การปรับตัวต่อความเจ็บป่วยของสตรีวัยผู้ใหญ่ตอนต้นโรคมะเร็งปากมดลูกระยะแพร่กระจาย

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จิราพร อุดมกิจพิพัฒน์

บทคัดย่อ

          The advanced stage of cervical cancer is recognized as a life threatening to early-adulthood
women who start to secure their life prosperity and prepare for their maternal role adaptation. When a
woman is diagnosed with advanced-stage cervical cancer, it can immensely affect the psychological
well-being of the women. She may deny, have fear, be depressed, feel lost, and hopeless. Helping the
patients to have an good coping process is important. The coping can be divided into 3 stages, based on
the stimuli, as follows: The coping process divides into 3 stages as follows. 1) The pre-diagnostic stage:
the patients seek the cervical cancer examination, when the signs and symptoms of cervical cancer are
severe manifestations such as hypermenorrhea. Therefore, it leads to a delay diagnosis. In this stage,
the patients have a hope that they can be cured and come back to normal life.2) The diagnostic
confirmation stage: in this stage the tissue biopsy was identified as well as computer tomography and
hysteroscopy will be done to confirm the diagnosis. The chemotherapy or radiation will be given to the
patients. In case patients have a good adaptation, they will have positive behaviors or “adaptive
response” that can make the patients have a strength, have a hope, and cooperate in medical care and
treatment. They have a hope that the cancer cells will respond to the treatment well and they can live
longer. 3) Acceptance stage: the patients have poor responses to the treatment. A metastasis can be
found in other organs and their health condition gets worse. They will adapt themselves to the
condition, accept it, and be prepared for a good death.

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