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Yeo HY, Wong JHY, Chan SJ, Latu ATF, Han CH, Anwar M, Marra CA. Exploring the Important Determinants Shaping Treatment Preferences: Qualitative Insights into Breast Cancer Patient Experiences and Perspectives in New Zealand. Patient Prefer Adherence 2023; 17:3525-3537. [PMID: 38148974 PMCID: PMC10750490 DOI: 10.2147/ppa.s443217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 12/19/2023] [Indexed: 12/28/2023] Open
Abstract
Purpose Despite the importance of acknowledging patient preferences in treatment decision-making, little is known about the treatment preferences and the factors underlying those preferences of breast cancer patients. This study aims explore patient experience and perspective regarding treatment preferences and identify the important determinants that shape these preferences in the context of New Zealand. Patients and Methods Semi-structured online interviews comprised of six focus group discussions and five individual interviews were performed with 26 breast cancer patients. The interviews were recorded, transcribed, and analyzed using the reflexive thematic analysis approach. Results Four main themes were derived: (1) positive treatment outcomes; (2) the negative impact of treatment-related side effects on quality of life; (3) treatment accessibility, availability, and timeliness; (4) cost of treatment. Patients revealed a strong preference towards treatments that yield longer survival, achieve remission, and prevent cancer recurrence. Additionally, patients favored treatments with minimal side effects that had minimal impact on their quality of life. There was a notable preference for treatments that were easily accessible and available in a timely manner. However, patients faced challenging decisions in balancing the costs of treatments with their benefits, leading to a consistent preference for treatments supported by government funding or medical insurance to alleviate financial burdens. Conclusion Our study reveals that breast cancer patients in New Zealand have different perceptions and preferences regarding cancer treatment. Patients frequently find themselves making trade-offs among various attributes of a treatment, aligning these decisions with their personal values and beliefs. By considering these preferences and trade-offs in future studies that measure patient preferences, healthcare professionals can enhance their support for patients in making informed choices that align with their values and priorities. Additionally, healthcare policymakers can develop patient-centered policies that cater to the unique needs and preferences of breast cancer patients.
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Affiliation(s)
- Hui Yee Yeo
- School of Pharmacy, University of Otago, Dunedin, New Zealand
- Clinical Research Center, Hospital Seberang Jaya, Seberang Jaya, Penang, Malaysia
| | | | - Suz Jack Chan
- School of Pharmacy, University of Otago, Dunedin, New Zealand
| | | | - Catherine H Han
- Auckland Oncology, Auckland, New Zealand
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Mudassir Anwar
- School of Pharmacy, University of Otago, Dunedin, New Zealand
| | - Carlo A Marra
- School of Pharmacy, University of Otago, Dunedin, New Zealand
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Maleki M, Mardani A, Ghafourifard M, Vaismoradi M. Changes and challenges in sexual life experienced by the husbands of women with breast cancer: a qualitative study. BMC Womens Health 2022; 22:326. [PMID: 35918700 PMCID: PMC9344622 DOI: 10.1186/s12905-022-01906-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 07/25/2022] [Indexed: 12/24/2022] Open
Abstract
Abstract
Background
Breast cancer (BC) in women can bring various problems to their marital and family life. Sexual life based on the experiences of the husbands of women diagnosed with BC has not been fully understood. Therefore, this research aimed to explore changes and challenges in sexual life experienced by the husbands of women diagnosed with BC.
Methods
A qualitative research was carried out on 18 men whose wives had been diagnosed with BC at reproductive age. They were selected using purposeful sampling and were interviewed using in-depth semi-structured interviews. Collected data were analyzed using the conventional content analysis method.
Results
‘Sexual life suspension’ was the main theme of this research. Also, ‘unfulfilled sexual expectations’, ‘perceived barriers to satisfy sexual expectations’, and ‘efforts to adapt to sexual problems’ were subthemes.
Conclusions
The husbands of women with BC need support to improve their sexual and marital relationships. Education and counseling about sexual life during the treatment of BC should be incorporated into the healthcare program.
