恢复正常的关键转变。这些是由六个关键流程推动的。还介绍了解释消极调整轨迹的过程。这些发现有助于了解睾丸癌对年轻男性生活的心理社会影响，并对为睾丸癌幸存者提供支持具有影响。有必要进一步调查一对一的同伴支持干预措施的可行性，以及尊重男性独立愿望的非正式支持。了解调整所涉及的过程突出了卫生专业人员可以通过挑战疾病信念、鼓励情绪表露和促进同伴指导来为那些努力调整的人提供支持的方式。
Testicular cancer commonly affects men in the prime of their lives. While survival rates are excellent, little previous research has examined men's experiences of adjustment to survivorship. We aimed to explore this issue in younger testicular cancer survivors.In-depth qualitative interviews were conducted with testicular cancer survivors over two time points approximately 6 months apart in the year following treatment completion. Interviews were analysed using a grounded theory approach.The sample included 18 testicular cancer survivors between 22 and 44 years (mean age 34). A grounded theory was developed, which explained the process of positive adjustment over the first year following the treatment completion in terms of men's ability to dismantle the present and future threats of cancer, involving the key transitions of gaining a sense of perspective and striving to get on with life and restore normality. These were facilitated by six key processes. The processes that explained a negative adjustment trajectory are also presented.These findings contribute to the understanding of the psychosocial impact of testicular cancer on younger men's lives and have implications for the provision of support to testicular cancer survivors. Further investigation into the feasibility of one-on-one peer support interventions is warranted, as well as informal support that respects men's desire for independence.Understanding the processes involved in adjustment highlights ways in which health professionals can offer support to those struggling to adjust through challenging illness beliefs, encouraging emotional disclosure and facilitating peer mentoring.