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Dissertations / Theses on the topic 'Breast cancer, mastectomy, nursing care'
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Shatley, Joseph Andrew, and L. Lee Glenn. "Sexuality and Quality of Life of Breast Cancer Patients Post Mastectomy." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7510.
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Excerpt: Manganiello et al., (2010) aimed to evaluate the sexual functioning of mastectomy patients and its association with their quality of life. There are two shortcomings with this study that render its conclusions invalid, or at least, weakly supported.
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Neuling, Sandra J. "Psychosocial needs and responses in breast cancer recovery /." Title page, contents and abstract only, 1989. http://web4.library.adelaide.edu.au/theses/09PH/09phn487.pdf.
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Thesis (Ph. D.)--Dept. of Psychology, University of Adelaide, 1991.Typescript (Photocopy). Includes two papers co-authored by the author as appendix D. Includes bibliographical references (leaves 397-425).
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Yackzan, Susan G. "FACTORS INFLUENCING PREFERENCE FOR SURGICAL CHOICE AMONG WOMEN WITH EARLY STAGE BREAST CANCER." UKnowledge, 2017. https://uknowledge.uky.edu/nursing_etds/34.
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Breast cancer is the most common cancer among women in the United States with over 60% of cases diagnosed as early stage disease. For those women without prohibiting clinical or cosmetic concerns, a choice between breast-conserving surgery and mastectomy can be made. Either choice confers equivalent survival. The decision-making process also involves consideration of recurrence risk as well as management of the unaffected, contralateral breast for both future surveillance and risk reduction. In recent years, increasing rates of mastectomy with contralateral prophylactic mastectomy have been reported among women with unilateral, early stage breast cancer. If eligible for a choice among surgical options, a woman’s decision becomes one of personal preference. The decision-making process is complex and involves consideration of potential benefits and harms with each option.
The purpose of this dissertation was to: 1) analyze the psychometric properties of the Anxiety Subscale of the Depression Anxiety Stress Scale, 2) critically review Decisional Conflict Scales and 3) prospectively identify demographic, clinical, cognitive and affective factors influencing a woman’s decision to choose either breast conserving surgery or mastectomy with contralateral prophylactic mastectomy and to identify self-reported sources of information in the surgical decision-making process.
Three manuscripts make up the dissertation. A secondary data analysis was conducted to test the psychometric properties of the Anxiety Subscale of the Depression Anxiety Stress Scale (DASS). The results of this analysis supported the reliability and validity of the DASS anxiety subscale. A critical review of decisional conflict measures for use with early stage breast cancer patients making surgical treatment decisions was conducted. The results of this review supported the use of Decisional Conflict Scales from a clinical and research perspective. Existing Decisional Conflict Scales show moderate to acceptable reliability.
The first two manuscripts provided background and support for the use of scales included in the research study described in the third manuscript. This study was a prospective, exploratory, cross-sectional, mixed-methods study describing factors influencing preference for surgical choice among women with early stage breast cancer. A sample of 78 participants enrolled in the study, 47 who chose breast conserving surgery and 31 who chose mastectomy with contralateral prophylactic mastectomy.
Differences were tested between the groups. Women who chose mastectomy with contralateral prophylactic mastectomy were younger, more likely to work full or part-time, had larger tumors and participated in preoperative genetic counselling. Women who chose breast conserving surgery were more likely to have participated in preoperative breast magnetic resonance imaging. Overall, women choosing either surgery were not experiencing severe levels of distress, depression, anxiety or stress although there were individual variations. Women choosing mastectomy with contralateral prophylactic mastectomy were more anxious and had more frequent intrusive thoughts about the diagnosis. They also had less decisional conflict as compared to women choosing breast conserving surgery. Information sources were similar but the most influential information source differed among the two groups. In both groups, intention for surgical choice was matched by the final decision. There are many factors influencing surgical choice among women with early stage breast cancer. Previous work has focused on clinical, demographic and diagnostic processes influencing the decision. With this study, evidence regarding the influence of cognitive and affective factors is described.
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Ariche, Haifa, and Jelena Trifkovic. "Leva livet efter mastektomi : Kvinnornas upplevelser efter mastektomi." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-8294.
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Bakgrund: Bröstcancer är den vanligaste formen av cancer hoskvinnor i Sverige. Behandling av bröstcancer kan leda till att kvinnan blitvungen att operera bort sitt bröst. Kvinnobröstet har i alla tider varit ensymbol för det absolut feminina. Syfte: Syftetvar att belysa de drabbade kvinnornas upplevelser efter mastektomi. Metod: Studien var en litteraturstudiebaserad på antal kvalitativa vetenskapliga artiklar. Resultat: I resultatet visades att många kvinnor upplevdeförändring av sin kropp. Genom förlust av bröstet förlorade de kvinnlighet,sexualitet och identitet. De upplevde sina kroppar som stympade vilket leddetill sorg. Relationen till partnern påverkades både positivt och negativtberoende om kvinnorna ansåg sig vara sexuellt accepterade eller inte. Ärretsymboliserade både förlust, rädsla för ny cancer och seger över att ha blivitbotad. Slutsats: Det är viktigt attsjuksköterskan har det hälsofrämjande tänkesättet i mötet med kvinnor som hargenomgått mastektomi, för att hjälpa dem att bearbeta sina upplevelser ochuppmuntra dem att uppnå en hög känsla av sammanhang.Background: Breast cancer is themost common cancer among women in Sweden. Thetreatment of breastcancer may lead to women being forcedto surgery remove her breast. Women’s breasthas always been a symbol of the very feminine. Aim: The aim was to highlight theaffected women's experiences after a mastectomy. Method: The study was a literature review based on qualitative, scientificarticles. Results: The results showed thatmany women experiencechanges in their body.Through the loss ofthe breast, they lost femininity, sexuality and identity.They experienced theirbodies’ mutilated, causing grief. Their relationshipfor their partner was affected, positively or negatively depending on if thewomen considered themselves to besexually accepted or not. The scarsymbolizes both the loss, fear of new cancer and victory to having beencured. Conclusion: It is important that thenurse has the healthpromotion forethought when meeting with women who have undergone a mastectomy.To help themovercome their experiencesand encourage themto achieve a highfeeling of life connection.
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Banfors, Ida, and Maja Högdahl. "Kvinnor med bröstcancer och deras upplevelser efter mastektomi : en litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8198.
