fa مراحل گذر از بحران در افراد مبتلا به سرطان: یک مطالعه روایت‌پژوهی روانشناسی Psychology پژوهشي Original article <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">افراد مبتلا به سرطان از لحاظ روحی بسیار آسیب‌پذیر هستند و ممکن است به انواع آسیب‌های روانی دچار شوند. این امر در میزان مقاومت و بهبودی بدنشان در برابر سرطان تاثیرات بسزایی دارد. با توجه به آمار بالای سرطان در کشور هدف از این مطالعه بررسی فرآیند گذر از بحران در بیماران سرطانی است.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نوع مطالعه کیفی می‌باشد. در این مطالعه از روش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روایت</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">پژوهی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تکنیک</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مصاحبه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روایی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">منظور</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دستیابی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مراحل گذر از بحران در بیماران سرطانی استفاده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">است</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> طی مصاحبه با 14 بیمار مبتلا به سرطان در شهر گناباد اشباع نظری حاصل شد.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">برای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تجزیه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تحلیل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داده‌ها</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">از</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تحلیل</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقایسه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ای</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شیوه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">استراوس و</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">کوربین (1990)</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">استفاده</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شد</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">افراد مبتلا به سرطان 8 مرحله را تا پذیرش مرگ طی کردند. این مراحل شامل شوک بیماری، انکار بیماری، مخفی‌کاری توسط بیمار، خشم، افسردگی، حمایت ادراک شده دینی، پذیرش بیماری و در نهایت پذیرش مرگ بود.</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با توجه بـه لزوم شناخت فرآیند گذر از بحران در افراد مبتلا به سرطان و هم‌چنین آمار بالای مبتلایان‌، نتایج ایـن مطالعه می&shy;‌تواند برای افراد درگیر با این بیماران در جهــت مواجهــه صـحیح بــا آن‌ها و همچنین برای پژوهشگران، مدیران و برنامه ریزان جهت شناخت بیشتر نیازهای بیماران سرطانی و برنامه‌ریزی‌های مبتنی بـر شـواهد مورد استفاده قرار گیرد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span dir="RTL"></span><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Cancer patients are extremely vulnerable psychologically and may suffer a variety of psychological trauma. This can have a significant impact on their cancer resistance and recovery. The aim of this study was to investigate the transition process of crisis in cancer patients, considering the high number of cancer in the country.</span> <span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b><span new="" roman="" style="font-family:" times=""> This study was conducted using a qualitative paradigm. In this study, narrative research approach </span><span new="" roman="" style="font-family:" times="">and narrative interview technique was run in order to achieve the transition stages in crisis in cancer patients</span><span new="" roman="" style="font-family:" times="">. During the interview with 14 cancer patients in Gonabad City, theoretical saturation was obtained. Data were analyzed using Strauss and Corbin (1990) comparative analysis.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">Cancer patients went through 8 stages before accepting death. </span><span new="" roman="" style="font-family:" times="">These stages included </span><span new="" roman="" style="font-family:" times="">Disease shock, denial of disease, concealment, anger, depression, religious perception, acceptance of illness and acceptance of death.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:18.0pt"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">Due to the need to know the crisis process in people with cancer and the high number of patients, the results of this study can be used for people with the patients to deal with them properly, as well as for researchers, managers and planners to know more. The needs of cancer patients and evidence-based planning should be used.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></div> <br> &nbsp; بحران, سرطان, پذیرش بیماری, پژوهش کیفی Distress, Cancer, Incurable diseases, Qualitative research. 4726 4739 http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4592-1&slc_lang=fa&sid=1 Sedighe Arabi صدیقه عربی sedighe.arabi@yahoo.com 0000-0002-3255-1371 Yes Social Development & Health Promotion Research Center, Gonbad University of Medical Sciences, Gonabad, Iran. مرکز تحقیقات توسعه اجتماعی و ارتقای سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران Bibi Aghdas Asghari بی‌بی اقدس اصغری a_asghari2002@yahoo.com 0000-0003-4847-286X No Department of Social Science, School of Humanities, Islamic Azad University Gonabad Branch, Gonabad, Iran. گروه علوم اجتماعی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد گناباد، گناباد، ایران