题名

Lived Experience of Breast Cancer Survivors: A Phenomenological Study

DOI

10.1097/jnr.0000000000000518

作者

Chantira CHIARANAI;Saranya CHULAREE;Jeranut Somchock WHITE

关键词

breast cancer ; life change events ; qualitative research ; women's health

期刊名称

The Journal of Nursing Research

卷期/出版年月

30卷6期(2022 / 12 / 01)

页次

1 - 9

内容语文

英文

中文摘要

Background: Breast cancer (BrCa) is the most common cancer worldwide. Five-year survival rates among individuals with BrCa are the highest of all types of cancer, yet there is a paucity of knowledge about the experiences of survivors regarding living through their diagnosis and treatment. In-depth interviews and the systematic analysis of self-reported experiences may provide in-depth information about the BrCa survivorship experience. Purpose: This qualitative study was designed to identify and elucidate the lived experiences of Thai women with BrCa who successfully completed their treatment program for BrCa and/or treatment with chemotherapy for over 5 years and are currently cancer-free. Methods: A phenomenological method was employed. Survivors of BrCa who met the inclusion criteria were purposively selected and invited to take part in the study. Study data were collected between January and March 2019. An open-ended, in-depth interview guide was used to direct the conversation concerning the participants' experiences and perceptions. Thematic analysis was used for data analysis. Results: Data saturation was reached after 12 interviews. The five themes derived from the data include (a) being distressed, (b) accepting treatments and seeking alternative treatments, (c) going through difficult times, (d) becoming a stronger person, and (e) becoming thankful. Conclusions/Implications for Practice: The experiences and themes identified enhance scholarly understanding regarding the experience of survivors of BrCa. A true understanding of this experience enables healthcare providers to craft and deliver appropriate interventions that provide quality care and improve women's health, thereby enhancing their quality of life. The results of this study may contribute to the development of new theories by using different qualitative approaches such as grounded theory.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. American Cancer Society. (2020). Survival rates for breast cancer. https://www.cancer.org/cancer/breast-cancer/understandinga-breast-cancer-diagnosis/breast-cancer-survival-rates.html
  2. American Institute for Cancer Research. (2020). Worldwide cancer data―Global cancer statistics for the most common cancers in the world. https://www.wcrf.org/dietandcancer/cancer-trends/worldwide-cancer-data?fbclid=IwAR1O0_a-iMtl8VBIl4kCLt4N2jvzut3etZIIx1Drsnr0Emi0tt-zqjV__E
  3. Chiaranai, C.,Chularee, S.,Srithongluang, S.(2018).Older people living with chronic illness.Geriatric Nursing,39(5),513-520.
  4. Colaizzi, P. F.(1978).Psychological research as the phenomenologist views it.Existential phenomenological alternatives for psychology
  5. Creswell, J. W.,Creswell, J. D.(2017).Research design: Qualitative, quantitative, and mixed methods approaches.Sage.
  6. Drageset, S.,Lindstrøm, T. C.,Ellingsen, S.(2020)."I have both lost and gained." Norwegian survivors' experiences of coping 9 years after primary breast cancer surgery.Cancer Nursing,43(1),E30-E37.
  7. Dsouza, S. M.,Vyas, N.,Narayanan, P.,Parsekar, S. S.,Gore, M.,Krishna, S.(2018).A qualitative study on experiences and needs of breast cancer survivors in Karnataka, India.Clinical Epidemiology and Global Health,6(2),69-74.
  8. Giorgi, A.(2009).The descriptive phenomenological method in psychology: A modified Husserlian approach.XanEdu.
  9. Hellerstedt-Börjesson, S.,Nordin, K.,Fjällskog, M. L.,Holmström, I. K.,Arving, C.(2016).Women treated for breast cancer experiences of chemotherapy-induced pain: Memories, any present pain, and future reflections.Cancer Nursing,39(6),464-472.
