Psychosocial support for breast cancer patients through the support group system.

日本的乳腺癌发病率呈上升趋势，其预后也比以前好很多。因此，有许多患者在接受乳腺癌治疗后存活下来，这些治疗通常需要手术。这些经历影响了他们的身体和心理社会地位。这项研究调查了患者和乳腺癌外科医生对这一问题的看法，然后探索了日本为他们提供的可能的心理社会支持系统。在研究的第一部分，1995年对41名乳腺癌幸存者进行了半结构化的深入访谈，以通过他们自己的叙述了解他们的疾病经历。访谈采用扎根理论的方法进行分析。访谈揭示了受访者在疾病不同阶段的心理社会问题，以及他们对医疗专业人员提供的心理社会支持的接受程度。采访还显示，许多幸存者欣赏情绪化和信息化的su…来自他们在乳房外科病房遇到的其他病人的更多支持。然而，他们对医院外的乳腺癌自助小组并不是那么感兴趣。许多受访者表示，医院需要工作人员来照顾病人的心理社会问题。接下来，在1997年，对258名日本乳房外科医生进行了问卷调查。大多数外科医生回答，他们应该在处理医疗、患者日常生活中的身体管理和死亡焦虑等问题上发挥重要作用。然而，将身体形象和性生活问题、患者与他人的关系以及经济和工作问题视为自己领域的外科医生数量相对较少。许多外科医生对乳腺癌自助组织和前患者的同行探视计划提供的信息的中立性表示怀疑。只有一小部分外科医生利用了同行的这些活动。最后，对未来乳腺癌患者的心理社会支持系统的意义进行了讨论。较少

The incidence of breast cancer is increasing in Japan, with its prognosis being much better than before. Accordingly, there are many patients who live after undergoing breast cancer treatments which usually involve surgeries. These experiences influence their physical as well as their psychosocial status. This research examined the views of patients and breast cancer surgeons on this issue, then explored a possible psychosocial support system for them in Japan.In the first part of the study, 41 semi-structured, in-depth interviews with breast cancer surnivors were performed in 1995 to understand their experiences of the illness through their own narratives. The interviews were analyzed using the Grounded Theory approach. The interviews uncovered the interviewees' psychosocial problems at various stages of the illness, and their acceptance of psychosocial support provided by medical professionals. The interviews also revealed many survivors appreciated the emotional and informational su … More pport from other patients they met in the breast surgery ward. However, they were not so interested in breast cancer self-help groups outside of the hospital. The need for hospital staff who take care of patients' psychosocial problems was indicated by many interviewees.Next, in 1997, a questionnaire survey of 258 Japanese breast surgeons was conducted. A majority of surgeons answered they should play a major role in dealing with problems of medical treatments, patients' physical management in daily life, and death anxiety. However, the number of surgeons who regarded problems of body image and sexual life, patients' relationships with other people, and finance and job as their province was relatively small. Many surgeons were skeptical about the neutrality of the information provided by breast cancer self-help groups and peer visiting programs by former patients. Only a small number of surgeons had utilized those activities by peers. Finally, implications for a future psychosocial support system for breast cancer patients were discussed. Less