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Bigdeli Shamloo MB, Ashrafizadeh H. Adaptation Process in Husbands of Iranian Women Undergoing Mastectomy From Diagnosis to Terminal Stages of the Disease: A Grounded Theory Study. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228241245238. [PMID: 38679582 DOI: 10.1177/00302228241245238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2024]
Abstract
INTRODUCTION Breast cancer is the most common cancer in women and the second cause of cancer-related death. This research was performed to interpret the adaptation process among husbands of Iranian women undergoing mastectomy. MATERIALS AND METHODS In this grounded theory study, 23 participants were chosen purposefully and via convenient sampling. After interview with them about adaptation and ways of achieving it, note taking was done, which was analyzed via Strauss and Corbin approach. RESULTS Six themes were extracted: Confrontation with crisis, Challenges and opportunities, husband transformation, supportive systems, attempts for life management, accepting an uninvited guest, with each having subclasses. CONCLUSION According to the results of the present study the healthcare team and psychologists should identify this issue properly so that they could apply measures for facilitating the coping and acceptance of the issue in husbands of these patients.
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Affiliation(s)
| | - Hadis Ashrafizadeh
- Student Research Committee, Faculty of Nursing, Dezful University of Medical Sciences, Dezful, Iran
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Lin CC, Her YN. Demoralization in cancer survivors: an updated systematic review and meta-analysis for quantitative studies. Psychogeriatrics 2024; 24:35-45. [PMID: 37877340 DOI: 10.1111/psyg.13037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 09/18/2023] [Accepted: 10/09/2023] [Indexed: 10/26/2023]
Abstract
BACKGROUND Demoralization can cause impairments across all life aspects of cancer patients. Cancer patients are also vulnerable during their survivorship. The purpose of this review is to examine the risk of demoralization and associated risk factors among cancer survivors who have completed their primary anti-cancer treatment or time since diagnosis ≥5 years without recurrence. METHODS We searched databases of PubMed, Cochrane, Embase, PsycINFO and ClinicalTrial.gov to identify eligible studies which reported the demoralization level among cancer survivors. A random-effect meta-analysis model was used for calculating mean demoralization level. Heterogeneity was evaluated by I2 statistics. Funnel plots and Egger's regression tests were performed for checking publication bias. We used one-study-removed method for sensitivity analysis. Subgroup analysis was also done to examine the difference of demoralization level between cancer types. Meta-regression was performed to reveal risk factors of demoralization. RESULTS A meta-analysis of 12 articles involving 2902 cancer survivors was conducted. The mean demoralization score among cancer survivors was 25.98 (95% CI: 23.53-28.43). Higher demoralization level was seen in participants with older age, higher female ratio, higher married/living together status ratio and higher patient health questionnaire-9 score. The literature review revealed correlations between demoralization and suicide risk, anxiety and quality of life. No consistent correlation between demoralization and post-traumatic stress symptoms could be seen. CONCLUSIONS High demoralization level is noticed among cancer survivors. Risks for females, elder patients or breast cancer survivors are identified. More longitudinal or interventional studies for cancer survivors' demoralization are expected in the future.