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Bakgrund: För kvinnor är bröstcancer den vanligaste cancerformen i världen. Bröstcancer behandlas ofta genom mastektomi. En mastektomi innebär ett kirurgiskt ingrepp där hela eller delar av bröstet opereras bort. Förlusten av en kroppsdel påverkar människan både fysiskt och psykiskt. Syfte: Syftet med litteraturöversikten var att belysa kvinnors upplevelser efter mastektomi som behandling av bröstcancer. Metod: Litteraturöversikt baserad på tio kvalitativa artiklar som valdes utifrån relevans till syftet. Artiklarna hittades i Cinahl Complete, Pubmed och Science Direct, genom sökningar inom årspanet 2009-2019. Fribergs metod användes för att granska artiklarnas resultat. Likheter och skillnader delades in i teman. Resultat: Resultatet av litteraturöversikten presenteras i 4 teman Upplevelser av kvinnlighet, Fysiska kroppsförändringar som upplevs av den subjektiva kroppen, Upplevelsen av stöd som främjar adaption och Upplevelsen av inre adaptiva processer. Diskussion: Kvinnors upplevelser av sina förändrade kroppar diskuterades. Författarna använde sig av Callista Roys adaptionsmodell för att få en djupare förståelse hur människan behöver anpassas sig till nuvarande livsomständigheter för att kunna hantera sin livssituation. Förlust av bröst innebär fysiska kroppsförändringar, förändrad psykologisk och kvinnlig identitet.Background: Breast cancer is the most common form of cancer among women worldwide. Breast cancer is often treated through a mastectomy, involving a surgical procedure where either the whole or part of the breast is removed. The loss of a body part affects a person both physically and mentally. Aim: The aim of of this literature review was to explore women’s experiences after having a mastectomy as treatment for breast cancer. Method: The literature review was based on ten qualitative articles selected based on relevance to the aim. The articles were found in Cinahl Complete, Pubmed and ScienceDirect, through searches within the 2009-2019 year span. Friberg's method was used to review the articles' results. Similarities and differences were divided into themes. Results: The results of the literature review were presented in four main themes. The four main themes included Experiences of femininity , The physical body changes as experienced by the subjective body , Experience of support that promotes adaptation and The experience of an internal adaptive process. Discussion: Women's experiences of their changed bodies were discussed. The authors used Callista Roy's adaptation model to gain a deeper understanding of how humans need to adapt to their current living conditions in order to manage their life situation. The loss of a breast involved physical and mental changes and adjusting to these difficulties may be difficult for the woman.
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Loritsch, Mary Brewer. "Do surgeons influence the treatment rates for T1 breast cancer patients at the local level of health care?" Diss., This resource online, 1995. http://scholar.lib.vt.edu/theses/available/etd-11182008-063136/.
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Kirshbaum, Marilyn. "Disseminating research evidence to breast care nurses : the case of exercise for breast cancer patients." Thesis, University of Manchester, 2004. http://eprints.hud.ac.uk/10717/.
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Background: Historically, nursing has struggled to introduce researchbased interventions into routine clinical practice. Reasons for this difficulty range from poor communication between clinically and academically based nurses to limitations within organisations that obstruct the implementation of new ideas. Aims: To identify the barriers to research utilisation and the preferred methods of research dissemination amongst breast care nurses (BCNs), to develop a dissemination intervention for BCNs and to evaluate a dissemination intervention for BCNs. Method: The study was conducted in three stages. In Stage 1, a national survey was conducted using the Barriers to Research Utilisation Scale (Funk et al. 1991), questions about dissemination preferences and a demographic questionnaire. In Stage 2, the Conceptual Framework for Selecting a Targeted Experimental Dissemination Method based on social interactionalist theory was developed. In Stage 3, a pre-test/post-test randomised controlled design was used to evaluate the dissemination method developed in Stage 2; the unit of randomisation and analysis were hospital clusters of BCNs. Sample: 263 BCNs from 13 regions within the U.K. comprised the sample in Stage 1. In Stage 3, the sample consisted of 92 BCNs from 62 hospitals in the north of England. Analysis: In Stage 1 analysis was undertaken using descriptive and nonparametric statistics. In Stage 3, analysis consisted of descriptive statistics 19 and clustered regression techniques with estimation of robust standard errors: clustered logistic regression for knowledge items, clustered linear regression for knowledge scores, ologit for attitude and reported practice items and clustered multiple regression for paired and multiple variable analyses. Findings: The results from the Barriers Scale revealed ‘statistical analyses not understandable’, ‘insufficient time on the job to implement new ideas’, ‘facilities inadequate for implementation’, ‘research not reported clearly and readably’ and ‘no time to read research’ as the greatest barriers to research utilisation. Free text responses revealed additional problems with communication and conditions within provider organisations and identified facilitators for research utilisation and dissemination. These data led to the selection and production of a targeted information booklet, entitled Exercise and Breast Cancer: A Booklet for Breast Care Nurses, specifically designed to be accessible, time efficient, understandable and relevant to the target audience. In evaluation, the booklet was shown to overcome the perceived barriers of the sample associated with accessing and understanding research. A statistically significant increase in knowledge and changes of reported practice and attitudes were found. Robust variables affecting knowledge acquisition were identified as the promotion of health, promotion of exercise and understanding of how exercise can reduce cancer-related fatigue. Implications: This study has demonstrated that printed materials can be used as an effective dissemination method provided that they are developed in line with the needs, values and context of a target audience. The 20 Conceptual Framework can be followed to develop similar booklets on different topics and could provide a purposeful contribution to the promotion of evidence-based practice for all nurses.
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Topping, Annie. "Being there for women : the work of breast care nurses." Thesis, University of Huddersfield, 2001. http://eprints.hud.ac.uk/id/eprint/4754/.
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Breast cancer is a major health challenge. It is also is a high profile disease with extraordinary media attention that places an immense burden on women, families, children and health resources. Over the last two decades the way in which women experience breast cancer has undergone significant changes. The implementation of the National Health Service Breast Screening Programme, development of specialist multidisciplinary teams, and greater involvement of women in decision making surrounding treatment choice are just some of these changes. A discrete clinical nurse specialism has developed to provide support and information to women undergoing treatment and care for breast cancer. This multi-method two staged study explored the work of breast care nurses supporting women with breast cancer. The particular focus was on the body image and sexuality dimensions of the breast cancer experience. Firstly, a postal survey using modified versions of the Sex Knowledge and Attitude Test (Lief and Reed 1972) and the Williams-Wilson Sexuality Survey instrument (Wilson and Williams 1989) was undertaken and completed by breast care nurses (n=100) across England. Secondly, adopting an interpretative perspective, breast care nurses (n=29), recruited via the earlier survey participated in focused conversational interviews. In addition a secondary analysis of two focus group interviews with women breast cancer patients (n=14), and a further two individual interviews with lesbian women were undertaken. The audio taped data was analysed using a thematic approach assisted by ATLAS.ti 4.1 qualitative software (Muhr 1996). Three major themes: the delivery of breast cancer care, knowing women, and the territory of breast care nursing were developed. The theme of knowing women was connected with three sub themes titled: authenticity and domesticity, moral journeys, and the (in)visibility of lesbian women. The thematic analysis presents a critical account of contemporary breast care nursing in the endeavour of "being there for women".
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Williams, Anne. "A qualitative study of supported self-care in women with lymphoedema associated with breast cancer." Thesis, Edinburgh Napier University, 2011. http://researchrepository.napier.ac.uk/Output/4705.
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Aim: This study explored the nature of supported self-care for women who had lymphoedema associated with breast cancer treatment, and the work of lymphoedema practitioners. Background: Health policy indicated a need to examine the potentially evolving roles of individuals with long term conditions who undertake self-care, and health professionals who provide support. Lymphoedema affects around one in five women who undergo treatment for breast cancer. A woman with lymphoedema can experience long term swelling, most commonly of her arm, affecting her life in various ways. Methods: Three small group discussions were undertaken with women who had lived with lymphoedema for more than two years (n=7). Field observation (n=16) of clinic appointments with women who had lymphoedema, were undertaken alongside interviews (n=15) with eight lymphoedema practitioners. Women who had newly developed lymphoedema (n=10) were interviewed three times over a period of six months. The study was underpinned by social constructionist perspectives, and informed by feminism and relational autonomy theory. Findings: Various structures of power influenced the capacity for supported self-care in women and practitioners. Lymphoedema influenced women's self-identity, and women experienced substantial distress and frustration relating to the initial development of lymphoedema, the chronic nature of the condition, and in adapting to self-care. Lymphoedema practitioners provided support for women from within a mainly bio-medical framework of care, often based within acute clinical settings. Accessing local, trusted information and advice relating to lymphoedema self-care was challenging for some women. Conclusion: An anticipatory approach to supported self-care was identified. The development of reflexivity and self-discovery was considered equally relevant to women with lymphoedema and lymphoedema practitioners. Professional approaches to support should recognise this anticipatory perspective and enable timely access for women to individualised and appropriate support at key points in their lymphoedema trajectory.
