DOI QR코드

DOI QR Code

Experiences of Turkish Women with Breast Cancer During the Treatment Process and Facilitating Coping Factors

  • Gunusen, Neslihan Partlak (Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Dokuz Eylul University) ;
  • Inan, Figen Sengun (Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Dokuz Eylul University) ;
  • Ustun, Besti (Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Dokuz Eylul University)
  • Published : 2013.05.30

Abstract

Background: Breast cancer is the most common type of cancer among women in Turkey and around the world. Treatment adversely affects women's physical, psychological, and social conditions. The purpose of this study was to identify the experiences of Turkish women with breast cancer and the facilitating coping factors when they receive chemotherapy. Methods: A phenomenological approach was used to explain the experiences and facilitating factors of breast cancer patients during the treatment period. Data were collected through individual semi-structured interviews. The sample comprised 11 women with breast cancer receiving treatment. Results: At the end of the interviews conducted with women with breast cancer, two main themes were identified: adjustment and facilitating coping factors. The adjustment main theme had two sub-themes: strains and coping. Women with breast cancer suffer physical and psychological strains as well as stress related to social and health systems. While coping with these situations, they receive social support, turn to spirituality and make new senses of their lives. The facilitating coping factors main theme had four sub-themes: social support, disease-related factors, treatment-related factors and relationships with nurses. It has been determined that women receiving good social support, having undergone preventive breast surgery and/or getting attention and affection from nurses can cope with breast cancer more easily. Conclusions: Women with breast cancer have difficulty in all areas of their lives in the course of the disease and during the treatment process. Therefore, nurses should provide holistic care, teaching patients how to cope with the new situation and supporting them spiritually. Since family support is very important in Turkish culture, patients' relatives should be informed and supported at every stage of the treatment.

Keywords

Breast cancer;adjustment;coping;social support;Turkey

References

  1. American Cancer Society (2010). Cancer facts and figures 2010. Atlanta, American Cancer Society.
  2. Bettencourt BA, Schlegel RJ, Talley AE, Molix, L (2007). The breast cancer experience of rural women: a literature review. Pscyhooncology, 16, 875-87. https://doi.org/10.1002/pon.1235
  3. Bredin M (1999). Mastectomy, body image and therapeutic massege: a qualitative study of women experience. J Adv Nurs, 29, 1113-20. https://doi.org/10.1046/j.1365-2648.1999.00989.x
  4. Cebeci F, Balci YH, Tekeli, A (2012). Life experiences of women with breast cancer in South Western Turkey: a qualitative study. Eur J Oncol Nurs, 16, 406-12. https://doi.org/10.1016/j.ejon.2011.09.003
  5. Connell S, Patterson C, Newman B (2006). Issues and concerns of young Australian women with breast cancer. Supportive Care Cancer, 14, 419-26. https://doi.org/10.1007/s00520-005-0003-8
  6. Creswell JW (1998). Qualitative inquiry and research design: choosing among five traditions. 2nd Edition. Sage Publications, 190-6.
  7. Denieffe S, Gooney M (2011). A meta-synthesis of women's symptoms experience and breast cancer. Eur J Cancer Care, 20, 424-35. https://doi.org/10.1111/j.1365-2354.2010.01223.x
  8. Doumit MAA, Huijer HA, Kelley JH, El Saghir N, Nassar A (2010). Coping with breast cancer a phenomenological study. Cancer Nursing, 33, 33-9. https://doi.org/10.1097/NCC.0b013e3181c5d70f
  9. Elmir R, Jackson D, Beale B, Schmied V (2010). Against all odds: Australian women's experiences of recovery from breast cancer. J Clin Nur, 19, 2531-8. https://doi.org/10.1111/j.1365-2702.2010.03196.x
  10. Erci N, Karabulut N (2007). Appraising the self- assessed support needs of Turkish women with breast cancer. Eur J Oncol Nursing, 14, 42-8.
  11. Gilbert E, Ussher JM, Perz J, Hobbs K, Kirsten L (2010). Positive and negative interactions with health professionals. Cancer Nursing, 33, 1-9.
  12. Griesser AC, Vlastos G, Morel L, et al (2011). Socio-demographic predictors of high support needs in newly diagnosed breasr cancer patients. Eur J Cancer Care, 20, 466-74. https://doi.org/10.1111/j.1365-2354.2010.01190.x
  13. Henderson PD, Gore SV, Davis BL, Condon EH (2003). African American women coping with breast cancer: a qualitative analysis. Oncol Nurs Forum, 30, 641-7. https://doi.org/10.1188/03.ONF.641-647
  14. Knobf MT (2007). Psychosocial responses in breast cancer survivors. Semin Oncol Nurs, 23, 71-83. https://doi.org/10.1016/j.soncn.2006.11.009
  15. Landmark BT, Strandmark M, Wahl AK (2001). Living with diagnosed breast cancer - the meaning of existentiel issues. Cancer Nurs, 24, 220-6. https://doi.org/10.1097/00002820-200106000-00008
  16. Lei CP, Har YC, Abdullah KL (2011). Informational needs of breast cancer patients on chemotherapy: differences between patients and nurses perceptions. Asian Pac J Cancer Prev, 12, 797-802.
  17. Lincoln SY, Guba GE (1985). Naturalistic Inquiry. Sage Publications Beverly Hills, 289-300.
  18. Liu L, Li C, Tang Huang CS, Chiou AF (2006). Role of continuing supportive cares in increasing social support and reducing perceived uncertainty among women with Newly Diagnosed Breast Cancer in Taiwan. Cancer Nurs, 29, 273-82. https://doi.org/10.1097/00002820-200607000-00004
  19. Luoma M, Hakamies-Blomqvist L (2004). The meaning of quality of life in patients being treated for advanced breast cancer: a qualitative study. Psychooncology, 13, 729-39. https://doi.org/10.1002/pon.788
  20. Onen-Sertoz O, Elbi-Mete H, Noyan A, Alper M, Kapkac M (2004). Meme kanserinde ameliyat tipinin beden algisi, cinsel islevler, benlik saygisi ve es uyumuna etkileri: kontrollu bir calisma. (Effects of Surgery Type on Body Image, Sexuality, Self-Esteem, and Marital Adjustment in Breast Cancer: A Controlled Study) Turk Psikiyatri Derg, 15, 264-75.
  21. Ozsoy SA, Ozgur G, Durmaz Akyol A (2007). Patient expectation and atisfaction with nursing care in Turkey: a literature review. Int Nurs Rev, 54, 249-55. https://doi.org/10.1111/j.1466-7657.2006.00534.x
  22. Oztunc G, Yesil P, Paydas S, Erdogan S (2013). Social support and hopelessness in patients with breast cancer. Asian Pac J Cancer Prev, 14, 571-8. https://doi.org/10.7314/APJCP.2013.14.1.571
  23. Pauwels EEJ, Charlier C, De Bourdeaudhuij I, Lechner L, Van Hoof E (2013). Care needs after primary breast cancer treatment. Survivors' associated sociodemographic and medical characteristics. Psychooncology, 22, 125-32. https://doi.org/10.1002/pon.2069
  24. Pigot C, Pollard A, Thomson K, Aranda S (2009). Unmet needs in cancer patients: development of supportive needs screening tool (SNST). Support Care Cancer, 17, 33-45. https://doi.org/10.1007/s00520-008-0448-7
  25. Remmers H, Holtgrawe M, Pinkert C (2010). Stress and nursing care needs of women with breast cancer during primary treatment: A qualitative study. Eur J Oncol Nurs, 14, 11-6. https://doi.org/10.1016/j.ejon.2009.07.002
  26. Scmid-Buchi S, Halfens RJG, Dassen T, Van Den Borne B (2008). A review of psychosocial needs of breast-cancer patients and their relatives. J Clin Nurs, 17, 2895- 909. https://doi.org/10.1111/j.1365-2702.2008.02490.x
  27. Stein KD, Denniston M, Baker F, et al (2003). Validation of modified rotterdam symptom checklist for use with cancer patients in the United States. J Pain Symptom Manage, 26, 975-89. https://doi.org/10.1016/S0885-3924(03)00321-X
  28. Taleghani F, Yekta ZP, Nasrabadi NA, Kappeli S (2008). Adjusment process in Iranian women with breast cancer. Cancer Nurs, 31, 32-41. https://doi.org/10.1097/01.NCC.0000305674.06211.03
  29. Tedeschi RG, Calhoun LG (2004). Posttraumatic growyh: conceptual foundations and empirical evidence. Psychol Inq, 15, 1-18. https://doi.org/10.1207/s15327965pli1501_01
  30. Turkey Ministry of Health (2008). Cancer statiscs of Turkey in 2008, available at http://kanser.thsk.gov.tr/index.php/daire-faaliyetleri/kanser-istatistikleri.html (Accessed:01 April 2013).
  31. Von Heymann-Horan AB, Dalton OS, Dziekanska A, et al (2013) Unmet needs of women with breast cancer during and after primary treatment: a prospective study in Denmark. Acta Oncol, 52, 382-90. https://doi.org/10.3109/0284186X.2012.746468
  32. Yildirim A, Simsek H (2006). Sosyal Bilimlerde Nitel AraStirma Yontemleri. (Qualitative research methods in social sciences) 5th ed, Seckin press, Ankara, Turkey, 114-115.

