- Volume 14 Issue 3
DOI QR Code
Process of Coping with Mastectomy: a Qualitative Study in Iran
- Fouladi, Nasrin (Department of Community Medicine, Ardabil University of Medical Sciences) ;
- Pourfarzi, Farhad (Department of Community Medicine, Ardabil University of Medical Sciences) ;
- Ali-Mohammadi, Hossein (Department of Basic Science, Ardabil University of Medical Sciences) ;
- Masumi, Atefeh (Faculty of Medicine, Ardabil University of Medical Sciences) ;
- Agamohammadi, Masumeh (Faculty of Nursing, Ardabil University of Medical Sciences) ;
- Mazaheri, Effat (Faculty of Nursing, Ardabil University of Medical Sciences)
- 발행 : 2013.03.30
Background: Breast cancer is the most prevalent cancer among Iranian women and mastectomy comprises 81% of surgeries for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail mental disorders. The study aimed to elaborate coping processes. Materials and Methods: A grounded theory method was used in conducting this study. Twenty Iranian participants undergoing mastectomy were recruited with purposive sampling. An open, semi-structured questionnaire were developed. Obtaining consent, conversations were recorded and immediately transcribed after each session. Data analysis was carried out with the constant comparative method using the Strauss Corbin approach. Results: Analyzing the collected data, the study came up with seven main categories which affected the coping process in patients with breast cancer, namely: reactions to mastectomy; loss and death contest; reconstruction of evaluation system; consent for undergoing mastectomy; reactions and troubles after loss; confrontation of loss and health; and reorganization and compatibility with changes. Conclusions: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt after mastectomy. Having insight about them is likely to contribute medical personnel in leading patients to the highest degree of feeling healthy.
- Andolhe R, Azevedo GL, Regina FBE (2008). Stress and coping in per operative period of breast cancer. Rev Esc Enferm USP, 3, 703-11.
- Arman M, Rehnsfeldt A (2003). The hidden suffering among breast cancer patient: a qualitative metasynthesis. QHR, 4, 510-8.
- Anllo LM (2000). Sexual life after breast cancer. JSMT, 3, 241-8.
- Brunicardi FC, Schwartz SI (2010). Schwartz's principles of surgery. 9th ed. New York; MC: Graw Hill, pp 424-69.
- Bakewell RT, Volker DL (2006). Sexual dysfunction related to the treatment of young women with breast cancer. Clin J Oncol Nurs, 6, 697-702.
- Ching SSY, Martinson IM, Wong TKS (2009). Reframing: psychological adjustment of chinese women at the beginning of the breast cancer experience. Qual Health Res, 3, 339-51.
- Crouch M, McKenzie H (2000). Social realities of loss and suffering following mastectomy. Health, 2, 196-215.
- Dempsey AD (2000). Using nursing research, process critical evaluation and utilization. Philadelphia, Lippincot.
- Engle J, Kerr J, Schlesinger-Raab A, Sauer H, Holzel D (2004). Quality of life following breast conserving therapy or mastectomy: Results of a 5 Year prospective study. Breast J, 3, 223-31.
- Fazel A, Tirgari B, Mokhber N (2008). An investigation of effect of mastectomy on temperament and quality of life in breast cancer sufferers. J Shahid Sadoogi University Medicine Health-Care Service, 3, 26-8.
- Jaeeun Pake (2000). Preferred sleepwear designs for postmastectomy women to improve their self confidence on own body image. Available from: http//www.dhmc.org
- Henderson PD, Gore SV, Davis BL, Condon EH (2003). African American women coping with breast ancer: a qualitative analysis. Oncol Nurs Forum, 4, 641-7.
- Harmer V (2000). The Surgical management of breast cancer. Nurs Times, 96, 200.
- Khademi M, Sajadi, M (2009). Breast cancer: An ological study. Scientific J Arak Medicine University, 1, 29-39.
- Kraus PL (1999). Body image, decision making, and breast cancer treatment. Cancer Nurs, 22, 421-7. https://doi.org/10.1097/00002820-199912000-00004
- Lynn M, Glockler LA, Eisner MP (2006). Cancer of the female breast. NCI, 13, 101-10.
- Rich M, Ginsburg K (1999). The reason and rhyme of qualitative research: why, when and how to use qualitative methods in the study of adolescent health. RUSH, 6, 371-8.
- Shian M, Monjamed Z, Mehran A (2004). The relationship between cancer features and quality of life in patients under chemotherapy. Hayat Periodical, 22, 79-84.
- Sasali M, Parvizi S, Adib Haj Bagheri M (2003).Methods of Qualitative studies. Tehran, Bashari Publication.
- Schover LR (1997). Sexuality in cancer. J Clin Oncol, 5, 1234-45.
- Taleghani F, Yekta PZ, Nikbakht-Nasrabadi A (2008). Adjustment process in Iranian women with breast cancer. Cancer Nursing, 3, 32-41.
- Zeyghami M Sh, Ghaffari F (2009). Sexual disorder and its interaction with quality of life in patients with breast cancer. Iranian J Females Obstetrics Infertility, 2, 39-46.
- Exploratory Study of Factors Affecting Continuity of Cancer Care: Iranian Women's Perceptions vol.15, pp.1, 2014, https://doi.org/10.7314/APJCP.2014.15.1.133
- Discussing Sexuality with Cancer Patients: Oncology Nurses Attitudes and Views vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7321
- Cancer patients' effort to return to normal life: a hermeneutic study vol.31, pp.2, 2016, https://doi.org/10.1111/scs.12354
- Losing the breast: A meta-synthesis of the impact in women breast cancer survivors pp.10579249, 2017, https://doi.org/10.1002/pon.4460
- Sexual life after mastectomy in breast cancer survivors: A qualitative study pp.10579249, 2017, https://doi.org/10.1002/pon.4479