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Björnemalm, Victoria, and Elin Grip. "Kvinnor med bröstcancer och deras erfarenheter av omvårdnad efter genomförd mastektomi : En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29429.
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Bröstcancer är efter lungcancer den vanligaste dödsorsaken hos medelålders kvinnor i Sverige. Behandling av bröstcancer består vanligtvis av operation, där det cancerdrabbade bröstet tas bort, mastektomi. Både att få diagnosen bröstcancer och att genomgå mastektomi kan medföra komplexa förändringar för kvinnans identitet, samt innebära lidande, ångest och förändrad självbild. Så långt det är möjligt ska målet för omvårdnaden vara att kvinnan som vårdas ska vara självständig, samt uppleva hälsa. Sjuksköterskan måste ha kommunikativa färdigheter för att upprätthålla personcentrerad vård. Syfte: Att sammanställa kunskap om vilka erfarenheter kvinnor med bröstcancer har av omvårdnad efter genomförd mastektomi. Metod: En litteraturöversikt. Resultatet är baseras på 14 vetenskapliga artiklar. Resultat: Sammanfattningsvis hade vårdpersonalen svårt att tillgodose kvinnornas behov efter genomförd mastektomi. Resultatet visar att kvinnorna hade erfarenhet av bristfällig information av vårdpersonalen om rehabilitering och komplikationer efter mastektomin. Vårdpersonalen saknade kunskap om komplikationer som kan uppstå efter mastektomi för att tillgodose kvinnornas behov. Studiernas resultat indikerade att kvinnorna saknade uppföljning efter mastektomi. Kvinnorna var nöjda med vårdpersonalens känslomässiga stöd och att vårdpersonalen var stöttande, gav information samt att de var tillgängliga för frågor. Kvinnorna önskade att vårdpersonalen ska tillhandahålla ett personcentrerat förhållningssätt. Slutsats: Både positiva och negativa erfarenheter framkom i resultatet för litteraturöversikten gällande kvinnornas erfarenheter av omvårdnad efter genomförd mastektomi. Majoriteten av kvinnorna i de valda studierna ansåg att vårdpersonalen inte kunde tillgodose deras behov.Breast cancer is the most common cause of death in middle-aged women in Sweden after lung cancer. Treatment of breast cancer usually consists of surgery, where the affected breast is removed, mastectomy. Diagnosis with breast cancer and walking through mastectomy can lead to complex changes in the woman's identity, as well as suffering, anxiety and altered self-esteem. The purpose of the nursing care must be that the woman being cared for should be independent, and experience health. The nurse must have communicative skills to maintain person-centered care. Purpose: To compile knowledge of what experiences women with breast cancer have of nursing after completed mastectomy. Method: A literature review. The result is based on 14 scientific articles. Results: In summary, healthcare staff had difficulty meeting the needs of women after completion of mastectomy. The results show that the women had experience of inadequate information from healthcare professionals about rehabilitation and complications after mastectomy. Nursing staff lacked knowledge of complications that may arise after mastectomy to meet the needs of women. The results of the studies indicated that women lacked follow-up after mastectomy. The women were pleased with the emotional support of healthcare professionals and that the healthcare staff were supportive, provided information and that they were available for questions. The women wished the care staff to provide a person-centered approach. Conclusion: Both positive and negative experiences were found in the results of the literature review regarding women's experiences of nursing after mastectomy. Most women in the chosen studies felt that healthcare staff could not meet their needs.
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Sundin, Ida, and Ida Koplik. "Kvinnors upplevelser av mastektomi till följd av en bröstcancerdiagnos." Thesis, Högskolan i Gävle, Medicin- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29538.
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Andersson, Julia, and Lina Jonsson. "Kvinnors erfarenheter av mastektomi till följd av bröstcancer: : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-177856.
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Bakgrund: Bröstcancer är den vanligaste cancersjukdomen bland kvinnor och den främsta behandlingen är kirurgi. Ett av behandlingsalternativen är mastektomi som innebär kirurgiskt borttagande av ett bröst. Förlusten kan leda till starka känslor och en förändrad självbild. Syfte: Syftet med studien är att belysa kvinnors erfarenheter av att förlora ett bröst i mastektomi till följd av bröstcancer. Metod: Litteraturstudien baseras på nio vetenskapliga artiklar av kvalitativ ansats som har kvalitetsgranskats och analyserats. Artikelsökningar genomfördes i Cinahl, PubMed och PsycInfo. Resultat: Analysen av samtliga artiklar resulterade i tre nya kategorier: En förändrad kropp, En förlorad kvinnlighet och Stöd från omgivningen är betydelsefullt. Kategorierna delades vidare in i tillhörande subkategorier. Konklusion: Förlusten av ett bröst medför fysiska och psykiska förändringar. Kvinnorna har i huvudsak negativa erfarenheter av mastektomi där upplevelserna både är individuella och gemensamma. En inblick i kvinnornas liv skapar en förståelse över deras livssituation. Fördjupad kunskap om kvinnors erfarenheter av att förlora ett bröst i mastektomi är en förutsättning för sjuksköterskan att utöva god omvårdnad och tillämpa personcentrerad vård.Background: Breast cancer is the most common cancer diagnosis among women and the main treatment is surgery. One of the treatment options is mastectomy, which involves surgical removal of a breast. The loss can lead to strong emotions and a changed self-image. Aim: The aim of the study is to describe women’s experiences of losing a breast in mastectomy due to breast cancer. Methods: The literature study is based on nine scientific articles of qualitative approach that have been quality reviewed and analysed. Article searches were conducted in Cinahl, PubMed and PsycInfo. Results: The analysis of articles resulted in three new categories: A changed body, A loss of femininity and Importance of support from the environment. The categories were further divided into related subcategories. Conclusion: The loss of a breast causes physical and psychological changes. The women mainly have negative experiences of mastectomy and the experiences are both individual and mutual. An insight into women’s lives creates an understanding of their life situation. In-depth knowledge of women’s experiences of losing a breast in mastectomy is a prerequisite for the nurse to practice good nursing care and apply patient-centered care.
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Dahl, Ebba, and Ulrika Nilsson. "Kvinnors upplevelser av bröstrekonstruktion i samband med bröstcancer eller vid risk för bröstcancer : en litteraturstudie." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-107.