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Che Ya SN, Muhamad R, Zakaria R, Mohd Zain N, Ishak A, Hassan II, Ab Hadi I, Low WY, Liamputtong P. "I Lost My Gift to Him": The Consequences of Female Sexual Dysfunction on Breast Cancer Survivors in Malaysia. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1625-1635. [PMID: 34750771 DOI: 10.1007/s10508-021-02051-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 04/26/2021] [Accepted: 05/15/2021] [Indexed: 06/13/2023]
Abstract
Sexuality is currently neglected in the medical care of cancer patients although female sexual dysfunction (FSD) and sexual problems are highly prevalent among breast cancer patients in Malaysia. This paper explores the consequences of breast cancer and its treatment on the sexuality and sexual health of women with breast cancer using a qualitative design and a phenomenological methodology. Fourteen married women with breast cancer who fulfill the criteria for FSD from Kelantan, Malaysia participated in two interviews: in-depth interview and followed by photo-elicitation interview after two weeks duration. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. We identified overlapping themes that can be explained by sexual script theory. Breast cancer treatments disturb the sex response cycle, leading to changes in sexuality, from intimacy in marriage to women preferring physical affection to intercourse. The women struggled with a perceived imperfection about symbol of femininity after noticing changes in their husbands' sexual performance and after experiencing their own sentiments of inadequacy as a wife. Fear and guilt surfaced as part of the journey, accompanied by frustration on the part of the spouse, or him becoming more attentive. This study highlights the problem of breast cancer and its treatment as regards the sexual well-being of patients and their spouses. Hence, recognizing and addressing sexual health will improve the overall experience for survivors.
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Affiliation(s)
- Siti Nuryati Che Ya
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Rosediani Muhamad
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia.
- Breast Cancer Awareness & Research Unit (BestARi), Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, Kubang Kerian, Kelantan, Malaysia.
| | - Rosnani Zakaria
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Norhasmah Mohd Zain
- Nursing Program, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Azlina Ishak
- Department of Family Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia (USM), Kubang Kerian, Malaysia
| | - Intan Idiana Hassan
- Nursing Program, School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Imisairi Ab Hadi
- Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia
| | - Wah Yun Low
- Faculty of Medicine and Asia-Europe Institute, University of Malaya, Kuala Lumpur, Malaysia
| | - Pranee Liamputtong
- Translational Health Research Institute (THRI), Western Sydney University, Locked Bag 1797, Campbelltown, Penrith, NSW, 2751, Australia
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Jeng CJ, Hou MF, Liu HY, Wang LR, Chen JJ. Construction of an integrated sexual function questionnaire for women with breast cancer. Taiwan J Obstet Gynecol 2021; 59:534-540. [PMID: 32653125 DOI: 10.1016/j.tjog.2020.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2020] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE With the increasing incidence of breast cancer in young women, its side effects have extended into the sexual lives of women. However, an appropriate tool to measure the sexual function is nonexistent. The aim of this study was to develop a suitable tool to measure sexual function in women with breast cancer. MATERIALS AND METHODS After conducting literature reviews regarding the sexual function characteristics of women with breast cancer, this study designed a set of integrated sexual function questionnaires, which included pertinent information and three scales. The validity of the scales was examined under the guidance of three gender studies experts and two gynecologists who are also professors. Regarding the construct validity, researchers conducted exploratory factor analysis on the measurement results of 196 women with breast cancer. RESULTS The integrated sexual function questionnaires included the following three scales: "Breasts' Role Self-Checklist," "Scales for Breasts' Role in the Foreplay," and "Female Sexual Function Scale for BCSs." The questionnaire tool consisted of the longitudinal time change, patients' and their partners' situation, information related to the recovery process, participants' perspective toward objectification of women's breasts, the role of breasts in foreplay during sexual activities, sexual desire, sexual satisfaction, sexual obstacle, and other self-evaluations. We first derived one factor from six questions in "Breasts' Role Self-Checklist" and named it as "The Importance of Breasts for Women." The other two factors were obtained from eight questions in "Scales for Breasts' Role in the Foreplay" and named as "Sexual Attraction to Breasts" and "Function of Breasts in Foreplay." In addition, three factors were derived from 16 questions in "Female Sexual Function Scale for BCSs" and named as "Sexual Desire," "Sexual Satisfaction," and "Sexual Obstacle." CONCLUSION This study determined that these integrated scales for breast cancer survivors are suitable due to their content validity, construct validity, and high internal consistency reliability, with a Cronbach's alpha of higher than 0.9 for all the three scales.
