关键词: chemotherapy lived experience phenomenology qualitative research quality of life temporality time time perception

来  源:   DOI:10.3390/cancers16112124   PDF(Pubmed)

Abstract:
Understanding the impact of cancer on the experience of time is crucial in the context of hope and recovery. This study, a follow-up to a previous qualitative study of ovarian cancer patients - explored two types of such experiences-the memory of past happiness and the limited future planning. A sociodemographic questionnaire with nine questions about the experience of time was used on a convenience sample of 202 patients with various cancers, predominantly women with breast, ovarian, and cervical cancer. It was found that the respondents experienced increased focus on the present, decreased focus on the future, and a sense of unpredictability, with a relatively short temporal horizon measured in weeks and months, not years. Almost half of the respondents (46%) measured time during treatment by the rhythm of chemotherapy and check-ups, which thus appeared as the most meaningful events. The increase in the frequency with which patients underwent chemotherapy mildly affected their focus on the present (R = 0.25, p < 0.05), likely because of the discomfort of the side effects. The correlations between age and time in treatment, on the one hand, and the experience of time, on the other, were negligible. Changed temporal experience during chemotherapy is a factor that can have an impact on patients\' well-being and ability to cope with the disease. It thus should be taken into account when planning oncology care.
摘要:
在希望和康复的背景下,了解癌症对时间体验的影响至关重要。这项研究,对先前对卵巢癌患者进行的定性研究的随访-探索了两种类型的经历-对过去幸福的记忆和有限的未来计划。对202名患有各种癌症的患者的便利样本使用了包含9个关于时间体验的问题的社会人口统计学问卷,主要是有乳房的女性,卵巢,还有宫颈癌.结果发现,受访者对当下的关注有所增加,减少对未来的关注,一种不可预测性,以几周和几个月为单位的时间范围相对较短,不是几年。几乎一半的受访者(46%)通过化疗和检查的节奏来衡量治疗期间的时间,因此,这似乎是最有意义的事件。患者接受化疗频率的增加轻度影响了他们对当前的关注(R=0.25,p<0.05),可能是因为副作用的不适。年龄和治疗时间之间的相关性,一方面,和时间的经验,另一方面,微不足道。化疗期间的时间体验改变是影响患者健康和应对疾病能力的一个因素。因此,在计划肿瘤学护理时应考虑到这一点。
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