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Meningsdannelse som copingstrategi ved livstruende sykdom.: En oversikt over nyere forskning på meningsdannelse i livet med cancer.
Nordic Council of Ministers, Nordic School of Public Health NHV.
2006 (Norwegian)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Meaningfulness as a coping strategy in life threatening illness. : A review of the literature on meaningfulness in cancer patients (English)
Abstract [no]

Bakrunn: det å få en cancerdiagnose er en kraftig konfrontasjon med tilværelsens grunnvilkår. En slik grenseopplevelse kan utløse enten oppgivelse, fornektelse eller en refleksjonsprosess som ofte vil ha spørsmålet om meningen med livet som omdreiningspunkt. Det har generelt vært satt lite fokus på den eksistensielle dimensjon som inngår i det å bli konfrontert med en potensielt livstruende sykdom. Meningsdannelse er et viktig element av både coping og generell livskvalitet.

Hensikt: Å undersøke hvordan mennesker skaper mening når de blir konfrontert med en alvorlig sykdom som cancer. Ønsket var å foreta en litteraturoversikt for bedre å kunne forstå de faktorer som bidrar til, og inngår i meningsdannelse.

Metode: Det ble foretatt en litteraturstudie, med referanse til systematiske oversikter. Ni artikler ble inkludert etter ekstensivt søk og predefinerte kvalitetsvurderingskriterier. Deretter ble det foretatt en innholdsanalyse, og temaene som fremkom ble syntetisert etter prinsipper for meta etnografi. Resultat: en søken etter mening vokste spontant frem som følge av å bli konfrontert med cancer og en mulig prematur død. Temaene i meningsdannelse dreier seg om engasjement i viktige relasjoner, oppdagelsen av egen indre styrke, engasjement i et åndelig innhold, intensivering av livsglede og optimering av tidsutnyttelse.

Konklusjon: Meningsdannelse fremstår som en betydelig orientering og ressurs i bestrebelsene på å cope med en kritisk hendelse og situasjon. For deltakerne i studiene var konfrontasjonen med egen dødelighet et insitament til å bli mer bevisst om de verdifulle aspekt av livet, og ansporet til reevaluering av verdier og en søken etter mening.

Abstract [en]

Background: To obtain a diagnosis of cancer represents a powerful confrontation with the core of existence. A borderline experience such as this may result in giving up, denial or a process of reflection that often will circle around questions about the meaning of life. Generally, there has been little focus on the existential dimension that is part of being confronted with a potentially lethal illness. Meaningfulness is an important element of both coping and general quality of life.

Aim: To investigate and explore how people manage to create meaningfulness when they are confronted with a serious illness like cancer. This study intends to review the literature, to highlight and reach an understanding of the factors that contributes to, and is part of the creation of meaningfulness.

Method: A literature review was undertaken, with reference to systematic reviews. After an extensive search and predefined criteria for assessing quality, nine articles were included. A content analysis was undertaken, and the themes that emerged during this process was then synthesised following the principles of meta-ethnography.

Result: A search for meaning grew spontaneously as a consequence of being confronted with cancer and possible premature death. Meaningfulness included themes such as an engagement in important relations, discovery of inner strength, engagement in spiritual contents, intensified joy of everyday life and optimised use of time.

Conclusion: the creation of meaning stands out as a prominent orientation and resource in the efforts of coping with a critical situation. For the interviewees, the confrontation with their own mortality acted as an inspiration to become more aware of the valuable aspects of life, and led to a re-evaluation of values and a search for meaning.

Place, publisher, year, edition, pages
2006. , 37 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2006:3
Keyword [en]
Meaning, Cancer, Existence, Mortality, Values
Keyword [no]
mening, cancer, eksistens, dødelighet, verdier
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3239OAI: oai:DiVA.org:norden-3239DiVA: diva2:730949
Presentation
2006-02-10, Nordic School of Public Health NHV, P.O. Box 12133,, SE-402 42 Göteborg , Sweden, 13:00 (Norwegian)
Supervisors
Note

ISBN 91-7997-134-2

Available from: 2014-07-01 Created: 2014-06-30 Last updated: 2015-01-29Bibliographically approved

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