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Bröstcancer drabbar cirka en miljon kvinnor världen över varje år och det är den vanligaste cancerformen hos kvinnor i Sverige idag. Kirurgi är ofta det primära valet av behandling. I vissa fall är kvinnan tvungen att ta bort hela bröstet, en så kallad mastektomi. Att förlora ett bröst innebär både fysiska och psykiska förändringar för kvinnan och många olika aspekter av hennes liv påverkas. Därför väljer en del kvinnor att göra en bröstrekonstruktion. Syftet med studien är att belysa kvinnors upplevelse av bröstrekonstruktion i samband med bröstcancer eller vid risk för bröstcancer. Studien genomfördes som en allmän litteraturstudie där 11 kvantitativa och kvalitativa vetenskapliga artiklar analyserades. Resultatet visar att kvinnor som gjort en bröstrekonstruktion i allmänhet är nöjda. Emellertid finns det även ett antal kvinnor som känner sig missnöjda. Av studien framgår att de två viktigaste aspekterna till kvinnors missbelåtenhet över bröstrekonstruktionen grundar sig i bristande information och otillräckligt stöd från sjukvården. Således är det en viktig uppgift för sjukvården att bistå dessa kvinnor med större psykosocialt stöd och tydligare information i form av bilder, filmer, informationshäften samt berättelser från kvinnor som har liknande erfarenheter.Breast cancer affects approximately one million women worldwide each year and it is the most common cancer among women in Sweden today. Surgery is often the primary choice of treatment. In some cases the woman has to remove the entire breast, mastectomy. Losing a breast causes both physical and psychological changes in a woman and affects different aspects of her life. That is why some women choose to do a breast reconstruction. The purpose of this study is to highlight women´s experience of breast reconstruction in connection with breast cancer or in case of risk for breast cancer. The study was carried out as a literature study and 11 quantitative and qualitative scientific articles were analyzed. The results show that women who have breast reconstruction after mastectomy are generally satisfied. However, there are also a number of women who are dissatisfied. The study shows that the two main aspects of women´s dissatisfaction over the breast reconstruction are based on insufficient information and inadequate support from health care. It is an important task for health care to assist these women with a greater psychosocial support and more evident information for example photos, videos, booklets and stories from women who have similar experiences.
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Nilsson, Sara, and Sofi Svensson. "Kvinnors erfarenheter av att få en bröstrekonstruktion efter mastektomi : En allmän litteraturstudie." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-42021.
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Bakgrund: Bröstcancer är den vanligaste cancerformen hos kvinnor. I vissa fall måste kvinnan ta bort delar av, hela eller båda brösten, en så kallad mastektomi. Förlora bröstet är både psykiskt och fysiskt svårt och livskvaliteten påverkas. Kvinnan kan välja att genomgå en bröstrekonstruktion. Syfte: Syftet var att belysa kvinnors erfarenheter i samband med bröstrekonstruktion efter mastektomi. Metod: En allmän litteraturstudie genomfördes med nio vetenskapliga artiklar med kvalitativ ansats och sammanställdes med innehållsanalys. Resultat: För att belysa kvinnornas erfarenheter presenteras resultatet genom tre teman: erfarenheter att få information och stöd, förändrad kroppsuppfattning, förväntningar och fysisk återhämtning och slutligen livskvalitet och att bli hel igen. I resultatet framkom det hur viktigt det var för kvinnorna att få en relation till kontaktsjuksköterskan. Med denna kontakt kunde kvinnan känna trygghet och ta till sig information och göra sina val utan oro. Behovet av stödgrupp för kvinnorna under återhämtningsprocessen framkom. Kvinnors kroppsuppfattning förändrades. Slutsats: En bröstrekonstruktion gav kvinnor deras livslust tillbaka och kunde se ljust på framtiden med en hel kropp. Det är därför av stor vikt att sjuksköterskan förstår kvinnorna och deras erfarenheter av hur det är att genomgå en bröstrekonstruktion så att de kan erbjuda stöd och ge omvårdnad under hela processen.Background: Breast cancer is the most common cancer that affects women. In some cases, woman must remove parts of or both breasts, a so-called mastectomy. Losing breasts is both mentally and physically difficult and quality of life is affected and may choose to undergo breast reconstruction. Aim: The aim was to illustrate women's experiences in connection with breast reconstruction after mastectomy. Method: A general literature study was conducted with nine scientific articles with qualitative approach and analyzed with content analysis. Result: To illustrate women's experiences, result is presented through three themes: experiences of gaining information and support, changing body image, expectations and physical recovery, and quality of life and becoming whole again. Results showed the importance to have a contact nurse. With this contact, she felt secure and absorbed information and made choices without worry. The need for a support group for women during the recovery process emerged, body perception changed. Conclusion: Breast reconstruction gave their life back and felt whole again. It is therefore of great importance that nurse´s understand their experiences of how it feels to undergo a breast reconstruction so that they can offer support and provide care throughout the process.
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Paterson, Lesley Alison. "Factors influencing communication between the patient diagnosed with cancer of the breast and the professional nurse." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4071.
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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2009.ENGLISH ABSTRACT: Communication in nursing is to establish a nurse-patient relationship. Some nurses are quite effective at this whilst others are not so effective. The female patient diagnosed with cancer of the breast can face many dilemmas ranging from a physical, psychological and psychosocial domain. Nursing, being an interactive skill, requires the nurse to be able to communicate with the patient. The inability to communicate can hamper this very crucial relationship. For the purpose of this study it was decided to provide an in-depth account of the management of the nurse-patient communication in the ward. The rationale for choosing this setting (ward) were based on the comprehensive functions of a professional nurse and his/her ability to communicate. The objectives set for the study were to describe the manner in which professional nurses communicated with the patient diagnosed with cancer of the breast and who underwent a mastectomy, barriers that prohibited the communication and the patient’s perception of the communicative processes. A quantitative, exploratory and descriptive approach was applied to investigate and describe factors that influence communication between the patient with breast cancer and the professional nurse within a provincial hospital in the Western Cape. The total population included only female patients diagnosed with cancer of the breast who underwent a mastectomy and who were referred to the breast outpatient clinic. These female patients had to be diagnosed during a twenty month period as of January 2007 to August 2008 and had to be hospitalised within a ward setting after their diagnosis. The population size consisted of 27% of the total population with a 9% refusal rate. A survey was done using a six point Likert scale ranging from strongly disagree, disagree and mildly disagree to mildly agree, agree and strongly agree. The questionnaire consisting of close-ended questions were used for the collection of data and the researcher personally collected data. Ethical approval was obtained from the Committee of Human Science Research at Stellenbosch University and the Department of Health - Cape Town. Consent to conduct the research was obtained from the institution and informed consent from the participants. A pilot study was conducted to test the questionnaire which did form part of the study. A 10% sample of the population, namely 10 participants, was involved in this study. The validity and reliability was assured through the pilot study and the use of a statistician, experts in oncology nursing, an oncology doctor and the research methodologist. Data was tabulated and presented in histograms and frequencies. Statistical significant associations were drawn between variables, using the Chi square test. The Spearman rank (rho) order correlation was used to show the strength of the relationship between two continuous variables. Findings included statistical significance between the level of schooling and the nurse, who took the respondents at face value and communicated what she deemed necessary (rho=0.29, p=0.00). The respondents also showed concern and disagreed that the ward nurses provide their family with relevant information (p=0.00). R ecommendations include: Nursing education should include a module in communication on a graduate and post graduate level In-service training programmes should focus on the interpersonal relationship between the nurse and the patient and the importance thereof. Continuous Quality Improvement should include patient satisfaction surveys. Awareness campaigns about the importance of communication between the patient and the health professional should be conducted Developing protocols and policy guidelines that can assist the nursing staff with the communication process. Since communication is an interactive process it requires skillful conduct. Nurses need to realize the importance communication plays in the health sector and the impact it has on patients, irrespective of whether it is from a verbal or non-verbal content. Effective communication or not can have an everlasting impact.