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Affiliation(s)
- Cherng-Jye Jeng
- Kaohsiung Medical University Hospital, Department of Obstetrics and Gynecology, No.100, Tzyou 1st Road, Kaohsiung 807, Taiwan; Kaohsiung Medical University, School of Medicine, No.100, Tzyou 1st Road, Kaohsiung 807, Taiwan.
| | - Ming-Feng Hou
- Kaohsiung Medical University Hospital, Department of Surgery, No.100, Tzyou 1st Road, Kaohsiung 807, Taiwan; Kaohsiung Medical University, Graduate Institute of Clinical Medicine, No.100, Tzyou 1st Road, Kaohsiung 807, Taiwan.
| | - Hsing-Yuan Liu
- Chang Gung University of Science and Technology, Department of Nursing, No. 261, Wenhua 1st Road, Guishan Dist., Taoyuan City 33303, Taiwan.
| | - Lih-Rong Wang
- National Taiwan University, Department of Social Work, No. 1, Section 4, Roosevelt Road, Taipei 106, Taiwan.
| | - Jian-Jhou Chen
- Kaohsiung Medical University, Department of Medical Sociology and Social Work, Taiwan; Kaohsiung Medical University Hospital, Department of Medical Research, Taiwan.
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Cullen K, Fergus K. Acceptability of an online relational intimacy and sexual enhancement (iRISE) intervention after breast cancer. JOURNAL OF MARITAL AND FAMILY THERAPY 2021; 47:515-532. [PMID: 33797106 DOI: 10.1111/jmft.12516] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 03/15/2021] [Accepted: 03/15/2021] [Indexed: 06/12/2023]
Abstract
The purpose of this study was to develop and evaluate an online relational intimacy and sexual enhancement (iRISE) intervention for couples experiencing sexual difficulties following breast cancer (BC). The acceptability of iRISE was evaluated using a single-arm, qualitative design, with 14 couples completing satisfaction surveys and posttreatment interviews. The intervention was found to be acceptable, as demonstrated by high satisfaction ratings and qualitative feedback regarding iRISE and its online delivery. Couples spoke about the helpfulness of iRISE and how the intervention improved their sexual relationship. The use of video conferencing (eTherapy) was widely accepted by participants, who highlighted several advantages of this modality. Overall, the results support the acceptability of this online psychosexual intervention for couples affected by BC. The empirical and theoretical basis for the design of iRISE along with findings from a qualitative analysis of couples' experiences of the intervention's helpfulness to them is discussed.
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Affiliation(s)
| | - Karen Fergus
- Department of Psychology, York University, Toronto, ON, Canada
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
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Dolye C, Adams L, McAndrew A, Burlein-Hall S, DasGupta T, Blake J, Fitch M. Validation of the MENQOL for use with women who have been treated for gynecologic or breast cancer. Can Oncol Nurs J 2018; 28:228-233. [PMID: 31148811 PMCID: PMC6516922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Abstract
PURPOSE To conduct a psychometric evaluation of the MENQOL, a condition-specific, self-report instrument to assess menopausal symptoms in women with gynecologic and breast cancers. METHODS Identify face and content validity of the MENQOL with experts, and reliability and construct validity with a group of women diagnosed with cancer who are suffering from treatment-induced menopause. RESULTS Eighty-two women with treatment-induced menopause completed the MENQOL, EORTC-C30, and the SVQ. The MENQOL was shown to have good face and content validity, and acceptable reliability (homogeneity and test-retest) and validity (concurrent and construct). Additionally, 85.5% of the women reported experiencing hot flashes. However, the most bothersome symptoms were weight gain and fatigue (feeling worn out). IMPLICATIONS The MENQOL can be used to assess treatment-induced menopausal symptoms in women diagnosed with breast or gynecologic cancer.
