Information provision and problem-solving processes in Japanese breast cancer survivors with lymphoedema symptoms.
Scand J Caring Sci
; 26(1): 53-60, 2012 Mar.
Article
em En
| MEDLINE
| ID: mdl-21692823
ABSTRACT
BACKGROUND:
In Japan, a high proportion of breast cancer (BC) survivors develop lymphoedema as a consequence of the treatment received. Japanese BC survivors are generally not provided with standardised information about risks, early signs and symptom management. The effects of (in)adequate information on the problem-solving processes among Japanese BC survivors with lymphoedema symptoms have not been investigated.PURPOSE:
The aim of this study was to explore how the provision of medical information by doctors affected the problem-solving processes of Japanese BC survivors with lymphoedema symptoms.METHOD:
Ten Japanese BC survivors participated in audio-taped focus group discussions. Transcripts were analysed using an inductive thematic analysis.RESULTS:
Analysis identified two phases during which participants attempted to address problems with managing their lymphoedema symptoms - a help-seeking phase and an evaluation phase. Perceptions of information provision affected emotional responses to the onset and cognitive appraisals of lymphoedema symptoms (seen as accepted or burden). However, perceptions of information provision did not affect help-seeking behaviours from surgeons or adherence behaviours. Participants often perceived compression sleeves as inefficient and not worth continuing.CONCLUSION:
This study suggests that information provision is a key process in helping BC patients to adjust to symptoms of lymphoedema. In order to promote effective symptom management, doctors and nurses should provide support not only during the help-seeking phase but also the evaluation phase. Further research on the most effective ways to change negative treatment beliefs should be conducted.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Resolução de Problemas
/
Neoplasias da Mama
/
Atitude Frente a Saúde
/
Educação de Pacientes como Assunto
/
Linfedema
Tipo de estudo:
Diagnostic_studies
/
Qualitative_research
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Scand J Caring Sci
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido