ORIGINAL ARTICLE
Women with breast cancer, listening to the unheard voices: A qualitative study
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1
Pharmacological and Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, JORDAN
2
King Hussein Cancer Center, Amman, JORDAN
3
Oncology Department, Al Basheer Hospital, Ministry of Health, Amman, JORDAN
4
Applied Science Private University, Amman, JORDAN
Online publication date: 2023-01-26
Publication date: 2023-03-01
Electron J Gen Med 2023;20(2):em460
KEYWORDS
ABSTRACT
Objective:
This is a descriptive qualitative study with the aim of examining experiences of women diagnosed with breast cancer.
Methods:
The semi-structured interviews were conducted in the oncology clinic in Al Basheer Hospital in Jordan and included 15 women.
Results:
Several themes were identified such as knowledge before and after diagnosis, side effects of treatment, social and economic problems, lockdown and financial challenges in corona pandemic, coping strategies, and disclosure issues. Appropriate knowledge concerning causes of breast cancer, and side effects of administered drugs were lacking. Additionally, women were not comfortable telling others about their breast cancer diagnosis and considered it a private issue. During the COVID-19 pandemic, they faced many difficulties reaching hospitals, financial struggles, and inability to meet with their loved ones during lockdown.
Conclusion:
This study revealed the diversity of personalities and unique disposition of women regarding all the topics covered in the interviews. These differences should be considered in the support provided to these patients.
REFERENCES (28)
1.
Arnold M, Morgan E, Rumgay H, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022;66:15-23.
https://doi.org/10.1016/j.brea... PMid:36084384 PMCid:PMC9465273.
3.
Lan B, Jiang S, Li T, Sun X, Ma F. Depression, anxiety, and their associated factors among Chinese early breast cancer in women under 35 years of age: A cross sectional study. Curr Probl Cancer. 2020;44(5):100558.
https://doi.org/10.1016/j.curr... PMid:32067747.
4.
Ng CG, Mohamed S, See MH, et al. Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study. Health Qual Life Outcomes. 2015;13:205.
https://doi.org/10.1186/s12955... PMid:26715073 PMCid:PMC4696207.
5.
Tripathi L, Datta SS, Agrawal SK, Chatterjee S, Ahmed R. Stigma perceived by women following surgery for breast cancer. Indian J Med Paediatr Oncol. 2017;38(2):146-52.
https://doi.org/10.4103/ijmpo.....
6.
Enien MA, Ibrahim N, Makar W, Darwish D, Gaber M. Health-related quality of life: Impact of surgery and treatment modality in breast cancer. J Cancer Res Ther. 2018;14(5):957-63.
https://doi.org/10.4103/0973-1... PMid:30197331.
7.
Meadows RJ, Nolan TS, Paxton RJ. Spiritual health locus of control and life satisfaction among African American breast cancer survivors. J Psychosoc Oncol. 2020;38(3):343-57.
https://doi.org/10.1080/073473... PMid:31760891 PMCid:PMC8532167.
8.
Sheppard VB, Walker R, Phillips W, et al. Spirituality in African-American breast cancer patients: Implications for clinical and psychosocial care. J Relig Health. 2018;57(5):1918-30.
https://doi.org/10.1007/s10943... PMid:29627925.
9.
Alhusban RY. Changed body image as perceived by Jordanian women undergoing breast cancer treatment. Asian Pac J Cancer Prev. 2019;20(3):767-73.
https://doi.org/10.31557/APJCP... PMid:30909683 PMCid:PMC6825753.
10.
Casanova M, Pagani Bagliacca E, et al. How young patients with cancer perceive the COVID-19 (coronavirus) epidemic in Milan, Italy: Is there room for other fears? Pediatr Blood Cancer. 2020;67(7):e28318.
https://doi.org/10.1002/pbc.28... PMid:32240567.
11.
Brivio E, Guiddi P, Scotto L, et al. Patients living with breast cancer during the coronavirus pandemic: The role of family resilience, coping flexibility, and locus of control on affective responses. Front Psychol. 2020;11:567230.
https://doi.org/10.3389/fpsyg.... PMid:33519580 PMCid:PMC7840521.
12.
Yfantis A, Intas G, Tolia M, et al. Health-related quality of life of young women with breast cancer. Review of the literature. J BUON. 2018;23(1):1-6.
13.
