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在非霍奇金淋巴瘤患者接受化疗的情况下的隐喻的使用
Author(s) -
Chircop Daren,
Scerri Josianne
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13790
Subject(s) - context (archaeology) , medicine , prison , narrative , metaphor , non hodgkin's lymphoma , chemotherapy , qualitative research , lymphoma , psychology , sociology , history , social science , linguistics , philosophy , criminology , archaeology
Aim The aim of this study was to explore the use of metaphors by non‐Hodgkin's lymphoma (NHL) patients undergoing chemotherapy in a haematology ward setting. Background There is a dearth of literature exploring the use of metaphors in people with cancer undergoing aggressive treatment. Hence, this study aims to explore the use of metaphors in NHL patients undergoing chemotherapy and additionally, examining whether the use of such metaphors has an empowering/disempowering effect. Design A qualitative design was used. Methods The participants were six adult patients diagnosed with NHL and undergoing chemotherapy. Data collection was undertaken between July 2016–December 2016. Each participant was interviewed twice using semi‐structured interviews. The data were analysed using Pragglejaz method for finding metaphors. Findings The participants used metaphors 17 times per 1,000 words to describe their experience of undergoing chemotherapy for NHL. The metaphors cited focused on aspects relating to “war”, “prison” and a “journey”. Conclusions The findings demonstrate that certain metaphors used by the study participants, such as those pertaining to “war” or a “journey”, concur with those described in narratives of people with cancer in general. However, the use of the “prison” metaphor by NHL patients undergoing chemotherapy relates particularly to their context of being isolated while undergoing treatment for fear of infection. Consequently, there is the need to interpret metaphors in relation to the specific type of illness and context. Furthermore, the findings of this study suggest that the impact of metaphors in empowering/disempowering people with cancer depends on the unique interpretation of the individual patient.