  10. Jefford, M.,Ward, A. C.,Lisy, K.,Lacey, K.,Emery, J. D.,Glaser, A. W.,Cross, H.,Krishnasamy, M.,McLachlan, S. A.,Bishop, J.(2017).Patient-reported outcomes in cancer survivors: A population-wide cross-sectional study.Supportive Care in Cancer,25(10),3171-3179.
  11. Jeffs, E.,Ream, E.,Shewbridge, A.,Cowan-Dickie, S.,Crawshaw, D.,Huit, M.,Wiseman, T.(2016).Exploring patient perception of success and benefit in self-management of breast cancer-related arm lymphedema.European Journal of Oncology Nursing,20,173-183.
  12. Knaul, F. M.,Doubova, S. V.,Gonzalez Robledo, M. C.,Durstine, A.,Pages, G. S.,Casanova, F.,Arreola-Ornelas, H.(2020).Self-identity, lived experiences, and challenges of breast, cervical, and prostate cancer survivorship in Mexico: A qualitative study.BMC Cancer,20(1),Article No. 577.
  13. Kołodziejczyk, A.,Pawłowski, T.(2019).Negative bodyimagein breast cancer patients.Advances in Clinical and Experimental Medicine,28(8),1137-1142.
  14. Kugbey, N.,Oppong Asante, K.,Meyer-Weitz, A.(2020).Illness perception and coping among women living with breast cancer in Ghana: An exploratory qualitative study.BMJ Open,10(7),Article e033019.
  15. Lashbrook, M. P.,Valery, P.C.,Knott, V.,Kirshbaum, M. N.,Bernardes, C. M.(2018).Coping strategies used by breast, prostate, and colorectal cancer survivors: A literature review.Cancer Nursing,41(5),E23-E39.
  16. McConkey, R. W.,Holborn, C.(2018).Exploring the lived experience of gay men with prostate cancer: A phenomenological study.The European Journal of Oncology Nursing,33,62-69.
  17. Morales-Sánchez, L.,Luque-Ribelles, V.,Gil-Olarte, P.,Ruiz-González, P.,Guil, R.(2021).Enhancing self-esteem and body image of breast cancer women through interventions: A systematic review.International Journal of Environmental Research and Public Health,18(4),Article 1640.
  18. National Cancer Institute, Thailand. (2020). Cancer in Thailand. Author. https://nci.go.th (Original work published in Thai)
  19. Patton, C. M.(2020).Phenomenology for the holistic nurse researcher: Underpinnings of descriptive and interpretive traditions.Journal of Holistic Nursing,38(3),278-286.
  20. Phenwan, T.,Peerawong, T.,Tulathamkij, K.(2019).The meaning of spirituality and spiritual well-being among Thai breast cancer patients: A qualitative study.Indian Journal of Palliative Care,25(1),119-123.
  21. Shapiro, C. L.(2018).Cancer survivorship.The New England Journal of Medicine,379(25),2438-2450.
  22. Smit, A.,Coetzee, B. J.,Roomaney, R.,Bradshaw, M.,Swartz, L.(2019).Women's stories of living with breast cancer: A systematic review and meta-synthesis of qualitative evidence.Social Science & Medicine,222,231-245.
  23. Suwankhong, D.,Liamputtong, P.(2018).Physical and emotional experiences of chemotherapy: A qualitative study among women with breast cancer in Southern Thailand.APJCP: Asian Pacific Journal of Cancer Prevention,19(2),521-528.
  24. Tong, A.,Sainsbury, P.,Craig, J.(2007).Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups.International Journal for Quality in Health Care,19(6),349-357.
  25. Tran, T. H.,Trinh, N. L.,Hoang, Y.,Nguyen, T. L.,Vu, T. T.(2019).Health-related quality of life among Vietnamese breast cancer women.Cancer Control,26(1),Article 1073274819862787.
  26. Tsaras, K.,Papathanasiou, I. V.,Mitsi, D.,Veneti, A.,Kelesi, M.,Zyga, S.,Fradelos, E. C.(2018).Assessment of depression and anxiety in breast cancer patients: Prevalence and associated factors.Asian Pacific Journal of Cancer Prevention,19(6),1661-1669.
  27. World Cancer Research Fund International. (2020). Worldwide cancer data. Author. https://www.wcrf.org/dietandcancer/cancertrends/worldwide-cancer-data
  28. Wu, Q.,Yin, Y.,Wang, Q.,Wang, S.,Jia, X.(2021).Body image and hopelessness among early-stage breast cancer survivors after surgery in China: A cross-sectional study.Nursing Open,8(6),3384-3393.