Ribnikar D, Ribeiro JM, Pinto D, et al. Breast cancer under age 40: A different approach. Curr Treat Options Oncol. 2015;16(4):16.
https://doi.org/10.1007/s11864... PMid:25796377.
15.
Taha H, Al-Qutob R, Nyström L, Wahlström R, Berggren V. “Voices of fear and safety” women’s ambivalence towards breast cancer and breast health: A qualitative study from Jordan. BMC Womens Health. 2012;12:21.
https://doi.org/10.1186/1472-6... PMid:22834874 PMCid:PMC3526536.
16.
Nyblade L, Stockton M, Travasso S, Krishnan S. A qualitative exploration of cervical and breast cancer stigma in Karnataka, India. BMC Womens Health. 2017;17(1):58.
https://doi.org/10.1186/s12905... PMid:28768506 PMCid:PMC5541646.
17.
Dodo AM, Sykes P, Powell C. Exploring the barriers to breast and cervical cancer screening in Nigeria: A narrative review. Afr J Reprod Health. 2016;20(4):89-98.
https://doi.org/10.29063/ajrh2... PMid:29566323.
18.
Najmabadi KM, Azarkish F, Latifnejadroudsari R, et al. Self-disclosure of breast cancer diagnosis by Iranian women to friends and colleagues. Asian Pac J Cancer Prev. 2014;15(6):2879-82.
https://doi.org/10.7314/APJCP.... PMid:24761918.
19.
Heena H, Durrani S, Riaz M, et al. Knowledge, attitudes, and practices related to breast cancer screening among female health care professionals: A cross sectional study. BMC Womens Health. 2019;19(1):122.
https://doi.org/10.1186/s12905... PMid:31640681 PMCid:PMC6806575.
20.
Al-Dubai SA, Qureshi AM, Saif-Ali R, Ganasegeran K, Alwan MR, Hadi JI. Awareness and knowledge of breast cancer and mammography among a group of Malaysian women in Shah Alam. Asian Pac J Cancer Prev. 2011;12(10):2531-8.
21.
Moyer A, Salovey P. Patient participation in treatment decision making and the psychological consequences of breast cancer surgery. Womens Health. 1998;4(2):103-16.
22.
Sivendran S, Jenkins S, Svetec S, et al. Illness understanding of oncology patients in a community-based cancer institute. J Oncol Pract. 2017;13(9):e800-8.
https://doi.org/10.1200/JOP.20... PMid:28678589.
23.
Freedman RA, Kouri EM, West DW, Lii J, Keating NL. Association of breast cancer knowledge with receipt of guideline-recommended breast cancer treatment. J Oncol Pract. 2016;12(6):e613-25.
https://doi.org/10.1200/JOP.20... PMid:27165488 PMCid:PMC4957257.
24.
Bickell NA, Weidmann J, Fei K, Lin JJ, Leventhal H. Underuse of breast cancer adjuvant treatment: Patient knowledge, beliefs, and medical mistrust. J Clin Oncol. 2009;27(31):5160-7.
https://doi.org/10.1200/JCO.20... PMid:19770368 PMCid:PMC2773474.
25.
Lukwago SN, Kreuter MW, Holt CL, Steger-May K, Bucholtz DC, Skinner CS. Sociocultural correlates of breast cancer knowledge and screening in urban African American women. Am J Public Health. 2003;93(8):1271-4.
https://doi.org/10.2105/AJPH.9... PMid:12893610 PMCid:PMC1447952.
26.
Fink AK, Gurwitz J, Rakowski W, Guadagnoli E, Silliman RA. Patient beliefs and tamoxifen discontinuance in older women with estrogen receptor--positive breast cancer. J Clin Oncol. 2004;22(16):3309-15.
https://doi.org/10.1200/JCO.20... PMid:15310774.
27.
Haugland T, Wahl AK, Hofoss D, DeVon HA. Association between general self-efficacy, social support, cancer-related stress and physical health-related quality of life: A path model study in patients with neuroendocrine tumors. Health Qual Life Outcomes. 2016;14(1):11.
https://doi.org/10.1186/s12955... PMid:26787226 PMCid:PMC4717553.
28.
Dunkel-Schetter C, Feinstein LG, Taylor SE, Falke RL. Patterns of coping with cancer. Health Psychol. 1992;11(2):79-87.
https://doi.org/10.1037/0278-6... PMid:1582383.