- Volume 14 Issue 6
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Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women
- Yusuf, Azlina (Department of Dental Public Health, School of Dental Sciences, Universiti Sains Malaysia) ;
- Ab Hadi, Imi Sairi (Department of Surgery, Hospital Raja Perempuan Zainab II) ;
- Mahamood, Zainal (Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia) ;
- Ahmad, Zulkifli (Department of Dental Public Health, School of Dental Sciences, Universiti Sains Malaysia) ;
- Keng, Soon Lean (School of Health Sciences, Universiti Sains Malaysia)
- Published : 2013.06.30
Breast cancer is the most common and leading cause of cancer mortality among Malaysian women. Despite good survival rates, the diagnosis of cancer still invokes the feeling of stress, fear and uncertainty. Because very little is known about the experiences of Malaysian women with breast cancer, a qualitative study using semi-structured interviews to explore the lived experience of newly diagnosed breast cancer. Using a purposive sampling method, 20 Malaysian women newly diagnosed with breast cancer, including Malays (n=10) and Chinese (n=10) were recruited in two main public hospitals in Kelantan. Similarities and divergence in women's experience were identified through thematic analysis of interview transcripts. Three themes emerged from the data: uncertainty experience of the illness, transition process and fatalistic view of breast cancer. In many ways, these findings were parallel with previous studies, suggesting that the experience of breast cancer is to a certain extent similar among women newly diagnosed with breast cancer. This study adds to the sparse literature concerning the experience of illness following breast cancer diagnosis among the Malays and Chinese. More importantly, this study addressed areas that were previously lacking, specifically in depth information on breast cancer experience from a developing country with a multi-ethnic population. The results of this investigation provide preliminary information to healthcare professionals on the impact of illness and cultural influence on survivorship to plan for appropriate education and supportive programme in order to meet the needs of breast cancer women more effectively.
Supported by : Universiti Sains Malaysia
- Montazeri A (2008). Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res, 27, 32. https://doi.org/10.1186/1756-9966-27-32
- Morse JM (2000). Determining sample size. Qual Health Res, 10, 3-5. https://doi.org/10.1177/104973200129118183
- Muhamad M, Merriam S, Suhami N (2011). Why breast cancer patients seek traditional healers. Int J Breast Cancer, 2012, 689168.
- Mujar M, Dahlui M, Yip CH, Taib NA (2012). Delays in time to primary treatment after a diagnosis of breast cancer: does it impact survival? Prev Med, 56, 222-4.
- Musa MB, Yusof FBM, Harun-Or-Rashid M, Sakamoto J (2011). Cancers affecting women in Malaysia. Ann Cancer Res and Ther, 19, 20-5. https://doi.org/10.4993/acrt.19.20
- Norsa'adah B, Rampal K, Rahmah M, Naing N, Biswal B (2011). Diagnosis delay of breast cancer and its associated factors in Malaysian women. BMC Cancer, 11, 141. https://doi.org/10.1186/1471-2407-11-141
- Norsa'adah B, Rahmah MA, Rampal KG, Knight A (2012). Understanding barriers to Malaysian Women with breast cancer seeking help. Asian Pac J Cancer Prev, 13, 3723-30. https://doi.org/10.7314/APJCP.2012.13.8.3723
- O'Cathain A, Murphy E, Nicholl J (2007). Why, and how, mixed methods research is undertaken in health services research in England: a mixed methods study. BMC Health Serv Res, 7, 85. https://doi.org/10.1186/1472-6963-7-85
- Pue G, Shamsul A (2011). In international conference on humanities, society and culture, Vol. 20 IACSIT Press, Singapore.
- Redhwan A, Idris MNM, Robert C (2008a). Dietry and lifestyle changes of Malaysia breast cancer survivors: a qualitative study. J Kesihatan Masyarakat, 14, 24-31.
- Redhwan A, Idris MNM, Zaleha MI, et al (2008b). Quality of life among women with breast cancer from Universiti Kebangsaan Malaysia Medical Centre, Malaysia. J Commun Health, 14, 46-55.
- Rubin HJ, Rubin IS (2005). Qualitative interviewing: the art of hearing data. 2nd ed. ed. Thousand Oaks: SAGE Publications.
- Salminen E, Lagstrom H, Heikkila S, Salminen S (2000). Does breast cancer change patients' dietary habits? Eur J Clin Nutr, 54, 844-8. https://doi.org/10.1038/sj.ejcn.1601103
- Sammarco A, Konecny LM (2010). Quality of life, social support, and uncertainty among Latina and Caucasian breast cancer survivors: a comparative study. Oncol Nur Forum, 37, 93-9. https://doi.org/10.1188/10.ONF.93-99
- Sandelowski M (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixedmethod studies. Res Nur and Health, 23, 246-55. https://doi.org/10.1002/1098-240X(200006)23:3<246::AID-NUR9>3.0.CO;2-H
- Shaha M, Cox CL, Talman K, Kelly D (2008). Uncertainty in breast, prostate, and colorectal cancer: implications for supportive care. J Nurs Scholarship, 40, 60-7. https://doi.org/10.1111/j.1547-5069.2007.00207.x
- Spurlock W, Cullins L (2006). Cancer fatalism and breast cancer screening in African American women. ABNF J, 17, 38.
- Abdullah A (1996). Going glocal: cultural dimensions in Malaysian management. Kuala Lumpur: Malaysian Institute of Management.
- Ahmad F, Muhammad M, Abdullah AA (2011). Religion and spirituality in coping with advanced breast cancer: Perspectives from Malaysian Muslim women. J Relig Health, 50, 36-45. https://doi.org/10.1007/s10943-010-9401-4
- Ashing-Giwa K, Padilla G, Bohorquez D, Tejero JS, Garcia, M (2006). Understanding the breast cancer experience of Latina women. J Psychosoc Oncol, 24, 19-52. https://doi.org/10.1300/J077v24n03_02
- Boehmke MM, Dickerson SS (2006). The diagnosis of breast cancer: transition from health to illness. Oncol Nur Forum, 33, 1121-7. https://doi.org/10.1188/06.ONF.1121-1127
- Bryman A (2008). Social research methods. Oxford: Oxford University Press.
- Chen PY, Chang HC (2012). The coping process of patients with cancer. Eur J Oncol Nur, 16, 10-6. https://doi.org/10.1016/j.ejon.2011.01.002
- Coyne E, Borbasi S (2006). Holding it all together: breast cancer and its impact on life for younger women. Contemporary Nurse, 23, 157. https://doi.org/10.5172/conu.2006.23.2.157
- Department of Statistics Malaysia (2010). Population distribution and basic demographic characteristics.
- Doumit MAA, El Saghir N, Abu-Saad Huijer H, Kelley JH, Nassar N (2010a). Living with breast cancer, a Lebanese experience. Eur J Oncol Nur, 14, 42-8. https://doi.org/10.1016/j.ejon.2009.08.003
- Doumit MAA, Huijer HAS, Kelley JH, El Saghir N, Nassar N (2010b). Coping with breast cancer: a phenomenological study. Cancer Nur, 33, 33. https://doi.org/10.1097/NCC.0b013e3181c5d70f
- Drageset S, Lindstrom TC, Giske T, Underlid K (2011). Being in suspense: women's experiences awaiting breast cancer surgery. J Adv Nur, 67, 1941-51. https://doi.org/10.1111/j.1365-2648.2011.05638.x
- Drageset S, Lindstrom TC, Underlid K (2010). Coping with breast cancer: between diagnosis and surgery. J Adv Nur, 66, 149-58. https://doi.org/10.1111/j.1365-2648.2009.05210.x
- Farooqui M, Hassali M, Shatar A, Shafie A, Seang T (2011). A qualitative exploration of Malaysian cancer patients' perspectives on cancer and its treatment. BMC Public Health, 11, 525. https://doi.org/10.1186/1471-2458-11-525
- Fielding R, Lam WWT (2004). Measuring social impacts of breast carcinoma treatment in Chinese women. Cancer, 100, 2500-11. https://doi.org/10.1002/cncr.20303
- Florez KR, Aguirre AN, Viladrich A, et al (2009). Fatalism or destiny? A qualitative study and interpretative framework on Dominican women's breast cancer beliefs. J Immigr Minor Health, 11, 291-301. https://doi.org/10.1007/s10903-008-9118-6
- Green J, Thorogood N (2004). Qualitative methods for health research. London: SAGE Publications Ltd.