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Affiliation(s)
- Cian-Cian Lin
- Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
| | - Yu-Ning Her
- Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
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Bigdeli Shamloo MB, Elahi N, Asadi Zaker M, Zarea K, Zareiyan A. Designing and validating an adaptation questionnaire among the husbands of Iranian Muslim women with breast cancer. Front Public Health 2023; 11:1073032. [PMID: 37077186 PMCID: PMC10108878 DOI: 10.3389/fpubh.2023.1073032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 03/06/2023] [Indexed: 04/05/2023] Open
Abstract
BackgroundBreast cancer is the most common cancer among women and is the second leading cause of cancer death. This disease affects all aspects of the patient's life and family, especially the patient's spouse, which confirms the need to adapt to these changes. The common instruments used for the investigation of adaptation among husbands of women with breast cancer are mainly outdated, one-dimensional, or non-concordant with the Iranian culture. Therefore, the present study aimed to design and validate an adaptation scale among the husbands of Iranian Muslim women suffering from breast cancer.MethodsThis exploratory sequential mixed study was conducted in two qualitative and quantitative stages. In the qualitative stage, semi-structured interviews were performed with 21 participants. Then, items were developed through content analysis using the approach proposed by Elo and Kyngas on the basis of Roy's adaptation model. In the quantitative stage, the extracted items were reduced and psychometric properties such as face, content, and construct validity as well as reliability were explored. To investigate the construct validity, a cross-sectional descriptive study was conducted on 300 husbands of women with breast cancer selected via cluster sampling.ResultsThe initial questionnaire contained 79 items. After the assessment of face and content validity, 59 items were evaluated regarding construct validity using exploratory factor analysis. At this stage, six adaptation dimensions were observed among the women's husbands, with the variance of 51.71. The Cronbach's alpha and correlation coefficient of the questionnaire were 0.912 and 0.701, respectively.ConclusionThe developed 51-item adaptation scale had an appropriate validity and reliability and could be used for the assessment of adaptation in the target group.
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Affiliation(s)
- Marzieh Beigom Bigdeli Shamloo
- Nursing and Midwifery Department, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Nasrin Elahi
- Department of Nursing, School of Nursing and Midwifery, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- *Correspondence: Nasrin Elahi
| | - Marziyeh Asadi Zaker
- Department of Nursing, School of Nursing and Midwifery, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Kourosh Zarea
- Department of Nursing, School of Nursing and Midwifery, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Armin Zareiyan
- Nursing Department, School of Nursing, AJA University of Medical Sciences, Tehran, Iran
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Cheng T, Jackman M, McQuestion M, Fitch MI. Coping style and typology of perceived social support of male partners of women with breast cancer. Can Oncol Nurs J 2022; 32:416-425. [PMID: 38919675 PMCID: PMC11195588 DOI: 10.5737/23688076323416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
This article reports on one component of an exploratory qualitative study, namely male partners' coping style of self-reliance, and the perceived social support that these partners relied upon to cope with their wife's breast cancer. Data were drawn from a larger study designed to explore male partners' perceived needs and the services they preferred to address these needs following their wife's diagnosis of breast cancer. The 27 male partners participating in this study were significantly affected by their wife's breast cancer. To cope, they relied on a coping style of self-reliance, drawing upon their own internal resources (self reliance) augmented by available informal social support to support themselves, their wife, and their family, and to manage the disease-, individual-, couple- and family-related stressors in their lives. Attention needs to be given to the self-support and social support needs of spouses to address unmet needs and facilitate coping. As the main providers of support for their wives, partners are in the unique position of needing support as well as providing it.
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Affiliation(s)
- Terry Cheng
- Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON
| | - Maureen Jackman
- Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON
| | - Maurene McQuestion
- Oncology Nursing, Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network; Toronto, ON Canada
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Cheng T, Jackman M, McQuestion M, Fitch MI. Stratégie d’adaptation et typologie du soutien social perçu chez les partenaires masculins de femmes atteintes d’un cancer du sein. Can Oncol Nurs J 2022; 32:426-436. [PMID: 38919671 PMCID: PMC11195580 DOI: 10.5737/23688076323426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Le présent article porte sur l’une des composantes d’une étude qualitative exploratoire : l’autosuffisance comme stratégie d’adaptation chez les partenaires masculins de femmes atteintes du cancer du sein et du soutien social perçu pour faire face à la maladie. Les données proviennent d’une étude plus vaste conçue pour étudier les besoins perçus des partenaires masculins et les services qu’ils privilégiaient pour répondre à ces besoins après l’annonce du diagnostic de cancer du sein de leur conjointe. Les 27 hommes participants à l’étude étaient considérablement affectés par le cancer du sein de leur épouse. Pour affronter la situation, ils ont utilisé l’autosuffisance comme stratégie d’adaptation; ils ont fait appel à leurs propres ressources (autosuffisance) tout en s’appuyant sur le soutien social informel existant afin de recevoir de l’aide pour eux-mêmes, leur épouse et leur famille, et de gérer les facteurs de stress de la vie quotidienne liés à la maladie, aux personnes ellesmêmes, au couple et à la famille. Il faut se pencher sur les besoins en matière d’auto-assistance et de soutien social des conjoints afin de mieux y répondre et d’ainsi faciliter l’adaptation à la situation. À titre de soutien principal, les partenaires se trouvent dans la position singulière de devoir apporter du soutien alors qu’ils en ont euxmêmes besoin.