Cited by

  1. Music Therapy Reduces the Intensity of Pain Among Patients With Cancer vol.2, pp.2, 2013, https://doi.org/10.5812/thrita.13757
  2. Effect of Perceived Social Support on Psychosocial Adjustment of Turkish Patients with Breast Cancer vol.15, pp.8, 2014, https://doi.org/10.7314/APJCP.2014.15.8.3429
  3. Un-met Supportive Care Needs of Iranian Breast Cancer Patients vol.15, pp.9, 2014, https://doi.org/10.7314/APJCP.2014.15.9.3933
  4. Coping and Quality of Life in Turkish Women Living with Ovarian Cancer vol.15, pp.9, 2014, https://doi.org/10.7314/APJCP.2014.15.9.4005
  5. Addressing Factors Associated with Arab Women's Socioeconomic Status May Reduce Breast Cancer Mortality: Report from a Well Resourced Middle Eastern Country vol.16, pp.15, 2015, https://doi.org/10.7314/APJCP.2015.16.15.6303
  6. Symptom Experiences and Coping Strategies among Multi-ethnic Solid Tumor Patients Undergoing Chemotherapy in Malaysia vol.16, pp.2, 2015, https://doi.org/10.7314/APJCP.2015.16.2.723
  7. Experiences of Turkish survivors of breast cancer: Neuman systems model perspective vol.13, pp.4, 2016, https://doi.org/10.1111/jjns.12129
  8. Experiences of Newly Diagnosed Breast Cancer Patients in Turkey vol.27, pp.3, 2016, https://doi.org/10.1177/1043659614550488
  9. Living and Coping With Cancer vol.29, pp.3, 2015, https://doi.org/10.1097/HNP.0000000000000082
  10. Exploring Meaning in the Life of Chinese Breast Cancer Survivors vol.41, pp.2, 2018, https://doi.org/10.1097/NCC.0000000000000466
  11. Home-Based Psychoeducational Intervention for Breast Cancer Survivors vol.41, pp.3, 2018, https://doi.org/10.1097/NCC.0000000000000483