AFRIKAANSE OPSOMMING: Kommunikasie in verpleging behels die vestiging van ’n verpleegster-pasiënt verhouding. Sommige verpleegsters is taamlik effektief hierin, terwyl andere nie so effektief is nie. Die vroulike pasiënt wat met borskanker gediagnoseer is, kan baie dilemmas in die gesig staar wat wissel van ’n fisiese, psigologiese tot ’n psigo-sosiale domein. Verpleging, wat ’n interaktiewe vaardigheid is, vereis dat die verpleegster met die pasiënt moet kan kommunikeer. Die onvermoë om te kan kommunikeer, kan hierdie beslissende verhouding belemmer. Vir die doel van die studie is besluit om ’n indringende verslag van die bestuur van die verpleegster-pasiënt kommunikasie in die saal te doen. Die rasionaal vir die keuse van die omgewing (saal) is gebaseer op die komprehensiewe funksies van ’n professionele verpleegster en sy/haar vermoë om te kan kommunikeer. Die doelstellings wat uiteengesit is vir hierdie studie is om die manier te beskryf waarop professionele verpleegsters met die pasiënt wat met borskanker gediagnoseer is, en wat ’n mastektomie ondergaan het, omgaan, asook die hindernisse wat kommunikasie en die pasiënt se persepsie van die kommunikatiewe prosesse belemmer het. ’n Kwantitatiewe, verkennende en beskrywende benadering is toegepas om faktore te ondersoek en te beskryf wat kommunikasie tussen die pasiënt met borskanker en die professionele verpleegster in ’n provinsiale hospitaal in die Wes-Kaap beïnvloed. Die totale bevolking het slegs vroulike pasiënte wat met kanker gediagnoseer is en ’n mastektomie ondergaan het en na die bors buite-pasiënt kliniek verwys is, ingesluit. Hierdie vroulike pasiënte moes gedurende ’n periode van twintig maande vanaf Januarie 2007 tot Augustus 2008 gediagnoseer en gehospitaliseer gewees het in ’n saalomgewing na hul diagnose. Die bevolking grootte het bestaan uit 27% van die totale bevolking met ’n 9% verwerpingskoers. ’n Opname was gedoen wat die ses punt Likert skaal gebruik wat wissel vanaf sterk verskil van mening, verskil en effense verskil van mening tot effens saamstem, saamstem en sterk saamstem. Die vraelys wat uit geslote vrae bestaan, was gebruik vir die insameling van data en die navorser het die data persoonlik gekollekteer. Etiese goedkeuring was verkry van die Raad vir Geesteswetenskaplike navorsing aan die Universiteit van Stellenbosch en die Departement van Gesondheid – Kaapstad. Toestemming om die navorsing uit te voer is verkry van die inrigting en ingeligte toestemming van die deelnemers. ’n Loodsprojek is uitgevoer om die vraelys te toets wat deel van die navorsing uitgemaak het. ’n 10% Steekproef van die bevolking, naamlik 10 deelnemers, was betrokke by die studie. Die geldigheid en betroubaarheid was verseker deur die loodsprojek en die gebruik van ’n statistikus, kenners in onkologie verpleging, ’n onkologiese dokter en die navorsingsmetodoloog. Data is getabulleer en aangebied in histogramme en frekwensies. Statistiese beduidende assosiasies is gemaak tussen veranderlikes, deur gebruik te maak van die Chi-kwadraat toets. Die Spearman rang (rho) orde korrelasie is gebruik om die sterkte van die verhouding tussen die aaneenlopende veranderlikes te wys. Bevindings het statistiese beduidendheid ingesluit tussen die vlak van geleerdheid en die verpleegster wat die respondente op sigwaarde geneem het en die kommunikasie wat sy noodsaaklik gevind het (rho=0.29, p=0.00). Die respondente het ook besorgdheid getoon en het nie saamgestem dat die saalverpleegsters hul gesinne van die relevante inligting voorsien het nie (p=0.00). A anbevelings sluit in: Verpleegopleiding behoort ’n module in kommunikasie op graad en nagraadse vlak in te sluit. Indiensopleidingsprogramme behoort te fokus op die interpersoonlike verhouding tussen die verpleegster en die pasiënt en die belangrikheid daarvan. Deurlopende kwaliteitsverbetering behoort pasiënt tevredenheidsopnames in te sluit. Bewusmakingsveldtogte oor die belangrikheid van kommunikasie tussen die pasiënt en die gesondheidsprofesioneel behoort geloods te word. Protokolle en beleidsriglyne wat die verpleegpersoneel kan help met die kommunikasie proses behoort ontwikkel te word. Sienende dat kommunikasie ’n interaktiewe proses is, word vaardige gedrag geverg. Verpleegsters behoort die belangrikheid wat kommunikasie speel in die gesondheidssektor te besef en die impak wat dit op die pasiënte het, ongeag of dit verbaal of nie-verbaal is. Effektiewe kommunikasie aldan nie, kan ’n ewigdurende impak hê.
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Larsson, Hanna, and Nilsson Felicia Unga. "Kvinnors erfarenheter av att leva med bröstcancer efter genomgången mastektomi : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183639.
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Bakgrund: Bröstcancer är en av de vanligaste cancersjukdomarna hos kvinnor och utgör cirka 30% av alla kvinnliga cancerfall, det är framförallt kvinnor i medelåldern som drabbas. Mastektomi är ett behandlingsalternativ för bröstcancer som innebär att hela bröstet tas bort och denna behandling kan leda till förändringar i kvinnans liv både fysiskt, psykiskt och emotionellt. Syfte: Litteraturstudiens syfte var att beskriva kvinnors erfarenheter av att leva med bröstcancer efter genomgången mastektomi. Metod: En litteraturstudie genomfördes där tio kvalitativa studier där resultaten har kvalitetsgranskats, analyserats och sammanställts med hjälp av Fribergs femstegsmodell. Databassökning genomfördes i databaserna Cinahl och PubMed. Resultat: Analysen formades till två teman och sex subteman. Temana var ‘Denförändrade kroppen’- Kvinnorna upplevde att de fick förändrad identitet och kroppsbild.Mastektomin upplevdes för de flesta som en traumatisk upplevelse. ‘Behov av stöd för attmöta den nya vardagen’- Kvinnorna fann stöd hos sina familjer, vården och sin tro. Konklusion: Litteraturstudien resulterade i att kvinnorna upplevde olika känslor efter de hade genomgått mastektomin. Kvinnorna fick stöd från sin familj och tro, vilket var uppskattat. Stödet från vården uppfattades olika från kvinnorna.Background: Breast cancer is one of the most common cancers that affect women andaccounts for about 30% of all female cancer cases, with middle-aged women. Mastectomyis a treatment option for breast cancer, that means that the entire breast is removed, whichleads to changes in the woman's life physically, mentally and emotionally. Aim: To describe women's experiences of living with breast cancer after performedmastectomy. Methods: A literature study was conducted, ten qualitative articles were quality reviewd,analyzed and compiled using Friberg's five-step model. Database search was performed inthe databases Cinahl and PubMed. Results: The analysis was formed into two main themes and six sub-themes. Thethemes were ‘the changed body’- the woman experienced that it changed thier identity andbody image, the mastectomy was for most a traumatic experience. ‘need for support to facethe new everyday life’- the woman found support in thier families, care and their faith. Conclusion: The literature study results in different emotions of women after performeda mastectomy. The women found support in their family and faith, which was appreciated. The support from the care was experienced differently by the women.
