Expressions of Loss of Adulthood in the Narratives of People with Colorectal Cancer

Expressions of Loss of Adulthood in the Narratives of People with Colorectal Cancer
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结直肠癌患者的叙述中成年期丧失的表达

DOI:
10.1177/1049732303260874
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发表时间:
2004
影响因子:
3.2
通讯作者:
S. Ziebland
S. Ziebland
中科院分区:
医学2区
文献类型:
--
作者:
L. Rozmovits;S. Ziebland

文献摘要

被引文献

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结直肠癌的诊断和治疗需要详细讨论身体功能,侵入性程序,以及围绕排便习惯重新定位生活。此外,有造口的人在成年后会经历第二次如厕训练。由于这些原因,结肠直肠癌有时被认为是一种令人尴尬的疾病。对结直肠癌患者的叙事访谈表明,在描述尊严、隐私、独立性和性信心的丧失以及工作、旅行和社交能力的受损时,尴尬的概念是不充分的。如果卫生专业人员和护理人员要为受结直肠癌影响的人提供最适当形式的信息和支持,就必须承认肠道控制和成人身份构成之间的联系。
The diagnosis and treatment of colorectal cancer entail detailed discussions of bodily functions, invasive procedures, and a reorientation of life around bowel habit. Furthermore, people with stomas undergo a second experience of toilet training in adulthood. For these reasons, colorectal cancer is sometimes considered an embarrassing disease. Narrative interviews with colorectal cancer patients indicate the inadequacy of the concept of embarrassment in describing the loss of dignity, privacy, independence, and sexual confidence as well as a compromised ability to work, travel, and socialize. The link between bowel control and the constitution of adult identity must be acknowledged if health professionals and carers are to offer the most appropriate forms of information and support to people affected by colorectal cancer.