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Det sårede selv: Kvalitativt studie om at blive ramt af kræft i æggestokkene
Nordic Council of Ministers, Nordic School of Public Health NHV.
2010 (Danish)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
The wounded self : Qualitative study of being hit by ovarian cancer (English)
Abstract [da]

Formål: Formålet med studiet var at opnå en fordybet forståelse af, hvordan kvinder med nyopdaget kræft i æggestokkene oplever egen mestring og hvordan mening og identitet konstrueres i den første periode efter diagnosen er stillet.

Metode: Der er anvendt en kvalitativ metode med narrative interviews af seks kvinder, som har fået diagnosticeret kræft i æggestokkene indenfor et halvt år. Til analyse af data anvendtes en narrativ analysemetode ”The Holistic Content Perspective” for at få et helhedsbillede af informanternes selv, som det blev præsenteret i deres fortællinger. 

Resultater: Studiet viser tre forskellige udviklingsveje, som må ses i sammenhæng med kvindernes alder, livsperiode samt sygdommens udbredelse. En udviklingsvej anvendtes af de yngre kvinder, som oplever sygdommen så truende for identiteten, at de forsvarer sig ved at fornægte sygdommens alvorlighed og på ingen måde identificerer sig med denne. De vælger at leve livet uændret som før de blev syge og oplevelsen af mening forsøges fastholdt ved hjælp af fornægtelse af sygdommens alvorlighed. En anden udviklingsvej viste sig hos de ældre kvinder, som forstår sygdommen som en del af livet og som hurtigt begynder en proces af meningsdannelse og tilpasning af identiteten, hvor de forholder sig til sygdommen og dens mulige konsekvenser som tab af livet. Disse kvinder lærer at leve med sygdommen, som en del af deres identitet. En tredje udviklingsvej viste sig hos de kvinder, hvor sygdommen var i et fremskredet stadie og hvor fysiske og sociale lidelser bliver dominerende. Disse kvinder har svært ved at opretholde eller finde mening, i stedet præges de af meningsløshed samtidig med, at identiteten er svær at opretholde, idet selvbilledet og selvforståelsen forsvinder, da de ikke længere kan kende sig selv.

Konklusion. Konstruering af mening og identitet som en del af det at mestre livet med nyopdaget kræft i æggestokkene er vigtig for kvinderne, men processerne omkring, hvordan kvinderne mestrer, er forskellige afhængig af alder, livsperiode og sygdommens udbredelse. Sundhedsfremmende indsatser for at forbedre mestringsprocesserne hos disse kvinder må derfor tilpasses de forskellige udviklingsveje for at sikre størst mulig sundhed.

Abstract [en]

Purpose: The purpose of the study was to obtain an increased understanding of how women with newly diagnosed ovarian cancer are experiencing their own coping and how meaning and identity constructed in the first period after the diagnosis

Method: Used a qualitative approach with narrative interviews with six women who have been diagnosed with ovarian cancer within six months. Data analysis used a narrative analysis method "The Holistic Content Perspective" to get an overall picture of the informants' themselves, as it was presented in their stories

Result: The study shows three different development paths that must be considered in conjunction with women's age, life period, and the spread of disease. A development path used by younger women who experience the disease as threatening to the identity that they defend themselves by denying the seriousness of the disease and in no way identify with this. They choose to live life the same as before they became ill and the experience of meaningful attempts maintained through denial of the seriousness of the disease. Another path of development emerged in the elderly women who understand the disease as a part of life and quickly begin a providing of meaningful and maintenance of identity, how they relate to disease and its potential consequences such as loss of life. These women learn to live with the disease as part of their identity. A third path of development was found in women where the disease was in an advanced stage and the physical and social suffering becomes dominant. These women struggle to retain or find meaning, instead characterized by meaninglessness, while identity is difficult to maintain, with self image and self-understanding recover from, because they can no longer know themselves

Conclusion: The construction of meaning and identity as a part of it to cope with newly discovered cancer of the ovary are important for women, but the processes around how women cope, is different depending on age, life duration and spread of the disease. Health promotion interventions to improve coping processes among these women must keep pace with these different development paths to ensure maximum health.

Place, publisher, year, edition, pages
2010. , 45 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2010:13
Keyword [en]
Coping, Meaning, Identity, Ovarian Cancer, Qualitative Study, Narrative
Keyword [da]
Mestring, Identitet, Mening, Æggestokskræft, Kvalitativt studie, narrativ
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3141OAI: oai:DiVA.org:norden-3141DiVA: diva2:721792
Presentation
2010-09-10, Nordic School of Public Health NHV, Box 121 33, 402 42 Göteborg, Sweden, 00:00 (Danish)
Supervisors
Note

ISBN 978-91-86739-05-8

Available from: 2014-06-05 Created: 2014-06-05 Last updated: 2014-07-07Bibliographically approved

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