- Hasan SS, Ahmed SI, Bukhari NI, Loon W (2009). Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract, 15, 152. https://doi.org/10.1016/j.ctcp.2009.02.003
- Heidegger M (1996). Being and Time. Albany: State University of New York Press.
- Henderson PD, Gore SV, Davis BL, Condon EH (2003). African American women coping with breast cancer: a qualitative analysis. Oncol Nur Forum, 30, 641-8. https://doi.org/10.1188/03.ONF.641-647
- Ibrahim NI, Dahlui M, Aina E, Al-Sadat N (2012). Who are the breast cancer survivors in Malaysia? Asian Pac J Cancer Prev, 13, 2213-8. https://doi.org/10.7314/APJCP.2012.13.5.2213
- Jemal A, Bray F, Center MM, et al (2011). Global cancer statistics. CA: Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
- Kelly SE (2010). Qualitative interviewing techniques and styles. In: Bourgeault I, Dingwall R, De Vries R (eds.), The SAGE handbook of qualitative methods in health research 1st ed. London: SAGE Publications Ltd, pp 307-326.
- Kemper EA, Stringfield S, Teddlie C (2003). Mixed methods sampling strategies in social science research. In: Tashakkori A, Teddlie C (eds.), Handbook of mixed methods in social & behavioral research 3rd ed ed. London: SAGE Publications.
- Kushi LH, Doyle C, McCullough M, et al (2010). American cancer society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA: Cancer J Clin, 62, 30-67.
- Kushi LH, Kwan ML, Lee MM, Ambrosone CB (2007). Lifestyle factors and survival in women with breast cancer. J Nutr, 137, 236-42.
- Lam WT, Fielding R (2003). The evolving experience of illness for Chinese women with breast cancer: a qualitative study. Psycho-Oncology, 12, 127-40. https://doi.org/10.1002/pon.621
- Lam WT, Fielding R, Chan M, Chow L, Or A (2005). Gambling with your life: the process of breast cancer treatment decision making in Chinese women. Psycho-Oncology, 14, 1-15.
- Landmark BT, Bohler A, Loberg K, Wahl AK (2008). Women with newly diagnosed breast cancer and their perceptions of needs in a health-care context. J Clin Nur, 17, 192-200. https://doi.org/10.1111/j.1365-2702.2008.02340.x
- Lindop E, Cannon S (2001). Experiences of women with a diagnosis of breast cancer: a clinical pathway approach. Eur J Oncol Nur, 5, 91-9. https://doi.org/10.1054/ejon.2000.0116
- Luoma ML, Hakamies-Blomqvist L (2004). The meaning of quality of life in patients being treated for advanced breast cancer: a qualitative study. Psycho-Oncology, 13, 729-39. https://doi.org/10.1002/pon.788
- Mandelblatt JS, Edge SB, Meropol NJ, et al (2003). Predictors of long-term outcomes in older breast cancer survivors: perceptions versus patterns of care. J Clin Oncol, 21, 855-63. https://doi.org/10.1200/JCO.2003.05.007
- Marshall C, Rossman GB (2011). Designing qualitative research 5th ed. California: SAGE Publications, Inc.
- Maunsell E, Drolet M, Brisson J, Robert J, Deschenes L (2002). Dietary change after breast cancer: extent, predictors, and relation with psychological distress. J Clin Oncol, 20, 1017-25. https://doi.org/10.1200/JCO.20.4.1017
- McCann L, Illingworth N, Wengstrom Y, Hubbard G, Kearney N (2011). Transitional experiences of women with breast cancer within the first year following diagnosis. J Clin Nur, 19, 1969-76.
- McWilliam CL (2010). Phenomenology. In: Bourgeault, I., Dingwall, R. and de Vries, R. (eds.), The SAGE handbook of qualitative methods in health research 1st ed. London: SAGE Publications Ltd, pp 229-248.
