乳腺癌妈妈在肿瘤确诊后仍将子女家庭放在首位
丁香园 · 2014/08/31
确诊后,较为年轻的乳腺癌妈妈将面临抚养儿女、工作和照顾自己三项不同任务,孰轻孰重?她们做出的选择是:家庭 > 自身健康 > 工作!然而,如果受到经济压力等其他外界因素的干扰,乳腺癌妈妈不得不再次做出妥协,将自身健康至于末位。


随着乳腺癌早期诊断技术和治疗手段的进步,女性乳腺癌患者的 5 年生存率已经明显提高。然而,大多数乳腺癌患者接受治疗后的健康状况和生活质量远不如治疗以前。在治疗过程中,女性乳腺癌患者会遭遇各种难以解决的身体方面、心理方面和生活方面问题。

研究发现,相比年长的乳腺癌患者,年轻乳腺癌患者(50 岁以下)的死亡率更高。众所周知,50 岁以下女性正处于抚养子女阶段,此外还要挣钱养家,她们是家庭中的重要一员。然而,目前尚不清楚女性在乳腺癌确诊后是如何协调多种社会需要、扮演多种角色的。

澳大利亚弗林德斯大学的 Catherine Ruth Mackenzie 近期开展了一项半结构访谈研究,该研究共纳入 32 位已确诊的女性乳腺癌患者,旨在探讨乳腺癌妈妈如何协调抚养子女、工作挣钱和照顾自己的关系,该文章于 2014 年 7 月在线发表在 Social Science & Medicine 上。

调查结果显示,与工作相比,乳腺癌妈妈在肿瘤确诊后更加看重自身健康。然而,基于性别和角色的特殊性,她们会将家庭(特别是子女问题)放在自身健康的前面。

乳腺癌妈妈在肿瘤确诊后是否选择继续工作,主要取决于以下几点:生活中什么最重要—这一观念的转变;公司和家庭所给与的支持程度;自身工作对家庭收入的影响;在供职公司所扮演的身份和职责;持续疼痛或疲劳等身体状况的出现。

确诊后,乳腺癌妈妈将面临抚养儿女、工作和照顾自己三项不同任务,孰轻孰重?她们做出的选择是:家庭 > 自身健康 > 工作!然而,如果受到经济压力等其他外界因素的干扰,乳腺癌妈妈不得不再次做出妥协,将自身健康至于末位。所以,考虑到女性的特殊社会角色,我们应该着重关注低龄乳腺癌妈妈的健康。

不过,该研究设计存在几点缺陷,比如样本量小、样本随机性不足等。因此,仍需要开展进一步研究,在增大样本量的基础上探讨不同经济水平层次下女性乳腺癌患者如何协调家庭、工作和自身健康关系。

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