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Affiliation(s)
- Terry Cheng
- Service de soins de soutien, Centre de cancérologie Princess Margaret, Réseau universitaire de santé, Toronto (Ontario)
| | - Maureen Jackman
- Service de soins de soutien, Centre de cancérologie Princess Margaret, Réseau universitaire de santé, Toronto (Ontario)
| | - Maurene McQuestion
- Soins infirmiers en oncologie, Programme de médecine des rayonnements, Centre de cancérologie Princess Margaret, Réseau universitaire de santé, Toronto (Ontario)
| | - Margaret I Fitch
- Faculté de soins infirmiers Bloomberg, Université de Toronto, Toronto (Ontario)
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Noveiri MJS, Shamsaei F, Khodaveisi M, Vanaki Z, Tapak L. Concept d'adaptation chez les conjoints de femmes iraniennes atteintes du cancer du sein: étude qualitative basée sur une approche phénoménologique. Can Oncol Nurs J 2021; 31:322-329. [PMID: 34395836 DOI: 10.5737/23688076313322329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Introduction Le cancer du sein provoque une crise multidimensionnelle qui ébranle non seulement la patiente, mais aussi le conjoint et les autres membres de sa famille. Il convient donc d'étudier l'adaptation à ce phénomène, qui constitue l'une des principales difficultés pour les proches. En comprenant mieux comment les conjoints de femmes atteintes d'un cancer du sein font face à cette crise, ces derniers pourraient mieux prendre soin de leurs épouses et améliorer leur qualité de vie. But de l’étude L'étude visait à explorer le concept d'adaptation à partir d'expériences vécues par les conjoints de femmes souffrant d'un cancer du sein. Méthodologie Cette étude qualitative a été réalisée en 2019 selon une approche phénoménologique dans les villes de Hamadan et Rasht, en Iran. Le groupe de participants comptait 20 conjoints de femmes atteintes du cancer du sein, recrutés grâce à une méthode d'échantillonnage par choix raisonné. Les données ont été recueillies au moyen d'entretiens non structurés en personne; elles ont été analysées à l'aide de la méthode phénoménologique en six étapes de van Manen. Résultats Les expériences vécues par les participants ont montré que le phénomène d'adaptation des conjoints au cancer du sein de leur femme se décline en cinq thèmes: souffrance émotionnelle, fardeau des soins, maintien de la cohésion familial, incertitude de l'avenir et sentiment de perte du concept de soi. La compréhension du concept d'adaptation chez les conjoints de femmes atteintes du cancer du sein dans les stratégies de santé peut aider les femmes à bien s'adapter, tout en aidant les professionnels à adopter des mesures efficaces dans le domaine des soins médicaux, pour les patientes et leurs conjoints.
