How to Improve Resiliencein Adolescents With Cancer in Japan
How to Improve Resiliencein Adolescents With Cancer in Japan
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DOI：
10.1177/1043454209356786
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发表时间：
2010-03-01
影响因子：
1.7
通讯作者：
Matsumura, Tsutomu
中科院分区：
文献类型：
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作者：
Ishibashi, Akiko;Ueda, Reiko;Matsumura, Tsutomu
本个案研究利用半结构化访谈和社会网络图，探讨青少年癌症患者在癌症经历中如何发展复原力。7名11至18岁的青少年癌症患者及其母亲参加了这项研究。模式匹配的逻辑使用4阶段自我维持过程模型，以达到一个比较分析。研究结果表明，最初，5名被告知癌症诊断的青少年在癌症经历期间经历了这一过程。此外，在新诊断的青少年和那些经历过复发的青少年中，他们对研究的反应和希望水平略有不同。第二，2名被间接告知其诊断的青少年没有经历过包括该过程的阶段的完整通过。最后，青少年从他们的家人、朋友和亲戚那里得到社会支持。这项研究表明，了解个体和文化差异对于提高青少年癌症患者的复原力非常重要。由于本研究所调查的样本较少，因此需要进一步的研究来验证这些结论，并制定适当的护理干预技术。
This case study made use of semistructured interviews and a social network map to explore how adolescents with cancer develop resilience during the cancer experience. Seven adolescents with cancer aged 11 to 18 years and their mothers participated in this research. Pattern-matching logic using a 4-stage Self-Sustaining Process Model was applied to arrive at a comparative analysis. Findings indicated that initially, 5 adolescents who were told of their cancer diagnoses moved through the process during the cancer experience. Also, in newly diagnosed adolescents and in those who experienced relapse, a slight difference was noticed in terms of their response to studies and their hope levels. Second, 2 adolescents who were told of their diagnoses indirectly did not experience a complete passage through the phases comprising the process. Finally, the adolescents received social support from their families, friends, and relatives. This study suggests that an understanding of individual and cultural differences is important to improve resilience in adolescents with cancer. Because of the small sample surveyed by this research, further studies are needed to validate these conclusions and develop appropriate nursing intervention techniques.