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Affiliation(s)
- Catherine Dolye
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Lauran Adams
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Alison McAndrew
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Stephanie Burlein-Hall
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Tracey DasGupta
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Jennie Blake
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
| | - Margaret Fitch
- At the time of the study, all were staff members at the Odette Cancer Centre, Sunnybrook Health Sciences Centre
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Dolye C, Adams L, McAndrew A, Burlein-Hall S, DasGupta T, Blake DJ, Fitch M. Validation du questionnaire MENQOL avec les femmes ayant été traitées pour un cancer gynécologique ou du sein. Can Oncol Nurs J 2018; 28:234-239. [PMID: 31148826 PMCID: PMC6516923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Abstract
Objectif Vérifier, par une évaluation psychométrique du questionnaire MENQOL (Menopause-Specific Quality of Life Questionnaire), un instrument d’autoévaluation ciblé, s’il peut servir à mesurer les symptômes de la ménopause chez les femmes atteintes d’un cancer gynécologique ou du sein. Méthodologie Établir la validité apparente et de contenu du questionnaire MENQOL à l’aide d’experts, ainsi que sa fiabilité et sa validité conceptuelle auprès d’un groupe de femmes ayant reçu un diagnostic de cancer et souffrant d’une ménopause provoquée par le traitement. Résultats En tout, 82 femmes ayant une ménopause provoquée par le traitement ont répondu aux questionnaires MENQOL, EORTC-C30 et SVQ. L’évaluation a permis de constater la validité apparente ainsi que la validité de contenu du questionnaire MENQOL, et sa fiabilité (homogénéité et test-retest) et sa validité (concourante et conceptuelle) se sont révélées acceptables. Par ailleurs, 85,5 % des femmes ont rapporté avoir ressenti des bouffées de chaleur. Les symptômes les plus incommodants ont toutefois été la prise de poids et la fatigue (sentiment d’épuisement). Implications Le questionnaire MENQOL peut être utilisé pour évaluer les symptômes de ménopause provoquée par le traitement chez les femmes ayant reçu un diagnostic de cancer gynécologique ou du sein.
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Affiliation(s)
- Catherine Dolye
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Lauran Adams
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Alison McAndrew
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Stephanie Burlein-Hall
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Tracey DasGupta
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Dre Jennie Blake
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
| | - Margaret Fitch
- Au moment de l’étude, ils étaient membres du personnel au Centre de cancérologie Odette (Centre des sciences de la santé Sunnybrook)
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Ferreira SMDA, Gozzo TDO, Panobianco MS, dos Santos MA, de Almeida AM. Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals. Rev Lat Am Enfermagem 2017; 23:82-9. [PMID: 25806635 PMCID: PMC4376035 DOI: 10.1590/0104-1169.3602.2528] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2013] [Accepted: 11/28/2014] [Indexed: 11/21/2022] Open
Abstract
AIM qualitative study, which aimed to identify the barriers that influence nursing care practices related to the sexuality of women with gynecological and breast cancer. METHODS the study was conducted with 16 professionals of the nursing area (nurses, nursing technicians and nursing assistants) from two sectors of a university hospital situated in the state of São Paulo, Brazil. The data was collected using semi-structured, in-depth individual interviews. All the interviews were recorded and the participants' responses were identified and categorized using Content Analysis. RESULTS three major themes were identified. These are as follows: 1) barriers related to the biomedical model; 2) barriers related to institutional dynamics and 3) barriers related to the social interpretations of sexuality. CONCLUSIONS the results of this study showed that the systematized inclusion of this issue in nursing care routines requires changes in the health paradigm and in the work dynamic, as well as reflection on the personal values and social interpretations related to the topic. A major challenge is to divest sexuality of the taboos and prejudices which accompany it, as well as to contribute to the nursing team being more aware of the difficulties faced by women with gynaecological and breast cancer.