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Bawati, Sundos, and Mona Abdi. "Kvinnors upplevelser av sjuksköterskans stöd innan en mastektomi : En litteraturstudie." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-40311.
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Bakgrund: Bröstcancer är den mest förekommande cancerformen bland kvinnor globalt. Bröstcancer delas in enligt TNM-stadieinledningssystemet och innefattar stadierna 0-IV som varierar i svårighetsgrad. Diagnostiseringen av bröstcancer sker genom en trippeldiagnostik. Det innebär att kvinnor som har bröstcancer genomgår en klinisk undersökning, bilddiagnostik och nålbiopsi. Vidare väljer en del kvinnor att genomgå en mastektomi, som kräver att en del kriterier är uppfyllda. Mastektomi är ett kirurgiskt ingrepp som innebär att hela bröstvävnaden avlägsnas, inklusive bröstgård och bröstvårta. Reaktionerna på en bröstcancerdiagnos varierar men övergripande är att beskedet upplevs overkligt, livet får en omställning och tiden inför kirurgin och vården som följer präglas av oro. Med hänsyn till att bröstcancer hos kvinnor är vanligt förekommande innebär det att sjuksköterskan har en roll i vården av denna patientgrupp. Därför bör sjuksköterskan besitta kunskap som krävs i mötet med kvinnorna. Syfte: Syftet med litteraturstudien är att sammanställa kvinnors upplevelser av sjuksköterskans stöd innan en mastektomi. Metod: Den valda metoden var en kvalitativ litteraturstudie.10 vetenskapliga artiklar granskades utifrån en latent innehållsanalys. Resultat: Resultatet mynnade ut i tre kategorier, upplevelse av tillräckligt stöd, upplevelse av otillräckligt stöd samt önskat stöd. Konklusion: Kvinnor har olika upplevelser av stöd från sjuksköterskan. Gemensamt uppger kvinnorna att stödet bör anpassas efter deras behov, vilket skiljs åt kvinnorna emellan. Sjuksköterskan bör därför planera och anpassa omvårdnaden i samråd med kvinnan för att kunna ge korrekt stöd i den preoperativa fasen.Background: Breast cancer is the most common form of cancer among women globally. Breast cancer is classified according to the TNM staging system and includes stages 0-IV which vary in severity. Breast cancer is diagnosed through a triple diagnosis. This means that women who have breast cancer undergo a clinical examination, diagnostic imaging and needle biopsy. Furthermore, some women choose to undergo a mastectomy, which requires that some criteria are met. Mastectomy is a surgical procedure that involves the removal of the entire breast tissue, including the areola and nipple. Reactions to a breast cancer diagnosis vary, but overall it is perceived as unreal, life changing and that the time before surgery and the care that follows is characterized by anxiety. With regard to breast cancer being common among women, the nurse has a role in the care of this patient group. Therefore, the nurse should possess the knowledge required in the meeting with these women. Aim: The aim of this literature study is to explore women's experiences of the nurse's support before a mastectomy. Method: The chosen method was a qualitative literature review, after which 10 scientific articles were reviewed on the basis of a latent content analysis. Results: The results ended in three categories, experience of sufficient support, experience of insufficient support and desired support. Conclusion: Women have different experiences of support from the nurse. The women jointly state that the support should be adapted to their needs, which differs between the women. The nurse should therefore plan and adapt the nursing in consultation with the woman in order to be able to provide correct support in the preoperative period.
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Cruickshank, Susanne. "The effectiveness of an intervention by specialist breast care nurses to address the perceived needs and enhance the quality of life of women with breast cancer receiving follow-up care : a randomised controlled trial." Thesis, Edinburgh Napier University, 2014. http://researchrepository.napier.ac.uk/Output/7557.
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Approximately 550,000–570,000 women are alive in the UK who have had a diagnosis of breast cancer with further predictions that this will rise by 3% annually. Most of these women will be receiving follow-up care in a hospital setting and the value of this approach has been questioned for a number of years. Women transition from a very individual, personalised treatment plan to follow-up care which is not organised around individual patient need. Rather a blanket approach is used which does not consider age, risk profile, treatment or need. There is evidence that the current out-patient follow-up provision does not meet the physical, psychological and information needs of women with breast cancer, with women leaving the clinic with unmet needs. While the aim of follow-up is multifactorial, including the provision of psychosocial care, there is little evidence of how this service assesses and addresses unmet needs. Aim The current study sought to examine the effectiveness of providing patient reported needs and psychosocial information to the Specialist Breast Care Nurse at the breast cancer follow-up clinic in reducing cancer needs and improving quality of life compared to standard care. The primary outcome was a change in needs scored at baseline (time 1) and 12 months (time 2). The study also aimed to investigate a number of secondary outcomes namely changes in quality of life at baseline and 12 months, as well as looking at possible effects of the intervention on variables such as age, severity of treatment and time since diagnosis. Method This study was a prospective single blind randomised controlled trial (RCT) involving 93 women who had completed primary treatment for breast cancer and were attending follow-up in a hospital setting. Women were randomised to receive standard follow-up care (control) or a nurse-delivered intervention. The intervention was structured and guided by the self-reported needs and psychosocial information provided by the woman and coupled with a person-centred conversation. This conversation explored the options for the intervention, desire of the woman for assistance and best way to provide it. Results There were high levels of need, anxiety and depression among women attending the follow-up clinic. There was a statistically significant fall in level of need, anxiety and depression in both groups after the intervention. However, no differences between groups in relation to the primary outcome; changes in needs between baseline and time 2, were seen. Quality of life scores fell in both groups; however only the overall quality of life score showed a statistically significant difference between groups in relation to the secondary outcome, changes in quality of life over time. Conclusion The results of this study have shown that using patient-reported needs and psychological information by the specialist breast care nurse in the follow-up clinic to inform an intervention proved to be no better than standard care, but neither is there sufficient evidence to state it was worse. This study has contributed to the methodological evidence base regarding the development and measurement of complex interventions in nursing practice.
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Tomtin, Therese, and Julia Saveman. "Kvinnors upplevelse av att drabbas av bröstcancer och genomgå en kirurgisk behandling : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178128.