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Affiliation(s)
| | - Farshid Shamsaei
- Centre de recherche en soins de la mère et de l'enfant, Université des sciences médicales de Hamadan, Hamadan, Iran; (auteur-ressource)
| | - Masoud Khodaveisi
- Centre de recherche sur les maladies chroniques (soins à domicile), Département des soins infirmiers communautaires, Université des sciences médicales de Hamadan, Hamadan, Iran;
| | - Zohreh Vanaki
- Département des sciences infirmières, Faculté des sciences médicales, Université Tarbiat Modares, Téhéran, Iran;
| | - Lily Tapak
- Département de biostatistique, École de santé publique, Centre de recherche sur la modélisation des maladies non transmissibles, Université des sciences médicales de Hamadan, Hamadan, Iran;
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Shi G, Shi T, Liu Y, Cai Y. Relationships between dyadic coping, intimate relationship and post-traumatic growth in patients with breast cancer: A cross-sectional study. J Adv Nurs 2021; 77:4733-4742. [PMID: 34227131 DOI: 10.1111/jan.14946] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 05/07/2021] [Accepted: 06/15/2021] [Indexed: 12/11/2022]
Abstract
AIM To investigate the relationships and pathways between dyadic coping, intimate relationship and post-traumatic growth (PTG) in Chinese patients with breast cancer. DESIGN A cross-sectional study. METHODS Between November 2019 and November 2020, 133 patients with breast cancer who received therapy in tertiary grade-A hospitals at Dalian, China completed questionnaires including demographic and clinical questionnaires, Locke-Wallace Marriage Adjustment Test, Chinese version of the Dyadic Coping Inventory and Chinese version of the Post-traumatic Growth Inventory. Structural equation modelling was used to analyse the pathways. RESULTS Dyadic coping was positively interrelated with PTG and intimate relationship (r = .355, p < .01; r = .213, p < .05); intimate relationship was negatively interrelated with PTG (r = -.207, p < .05). The structural equation model demonstrated adequate fit. Dyadic coping and intimate relationship directly affected PTG (β = .469, p < .05; β = -.309, p < .05). Dyadic coping indirectly affected PTG through intimate relationship (β = -.066, p < .05). CONCLUSIONS Dyadic coping was a stimulus factor, but intimate relationship was an obstructive factor in enhancing PTG for the Chinese patients with breast cancer. Furthermore, intimate relationship may have significant mediating effects in the link between dyadic coping and PTG. Strategies that improve dyadic coping level and avoid excessive intimacy relationships between couples contribute to the development of PTG among patients with breast cancer. IMPACT The research provides new ideas and intervention entry points for global nurses and psychotherapists so that they can enact and implement targeted PTG intervention plans for patients with breast cancer worldwide.
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Affiliation(s)
- Genya Shi
- Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Tieying Shi
- Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Yu Liu
- Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Yingjie Cai
- Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.,Nursing Department, Chiba University, Chiba, Japan
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Noveiri MJS, Shamsaei F, Khodaveisi M, Vanaki Z, Tapak L. The concept of coping in male spouses of Iranian women with breast cancer: A qualitative study using a phenomenological approach. Can Oncol Nurs J 2021; 31:314-321. [PMID: 34395835 DOI: 10.5737/23688076313314321] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Introduction Breast cancer is a multidimensional crisis that affects not just the patient, but the spouse and other family members. Coping with this phenomenon, as one of the important challenges for the families and spouses, requires investigation. Understanding more about how spouses of women with breast cancer cope with this crisis could lead to better performance of spouses in front of their wives and raise their wives' quality of life. Purpose The study was conducted to explore the concept of coping based on the lived experiences of spouses of women with breast cancer. Methods This qualitative study was conducted with a phenomenological approach in Hamedan and Rasht cities in Iran in 2019. Participants included 20 spouses of women with breast cancer selected by a purposive sampling method. Data were collected through unstructured face-to-face interviews and analyzed using van Manen's six-stage phenomenological method. Results The lived experiences of participants showed that the phenomenon of coping in spouses of women with breast cancer included five themes: Emotional pain, Shouldering the burden of care, Striving for family life cohesion, Future in ambiguity, and Sense of loss of self concept. Understanding the concept of coping in the spouses of women with breast cancer in health strategies can help wives achieve effective adaptation and also help professionals take effective measures in the field of medical care for patients and their spouses.
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Affiliation(s)
| | - Farshid Shamsaei
- Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran; (Correspondence)
| | - Masoud Khodaveisi
- Chronic Diseases (Home Care) Research Center, Department of Community Health Nursing, Hamadan University of Medical Sciences, Hamadan, Iran;
| | - Zohreh Vanaki
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran;
| | - Lily Tapak
- Department of Biostatistics, School of Public Health, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran;
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