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首页> 外文期刊>Journal of cancer survivorship: research and practice >Integrating self-management into daily life following primary treatment: head and neck cancer survivors' perspectives
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Integrating self-management into daily life following primary treatment: head and neck cancer survivors' perspectives

机译：在初级治疗之后将自我管理整合到日常生活中：头部和颈部癌症幸存者的观点

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BackgroundSelf-management may help cancer survivors to better deal with challenges to their physical, functional, social and psychological well-being presented by cancer and its treatment. Nonetheless, little is known about how people integrate cancer self-management practices into their daily lives. The aim of this study was to describe and characterise the processes through which head and neck cancer (HNC) survivors attempt to integrate self-management into their daily lives following primary treatment.MethodsUsing a purposeful critical case sampling method, 27 HNC survivors were identified through four designated cancer centres in Ireland and participated in face-to-face semi-structured interviews. Interviews were audio-recorded, transcribed and analysed using thematic analysis.ResultsSix themes describing HNC survivors' attempts to integrate self-management into their lives following treatment were identified: grappling with having to self-manage, trying out self-management strategies, becoming an expert self-manager, struggling to integrate self-management strategies into daily life, avoiding recommended self-management and interpreting self-management.ConclusionsThis is the first study to describe HNC survivors' attempts to integrate self-management into their daily lives following primary treatment. The findings indicate that HNC survivors exhibit highly individualised approaches to self-management integration and abandon self-management strategies that fail to meet their own specific needs.Implications for Cancer SurvivorsSurvivors may benefit from skills training and structured support to assist their transition between in-patient care and having to self-manage after primary treatment, and/or ongoing support to deal with persistent and recurring challenges such as eating difficulties and fear of recurrence.
机译：Foundricy Management可能有助于癌症幸存者更好地应对癌症及其治疗的身体，功能，社会和心理幸福的挑战。尽管如此，人们对人们如何将癌症自我管理实践纳入日常生活的知之甚少。本研究的目的是描述和表征头部和颈部癌症（HNC）幸存者试图将自我管理整合到他们的日常生活中的过程中的过程。方法，通过在爱尔兰的四个指定癌症中心，并参加了面对面的半结构化访谈。采访是通过专题分析进行音频录制的，转录和分析。鉴定描述HNC Survivers试图将自我管理整合到其生命中的经济学分析进行了验证的主题：努力自我管理，试图自我管理策略，成为一个专家自我经理，努力将自我管理战略整合到日常生活中，避免了建议的自我管理和解释自我管理.Conclusionsthis是描述HNC幸存者试图在初级治疗后将自我管理整合到日常生活中的第一项研究。调查结果表明，HNC幸存者对自我管理一体化的高度个性化方法以及放弃未能满足自己特定需求的自我管理策略。癌症幸存者可以从技能培训和结构化支持中受益，以协助患有患者之间的转型在初级治疗后关心和自我管理，和/或正在进行的支持，以应对持续和经常性挑战，例如饮食困难和对复发的恐惧。

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