کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان

صفحه اصلی / اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان

Experiences of women with breast cancer and their husbands From the wife's unsupportive behavior: A mixed method content analysis study :A mixed method content analysis study

نویسندگان :

Elham Rasoulian (دانشگاه علوم پزشکی شهید بهشتی)

کلمات کلیدی :

wife's unsupportive behaviors،Breast Cancer،Breast cancer experience

چکیده :

Introduction: non-supportive responses of relatives, especially the wife, play an important role in the psychological adjustment of breast cancer patients and their spouses Failure to meet the physical and psychological needs of breast cancer patients and their spouses can lead to anxiety and depression and marital problems. Objective: To determine the experiences of women with breast cancer and their wives From the wife's unsupportive behavior. Research method: The current research is a combined study with an explanatory approach. The first part of the study was a quantitative study conducted in the educational and therapeutic centers of Martyr Qazi Tabatabai and Martyr Madani in Tabriz. In the first part, a cross-sectional study aimed at determining non-supportive behaviors of women with breast cancer and their wives and related factors were carried out on it. In the second part, a qualitative study aimed at explaining the experiences of women with breast cancer and their husbands It was done because of the unsupportive behavior of the wife. By using the purposeful sampling method, To explain the experiences of women with breast cancer, The wife's unsupportive behavior was discussed from the point of view of 9 women with breast cancer and 6 cases of the patients' husband. Data were collected using in-depth individual interviews and note-taking, and analysis was done using Van Manen's phenomenology. Findings: The findings showed that the average perceived non-supportive behavior of women was higher than the average perceived non-supportive behavior of men, and this difference was statistically significant (P=0.003). On the other hand, considering the cut-off point of 2.5 (median) for individual items and the cut-off point of 32.5 for all items, the average (standard error) (0.69) was 2.03, the t-test statistic was 2.95 and the degree of freedom was 438 (P =0.003). The amount of perceived unsupportive behavior in women and husbands was equal to 22 (0.10) and 8 (3.6) respectively. Also, the results of the chi-square test (after confirming the Kekran and independent conditions and the randomness of the samples) showed that there is a statistically significant difference between the perceived non-supportive behavior of women and husbands (P=0.008). The analysis of qualitative data related to the experiences of women with breast cancer and their husbands led to the formation of 5 main themes in women and 2 main themes in their husbands, which include: financial poverty, emotional poverty and disintegration of life together, lack of existential value as a woman, partner's violence, wife's positive modeling of the treatment staff's supportive behavior; In women and in husbands of patients: coldness and freezing of women's life, partner violence; Was Conclusion: Women perceive their husband's behavior as more unsupportive than their husband's perception of women's behavior. which expresses the need for the husband to pay more attention to the effect of his behavior on his wife, Also, talking about the problem by the couple is the biggest factor in understanding support. Health professionals should pay more attention and help men to cope with this disease and bear the suffering of their wives

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