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EN
The Internet plays an increasing role in human life and it may influence his behavior, feelings and the way how he perceives the world. Its impact is also increasing in the area of human health. Number of people searching for information related to physical or mental health increases every year. This contribution brings an overview of benefits and risks of using the internet in this area. Among benefits there is understanding of symptoms, diagnostics and cure; getting emotional support and sympathy from patients with similar experience; reduction of feeling of isolation; and gaining new skills and behaviors supporting health, and others. Among possible problems there is, for example, risk of making bad decisions about the treatment on the basis of misleading information, or stimulation of unhealthy behaviors. The internet may be beneficial for patients but its using also bears risks. Physicians, psychologists and other people working in helping professions should be aware of them and talk about them with their clients.
CS
Internet zastává stále významnější roli v životě člověka a ovlivňuje jeho chování, prožívání i vnímání světa. Jeho význam roste i v oblasti lidského zdraví. Množství uživatelů, kteří vyhledávají informace související s fyzickým, i duševním zdravím každoročně stoupá. Tento příspěvek podává přehled možných přínosů a rizik využívání internetu v této oblasti. Za přínosy lze pokládat hlavně dostupnost informací o zdraví a s tím spojenou možnost porozumění symptomům, diagnostice a léčbě; získání emocionální podpory ze strany pacientů s podobnou zkušeností; snížení míry pocitu izolace; osvojení si dovedností a způsobů chování, které jsou zdraví prospěšné a další. K možným problémům patří například riziko činění nevhodných rozhodnutí na základě zkreslených informací nebo podpora chování, které je zdraví škodlivé. Lékaři, psychologové a další pracovníci v pomáhajících profesích by si měli být těchto aspektů vědomi a hovořit o nich se svými klienty.
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EN
Objective. Breast cancer (BC) diagnosis is considered as a traumatic and life changing moment. Throughout the illness, women often need support from their close family. However, before receiving any support, women must navigate the challenging process of disclosing their diagnosis, which may bring about difficulties and reservations. This qualitative study explores the disclosure process in female patients with breast cancer, focusing on understanding reasons for hesitation, expectations related to parents’ reactions, the act of disclosure, and its outcomes. Methods. In-depth interviews were structured into two parts. The narrative part was followed by a semi-structured interview. The research population was recruited to meet the conditions of a maximum variation sample (different regions of the country, different age categories, education, stage of the disease, and treatment modality). 53 interviews were collected and transcribed verbatim. The age of participants at the time of the interview was 28–76 years, mean age was 48.61 (SD=13.12). Data from which categories were created were managed in NVivo10 software and were open coded. The codes were then grouped into themes for thematic analysis. Results. Three main themes emerged for delaying disclosure to parents: a) protecting parents, b) fear of reactions, and c) fear of changes in the parent-child relationship. Each theme contained specific subthemes contributing to the disclosure hesitation. Conclusion. Women with BC greatly benefit from the support offered by their parents. However, disclosing the diagnosis to them is often challenging. As a result, it is crucial to provide support to women with BC as they prepare to share their diagnosis. Medical staff should also consider including family members in the treatment and care process for patients with BC, recognizing the significance of family support in the overall well-being and coping of patients.
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