- Merriam SB, Mohamad M (2000). How cultural values shape learning in older adulthood: the case of Malaysia. Adult Educ Quart, 51, 45-63. https://doi.org/10.1177/074171360005100104
- Mohamed IE, Skeel Williams K, Tamburrino M, Wryobeck J, Carter S (2005). Understanding locally advanced breast cancer: what influences a woman's decision to delay treatment? Prev Med, 41, 399-405. https://doi.org/10.1016/j.ypmed.2004.12.012
Streubert HJ, Carpenter DR (2011). Qualitative research in nursing: advancing the humanistic imperative 5th ed. Philadelphia: Wolters Kluwer Health
$|$Lippincott Williams & Wilkins.
- Swinton J, Bain V, Ingram S, Heys SD (2011). Moving inwards, moving outwards, moving upwards: the role of spirituality during the early stage of breast cancer. Eur J Cancer Care, 20, 640-52. https://doi.org/10.1111/j.1365-2354.2011.01260.x
- Taib NA, Yip CH, Mohamed I (2008). Survival analysis of Malaysian women with breast cancer: results from the University of Malaya Medical Centre. Asian Pac J Cancer Prev, 9, 197.
- Taib NA, Akmal M, Mohamed I, Yip CH (2011a). Improvement in survival of breast cancer patients-trends in survival over two time periods in a single institution in an Asia Pacific Country, Malaysia. Asian Pac J Cancer Prev, 12, 345-9.
- Taib NA, Yip CH, Low WY (2011b). Recognising symptoms of breast cancer as a reason for delayed presentation in Asian women-the Psycho-socio-cultural Model for breast symptom appraisal: opportunities for intervention. Asian Pac J Cancer Prev, 12, 1601-8.
- Taleghani F, Yekta ZP, Nasrabadi AN, Kappeli S (2008). Adjustment process in Iranian women with breast cancer. Cancer Nurs, 31, 32. https://doi.org/10.1097/01.NCC.0000305674.06211.03
- Tam Ashing K, Padilla G, Tejero J, Kagawa-Singer M (2003). Understanding the breast cancer experience of Asian American women. Psycho-Oncology, 12, 38-58. https://doi.org/10.1002/pon.632
- Teo KS (2003). The Peranakan Chinese of Kelantan: a study of the culture, language and communication of an assimilated group in Malaysia. London: ASEAN Academic Press.
- Tighe M, Molassiotis A, Morris J, Richardson J (2011). Coping, meaning and symptom experience: a narrative approach to the overwhelming impacts of breast cancer in the first year following diagnosis. Eur J Oncol Nurs, 15, 226-32. https://doi.org/10.1016/j.ejon.2011.03.004
- Tobin GA, Begley C (2008). Receiving bad news: a phenomenological exploration of the lived experience of receiving a cancer diagnosis. Cancer Nurs, 31, 31-9. https://doi.org/10.1097/01.NCC.0000305767.42475.7a
- World Health Organization. (2012). Cancer [Online] Available from:http://www.who.int/mediacentre/factsheets/fs297/en/.
- Yip CH, Taib N, Mohamed I (2006). Epidemiology of breast cancer in Malaysia. Asian Pac J Cancer Prev, 7, 369.
- Yusoff N (2009). Quality of life, interpersonal relationships and coping strategies of the women with breast cancer and their husbands, University of Malaya, Kuala Lumpur.
- Yusoff N, Reiko Yap KM, Ahmad A (2012). Husbands' experience with their wives' breast cancer: a qualitative study. Malays J Public Health Med, 12, 31-8.
- Yusoff N, Taib NA, Ahmad A (2011). The health seeking trajectories of Malaysian women and their husbands in delay cases of breast cancer: a qualitative study. Asian Pac J Cancer Prev, 12, 2563-70.
- Zainal Ariffin O, Nor Saleha IT (2011). Malaysia Cancer Statistics Data and Figure 2007. Putrajaya: National Cancer Registry, Ministry of Health, Malaysia.
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