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Rôle de l’identité sexuée et de l’influence du genre pour l’analyse de l’expérience des soins de support en oncologie

Role of sexual identity and gender in analyzing the experience of supportive care in oncology

  • Article Original
  • Dossier : « Sexualité et cancer »
  • Published:
Psycho-Oncologie

Résumé

Cette étude a pour objectif l’examen de l’impact de l’identité sexuée sur la participation aux soins de support dans le contexte de la maladie cancéreuse. Deux analyses différentes ont été conduites dans le contexte d’un service d’oncologie médicale. Premièrement, nous avons examiné quantitativement la participation à différents soins de support (psycho-oncologie et interventions d’une infirmière clinicienne) pendant deux mois. Deuxièmement, nous avons réalisé 25 entretiens autour de l’expérience du soin avec des patients du service. L’analyse des activités de soin montre une participation plus importante des patientes. Le nombre d’interventions et leur durée moyenne sont significativement plus importants pour ces dernières. En outre, les patientes prennent plus fréquemment l’initiative de recourir à ces soins que les patients. Les données d’entretiens montrent différentes conceptions de la participation au soin. Des conceptions associées à la virilité et à une identité collective sont employées par les hommes pour expliquer leurs choix et besoins. Deux modèles de participation émergent des discours: un modèle de «mise à contribution» (plus fréquent chez les femmes) et un modèle de «mise à disposition» (plus fréquent chez les hommes). Ces résultats confirment une association entre dimensions sociales de l’identité et expérience de la maladie et du soin. Ce type d’analyse constitue un facteur clé pour comprendre les modèles de participation dans le contexte du soin psychosocial en oncologie.

Abstract

This study examines the impact of sexual identity on the participation of cancer patients in supportive care. Two different analyses were conducted within the context of an oncology department. First, we quantitatively examined the modalities of participation in different supportive care environments (psycho-oncologist and specialised nurse interventions) over a period of two months. Second, we conducted 25 interviews of patients of the oncology department on their care experiences. Analyses of the supportive care activities demonstrate a greater participation of female patients. The length and average number of interventions are significantly higher in this group. In addition, female patients initiate this kind of care more often than men. Interview data indicates different concepts of supportive care participation. Men use a number of concepts of virility and collective identity to explain their choices and needs. Two models of participation emerge from discussions: a contribution model (more frequent in women) and a disposal model (more frequent in men). These findings provide evidence of an association between the social dimensions of identity and experience of illness and care. This kind of analysis constitutes a key factor in understanding models of participation in the context of supportive care in oncology.

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Authors and Affiliations

  1. Responsable de l’unité de psycho-oncologie du service d’oncologie médicale, Centre hospitalier de la Timone, service d’oncologie médicale, 264, rue Saint-Pierre, F-13385, Marseille cedex 05, France

    Éric Dudoit

  2. Centre PsyCLÉ, université de Provence, Aix-en-Provence, France

    Éric Dudoit

  3. Laboratoire de psychologie sociale, université de Provence, Aix-en-Provence Centre hospitalier de la Timone service d’oncologie médicale, Marseille, France

    Lionel Dany & Stéphanie Blois

  4. Coordinatrice du réseau Oncorep, Marseille, France

    Corinne Cuvello

Authors
  1. Éric Dudoit
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  2. Lionel Dany
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  3. Stéphanie Blois
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  4. Corinne Cuvello
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Corresponding authors

Correspondence to Éric Dudoit, Lionel Dany, Stéphanie Blois or Corinne Cuvello.

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Dudoit, É., Dany, L., Blois, S. et al. Rôle de l’identité sexuée et de l’influence du genre pour l’analyse de l’expérience des soins de support en oncologie. Psycho Oncologie 1, 265–275 (2007). https://doi.org/10.1007/s11839-007-0051-z

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  • DOI: https://doi.org/10.1007/s11839-007-0051-z

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