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Bakgrund: Bröstcancer är idag den vanligaste typen av cancer i världen hos kvinnor. Att drabbas av bröstcancer är en stor omställning i livet. Bra kontakt med omvårdnadspersonalen är viktigt för behandlingen och återhämtningen. Kvinnors upplevelser finns beskrivet i forskning och behöver sammanställas för att ge en överblick på kunskapsläget. Syfte: Syftet med denna litteraturstudie var att beskriva kvinnors upplevelse av att drabbas av bröstcancer, synen på omvårdnad och genomgå kirurgisk behandling. Metod: Studien baserades på åtta studier som har genomförts med kvalitativ metod. Artiklarna kvalitetsgranskades med stöd av Olsson och Sörensens (2011) granskningstabell för att därefter analyseras med hjälp av Hsieh och Shannons (2005) analysmodell. Resultat: Resultatet kategoriserades i tre huvudteman: nyuppkomna känslor, kommunikation från omvårdnadspersonal och relationen med omvårdnadspersonalen med sammanlagt sex subteman. Kvinnorna som gjort kirurgisk behandling vid bröstcancer önskade stöd från omvårdnadspersonalen, förbättrad kommunikation och individanpassad information om operationen och vad som kommer hända sen. Konklusion: För att kunna ge kvinnorna bästa möjliga omvårdnad behöver omvårdnadspersonalen ha ett mer personcentrerat tankesätt med fokus på stöd och kommunikation samt ge individanpassad information.Background: Breast cancer is the most common cancer among women all over the world. To be diagnosed with breast cancer is a big challenge. Good contact with healthcare professionals is important for treatment and recovery. The experience of women is described in research and need to be compiled to provide an overview of the state of knowledge Aim: The purpose of this literature study was to examine women's experiences of suffering from breast cancer, their view of nursing care and undergoing surgical treatment. Methods: A qualitative method was used based on eight scientific articles reviewed with Olsson and Sörensen’s (2011) review table. The analysis process was inspired of Hsieh and Shannon’s (2005) analysis form. Results: The results were categorized into three main themes: new emotions, communication with nursing staff, and the relationship with nursing staff, altogether with six sub-themes. Women who have gone through surgical treatment due to breast cancer wanted support from the nursing staff, improved communication, personalized information about the surgery and what will happen post surgery. Conclusion: To be able to provide women with the best possible care, the nursing staff need to have a more person-centered mindset with a focus on support and communication and provide individualized information.
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Kreulen, Grace Joanne 1947. "Self-care, utilization, cost, quality and health status outcomes of a psychobehavioral nursing intervention: women experiencing treatment for breast cancer." Diss., The University of Arizona, 1994. http://hdl.handle.net/10150/565541.
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Tailor, Bharti. "The experiences of South Asian women with breast cancer and the complexities of whole person care." Thesis, University of Southampton, 2008. https://eprints.soton.ac.uk/71891/.
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This study investigates the experiences of South Asian women being treated for breast cancer within a British system of health and social care that recognises racialised inequalities in care and is striving to provide culturally sensitive care to an increasingly diverse population. The research was conducted in a National Health Service (NHS) Trust in an outer London suburb. It is a qualitative exploratory study based on eighteen in- depth interviews and participant observation of interactions between women with breast cancer and health care professionals. The interviews were conducted in three languages: English, Gujarati and Hindi. In examining whole person care from the perspectives of both health care professionals and South Asian women, this thesis demonstrates how ethnicity as both a category of social difference and a process of social identification can present significant challenges for holistic care at different stages of the patient pathway. The concept of othering is used to make sense of the complicated relationships between health care professionals and South Asian women and to examine the extent to which care is responsive to differences of ethnicity, culture and faith. The findings from participant observation and qualitative interview data suggest that health professionals can often reduce the complex experiences of South Asian women to cultural difference. Such thinking can serve to compromise therapeutic relationships in which mutual power sharing and decision making is inhibited. However, cultural stereotyping is not a uniform process and can be transformed in situ so that some women are able to access personalised and holistic care. Whilst recognising that the needs of South Asian are complex evidence from this study suggests that othering can be a central process through which health care professionals contribute to the marginalisation of South Asian women within health care services.
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Hjerpe, Sandra, and Sara Larsson. "Inte bara förlust av ett bröst : Kvinnors upplevelser efter en mastektomi." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1982.
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Bakgrund: Bröstcancer är den mest förekommande cancerformen hos kvinnor i världen. Den främsta behandlingsformen sker genom kirurgi så kallad mastektomi, vilket innebär att hela bröstet opereras bort. Kvinnors bröst symboliserar kvinnlighet och de flesta kvinnor som genomgått en mastektomi påverkas på olika sätt av fysiska, psykiska och sociala förändringar. Syfte: Att belysa kvinnors upplevelser efter att ha genomgått en mastektomi till följd av bröstcancer. Metod: En allmän litteraturstudie baserad på tolv vetenskapliga artiklar. Data samlades in genom sökningar av vetenskapliga artiklar i databaserna CINAHL och MEDLINE. Resultat: Utifrån sammanställning av artiklarnas resultat framkom det fem underkategorier. Utifrån dessa skapades sedan en huvudkategori, Inte bara förlust av ett bröst. Det framgick att kvinnor upplevde en förändring av sin kroppsbild och sin kvinnlighet samt en känsla av att inte känna sig normal. Kvinnorna beskrev även en saknad av tillräcklig information i samband med att ha genomgått en mastektomi. Slutsats: Studien redogör att kvinnor som genomgått en mastektomi till följd av bröstcancer upplever påfrestningar på grund av kroppsliga förändringar. Med bra information och stöd från familj och vänner underlättar det för kvinnorna att hantera sin förändrade livssituation efter det kirurgiska ingreppet. Klinisk betydelse: Studiens resultat kan förmedla sjukvården värdefull kunskap och förståelse om kvinnors upplevelser efter att ha genomgått en mastektomi och hur de ser sig själva efter att ha opererat bort ett bröst i samband med bröstcancer.Background: Breast cancer is the most common cancer among women in the world. The main form of treatment is done through surgery called a mastectomy, which means that the entire breast surgically removed. Another common surgical procedure is performing a mastectomy where the entire breast is removed. Women's breasts symbolize femininity and most women who have undergone a mastectomy affected in different ways by physical, psychological and social changes. Aim: To highlight women's experience after undergoing a mastectomy due to breast cancer. Method: A general literature study based on twelve scientific articles. Data were collected through searches of scientific articles in the databases CINAHL and MEDLINE. Results: Based on the compilation of articles results revealed five subcategories. Based on these then created a main category, not just the loss of a breast. It appeared that women experienced a change in their body image, their femininity and a sense of not feeling normal. The women described an absence of sufficient information in connection with undergoing a mastectomy. Conclusion: The study explains that women who have undergone a mastectomy due to breast cancer experience stresses due to bodily changes. With good information and support from family and friends its easier for the women to deal with the situation after the surgery. Clinical significance: The study results can provide healthcare information valuable for understanding women's experiences after undergoing a mastectomy and how they see themselves after having surgery to remove a breast associated with breast cancer.
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Crafoord, Anja, and Pamela Francis. "Kvinnors kroppsuppfattning efter mastektomi till följd av bröstcancer : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3689.