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Affiliation(s)
| | - Thais de Oliveira Gozzo
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Manoel Antônio dos Santos
- Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Ana Maria de Almeida
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Cairo Notari S, Favez N, Notari L, Panes-Ruedin B, Antonini T, Delaloye JF. Women's experiences of sexual functioning in the early weeks of breast cancer treatment. Eur J Cancer Care (Engl) 2016; 27. [PMID: 29372622 DOI: 10.1111/ecc.12607] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2016] [Indexed: 12/24/2022]
Abstract
This study describes women's sexual functioning in the early weeks of breast cancer treatment and the possible sexual changes that women may experience compared with pre-treatment functioning. Seventy-five patients filled out a questionnaire on sexual functioning and participated in a semi-structured interview on changes in sexual life and intimacy after treatment. Sixty-two women were sexually active before treatment; three post-treatment patterns of sexual behaviour were identified: 22.6% of these women were as active as before treatment, 35.5% stopped any sexual activity and 41.9% experienced quantitative and qualitative changes. Analyses showed that each pattern had specific characteristics regarding current sexual functioning, the kinds of changes reported (e.g. decreased frequency and increased tenderness) and the reasons for these changes (e.g. tiredness and sex not a priority). Even in the immediate post-surgical period, women may react in very different ways to treatment in terms of sexual functioning. Most women experience changes, but cessation of sexual activity is not inevitable. Positive changes (growing tenderness and affection) also exist. These important interindividual differences require a person-centred approach when the topic of sexuality is being addressed, and practitioners need to be sensitive to individual perceptions of change. Early detection of sexual changes may prevent the crystallisation of difficulties over time.
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Affiliation(s)
- S Cairo Notari
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - N Favez
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - L Notari
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - B Panes-Ruedin
- Senology Unit, University Hospital of Lausanne, Lausanne, Switzerland
| | - T Antonini
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - J-F Delaloye
- Senology Unit, University Hospital of Lausanne, Lausanne, Switzerland
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Not feeling sick from breast cancer: A framework on health status perceptions transition process. Eur J Oncol Nurs 2016; 22:85-94. [DOI: 10.1016/j.ejon.2016.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Revised: 04/08/2016] [Accepted: 04/14/2016] [Indexed: 11/21/2022]
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Cebeci F, Yangın HB, Tekeli A. Life experiences of women with breast cancer in south western Turkey: a qualitative study. Eur J Oncol Nurs 2011; 16:406-12. [PMID: 22000551 DOI: 10.1016/j.ejon.2011.09.003] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Revised: 08/18/2011] [Accepted: 09/14/2011] [Indexed: 10/16/2022]
Abstract
PURPOSE This qualitative study explores the experience of women living with breast cancer. METHODS The study was conducted among eight women with ongoing breast cancer chemotherapy treatment, which occurred in an ambulatory unit. The data were collected using semi-structured and in-depth individual interviews. All interviews were tape-recorded, and the results were obtained by analysing the content of the recorded data. RESULTS Three major themes related to the experiences of women living with breast cancer were identified. They are as follows: (1) needs (the need for spouse and family support, the need to worship, and the need to receive and share information), (2) living with losses (loss of the breast and of one's hair), and (3) changes (changes in one's normal life, change in self-perception, changes in the perception of the value of health, and a greater appreciation for life). CONCLUSIONS This study was conducted to increase awareness concerning women's perceptions of their care and various needs during breast cancer treatment. The results of this study challenge health care providers and educators to be more aware of the difficulties that women face when living with breast cancer.
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Affiliation(s)
- Fatma Cebeci
- Antalya School of Health, Akdeniz University, 07058 Campus/Antalya, Turkey.
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Altıok M, Yılmaz M. Opinions of Individuals Who have had Myocardial Infarction About Sex. SEXUALITY AND DISABILITY 2011. [DOI: 10.1007/s11195-011-9217-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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13
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Opinions of Unmarried Patients Receiving Peritoneal Dialysis Treatment About Sexuality. SEXUALITY AND DISABILITY 2010. [DOI: 10.1007/s11195-010-9174-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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