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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer
Journal of Korean Academy of Nursing 2016³â 46±Ç 6È£ p.894 ~ p.904
ÀÌ¸í¼±(Yi Myung-Sun) - ¼¿ï´ëÇб³ °£È£´ëÇÐ
Á¤¿ìÁ¤(Joung Woo-Joung) - ¼¿ï´ëÇб³ °£È£°úÇבּ¸¼Ò
¹ÚÀº¿µ(Park Eun-Young) - °¡Ãµ´ëÇб³ °£È£´ëÇÐ
±ÇÀºÁø(Kwon Eun-Jin) - ºÎõ´ëÇб³ °£È£´ëÇÐ
±èÇØÁø(Kim Hae-Jin) - ´Ü±¹´ëÇб³ °£È£´ëÇÐ
¼Áö¿µ(Seo Ji-Young) - ¼¿ï´ëÇб³ °£È£´ëÇÐ
Abstract
Purpose: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.
Methods: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.
Results: Five theme clusters emerged. First, ¡°expected loss of sexuality and discovery of autonomy¡± illustrates various aims of breast reconstruction. Second, ¡°holding tight to the reputation of doctors amid uncertainty¡± specifies the importance of a trust relationship with their physician despite a lack of information. Third, ¡°family members to step back in position¡± describes support or opposition from family members in the decision making process. Fourth, ¡°bewilderment due to the paradoxof appearance-oriented views¡± illustrates paradoxical environment, resulting in confusion and anger. Lastly, ¡°decision to be made quickly with limited time to oneself¡± describes the crazy whirling process of decision making.
Conclusion: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
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Breast Neoplasms, Mammoplasty, Decision Making, Qualitative Research, Women
KMID :
0806120160460060894
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Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy.