Role of spirituality in cancer coping among African Americans: a qualitative examination.
Role of spirituality in cancer coping among African Americans: a qualitative examination.
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DOI：
10.1007/s11764-008-0050-5
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发表时间：
2008-06-01
期刊：
影响因子：
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通讯作者：
Lawrence, Hope
中科院分区：
文献类型：
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作者：
Schulz, Emily;Holt, Cheryl L;Lawrence, Hope
简介：本研究使用定性的方法来检查非裔美国癌症幸存者是否，如果是，如何使用灵性来应对疾病。灵性是用一个模型来定义的，这个模型涉及到与自我、他人、更高的力量和世界的联系。方法：从医生办公室招募了23名患有各种形式癌症的非裔美国患者，并完成了1-1.5小时的访谈。数据由多个编码器使用归纳过程和开放编码进行编码。结果：出现的主题包括但不限于前面提到的连接类型，其中一个主题是与上帝的连接。考虑到社会支持在癌症经历中的重要作用，参与者还强调了他们与他人的联系，这是对精神模式的支持。参与者还明确表示，与他人的联系并不总是积极的，这表明一些人认为某些联系对他们的幸福有不利影响。参与者也表达了与他人分享他们的癌症故事的愿望，他们经常因为他们的疾病经历而获得新的生活视角，并获得新的自我理解。讨论/结论：研究结果表明，非裔美国人认为灵性在他们的癌症应对和生存中起着重要作用。灵性可以解决人类在危机中对确定性的需求。进一步的研究需要进行模型测试，并检验精神在不同背景和癌症类型/阶段的癌症应对中的作用。对癌症幸存者的影响：这些主题可能对癌症幸存者的支持干预措施的发展有实用价值。
INTRODUCTION: This study used qualitative methods to examine whether, and if so how, African American cancer survivors use spirituality in coping with the disease. Spirituality was defined using a model involving connectedness to self, others, a higher power, and the world.METHODS: Twenty-three African American patients with various forms of cancer were recruited from physician offices and completed 1-1.5 h interviews. Data were coded by multiple coders using an inductive process and open-coding.RESULTS: Themes that emerged included, but were not limited to the aforementioned types of connectedness, one theme being connections to God. Given the important role of social support in the cancer experience, participants also emphasized their connectedness to others, which is in support of the spirituality model. Participants also articulated the notion that connections with others were not always positive, indicating that some perceived certain connections as having a detrimental impact on their well-being. Participants also expressed the desire to share their cancer story with others, often gained a new perspective on life, and obtained new self-understanding as a result of their illness experience.DISCUSSION/CONCLUSIONS: Findings indicate that African Americans perceive that spirituality plays a strong role in their cancer coping and survivorship. Spirituality may address a human need for certitude in crisis. Further research is warranted for model testing, and to examine the role of spirituality in cancer coping among those of different backgrounds and cancer types/stages.IMPLICATIONS FOR CANCER SURVIVORS: These themes may have utility for the development of support interventions for cancer survivors.