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Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor och var tionde kvinna förväntas att insjukna någon gång under sin livstid. Många kvinnor behöver genomgå mastektomi som en del av bröstcancerbehandling vilket kan innebära en förändrad livssituation där fysiska och psykiska konsekvenser i form av kronisk- och fantomsmärta eller depression och ångest kan upplevas. Mastektomi innebär kroppsliga förändringar som kan påverka kvinnors kroppsuppfattning. För att kunna vårda och bemöta dessa kvinnor professionellt krävs således goda kunskaper, lyhördhet och en anpassad personcentrerad omvårdnad. Syfte: syftet var att beskriva kvinnors kroppsuppfattning efter mastektomi till följd av bröstcancer. Metod: vald design för denna studie var en litteraturöversikt där 16 vetenskapliga artiklar med kvalitativ ansats inkluderats. Artiklarna har analyserats genom integrerad analys. Resultat: tre kategorier kunde identifieras: Att förlora en del av sig själv, Genom andras ögon och Vägen till acceptans. Kvinnors kroppsuppfattning förändrades efter en mastektomi där missnöje över sin egen kropp var återkommande. Brösten visade sig ha en stor betydelse för kvinnan där förlusten av dessa innebar ett lidande. Kvinnors kroppsuppfattning står i relation till omgivningen där närstående utgjorde ett betydelsefullt stöd för kvinnan. Kvinnorna upplevde svårigheter att återgå till vardagen efter mastektomin där vardagslivet begränsades på grund av negativa tankar gällande deras kroppsuppfattning. I samband med en förändrad kroppsuppfattning upplevde kvinnor sexuell dysfunktion. Slutsats: kvinnors förändrade kroppsuppfattning efter mastektomi kunde bidra till ett fysiskt, psykiskt och emotionellt lidande för kvinnan där en negativ påverkan på identitet, femininitet och sexualitet var påtaglig. Människor i kvinnans omgivning visade sig ha stor betydelse för hennes kroppsuppfattning. Nära relationer som familj, vänner och partner kunde utgöra ett viktigt stöd för hur kvinnan hanterade den svåra tiden efter ingreppet. Brösten var av stor betydelse för kvinnan men i vilken utsträckning mastektomin påverkade kvinnan var individuell. Sjuksköterskan kan genom sitt professionella ansvar tillgodose dessa kvinnors behov av vård och stöd genom en personcentrerad omvårdnad. Det förutsätter en kunskap och förståelse för hur kvinnor som insjuknat i bröstcancer upplever tiden efter en mastektomi.
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Olsson, Elin, and Almström Frida Rönnberg. "Bröstcancerdrabbade kvinnors erfarenheter av mastektomi, med fokus på kroppsuppfattning : En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-178713.
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Bakgrund: Bröstcancer är globalt den vanligaste cancerdiagnosen för kvinnor. En av de kirurgiska behandlingarna är mastektomi, där kvinnans ena eller båda bröst avlägsnas. Tidigare forskning har visat att kvinnor som genomgått en mastektomi har en sämre kroppsuppfattning än vid andra kirurgiska behandlingar mot bröstcancer. Syfte: Syftet med litteraturstudien var att belysa bröstcancerdrabbade kvinnors erfarenheter av mastektomi, med fokus på kroppsuppfattning. Metod: En litteraturstudie med kvalitativ ansats genomfördes. Efter databassökningar identifierades nio artiklar till resultatet. Dessa artiklar granskades och analyserades genom en tematisk innehållsanalys. Resultat: Analysen identifierade tre kategorier: Att hantera en förändrad identitet, Bröstets betydelse för kvinnan samt Sexualitet och relationer. Även nio underkategorier identifierades som belyser hur kvinnans identitet, femininitet och sexualitet påverkas av den förändrade kroppsuppfattningen. Konklusion: En mastektomerad kvinnas förändrade kroppsuppfattning påverkar hennes identitet, sexualitet och femininitet. Dessa förändringar är komplexa och individuella och påverkas av normer samt relationer till andra. Inom sjuksköterskeprofessionen behövs en ökad medvetenhet om dessa förändringar och hur individuella de är, detta för att ge bättre stöd och bemötande till dessa kvinnor.Background: Breast cancer is the most common cancer diagnosis among women. Mastectomy is surgical treatment in which one or both breasts are removed. Previous research has shown that women who have had a mastectomy have a more negative body image than women who have had other surgical treatments. Aim: The aim of this literature study was to shed light on women with breast cancer´s experiences of mastectomy, with focus on body image. Methods: A literature study with a qualitative approach was conducted. Nine articles were identified through database searches and were analyzed and reviewed through thematic content analysis. Results: Three categories where identified: Dealing with a changed identity, The importance of the breast for women and Sexuality and relationships. Nine subcategories were identified which shed lights to how the changed body image affects the identity, femininity and sexuality. Conclusion: The changes in women´s body image are also affected by and linked to external norms and relationships. There is a need for increased awareness among the nursing profession about these changed perceptions and their individual and complex character. This is needed to approach and support these women in the best possible way.
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Mohamud, Ali Khadijo, and Panit Åkerman. "Kvinnors upplevelser av kroppen efter mastektomi vid bröstcancer : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7572.
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Bakgrund: Bröstcancer är en av de vanligaste cancerformerna hos kvinnor i Sverige. Ett behandlingsalternativ för bröstcancer är mastektomi vilket innebär borttagning av delar av eller hela bröstet. Behandlingen kan medföra fysiska, psykiska och psykosociala förändringar i kvinnors liv. Författarna hoppas att litteraturöversikten kommer att bidra till ökad förståelse och kunskap om kvinnors upplevelser av kroppen efter mastektomi hos allmänsjuksköterskor. Syfte: Syfte var att belysa kvinnors upplevelser av kroppen efter mastektomi vid bröstcancer. Metod: För att besvara syftet genomfördes en litteraturöversikt baserad på tio kvalitativa studier. Studiernas resultat granskades och analyserades enligt Fribergs metod. Likheter och skillnader från de inkluderade studierna urskildes och kategoriserats i huvudteman och underteman. Författarna använde Katie Erikssons hälsokors som teoretisk utgångspunkt. Resultat: Resultatet presenteras i fem huvudteman: En förändrad kropp; Upplevelse av kroppen efter mastektomi; Förändring av kvinnlighet och identitet; Strävan efter normalitet i samband med kroppsförändring; Upplevelse av kroppsförändringens inverkan på sociala relationer. Diskussion: Författarna diskuterade om kvinnors upplevelser av kroppen efter mastektomi och hur kroppsförändringen påverkar kvinnors självbild och relation till omgivningen. Katie Erikssons hälsokors användes för att diskutera kvinnors hälsoposition. Författarna har även använt andra studier och egna reflektioner i resultatdiskussionen.Background: Breast cancer is one of the most common forms of cancers in women in Sweden. A treatment option for breast cancer is mastectomy, which means removal of parts or the entire breast. The treatment can lead to physical, mental and psychosocial changes in women's lives. The authors hope that the literature review will contribute to greater understanding and knowledge of women´s experiences of the body after mastectomy in general nurses. Aim: The purpose of the study was to illuminate women’s experiences of the body after mastectomy in breast cancer. Method: A literature review based on ten qualitative articles that were relevant to the purpose. The results of the articles were reviewed and analyzed according to Friberg’s method. Similarities and differences from the included studies were distinguished and categorized into main themes and sub-themes. The authors used Katie Eriksson´s health cross as a theoretical starting point. Results: The results are presented in five main themes: A changed body; Experience of the body after mastectomy; Change in femininity and identity, Striving for normality in connection with body change; Experience of the impact of body change on social relations. Discussion: The authors discussed the women´s experiences of the body after mastectomy and how body change affects women´s self-image and relationship to the environment. Katie Eriksson´s health cross was used to discuss women’s health position. The authors have also used other studies and their own reflections in the results discussion.
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Granli, Johanna, and Elin Hedén. "Kvinnors upplevelser av mastektomi vid bröstcancer : En analys av bloggar." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-19587.
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Bakgrund: Ungefär 9000 bröstcancerdiagnoser ställs varje år och cirka 20 kvinnor insjuknar dagligen, av dessa genomgår cirka 40 % en mastektomi. Mastektomi är en kirurgisk behandlingsform där en del av eller hela bröstet opereras bort. Efter mastektomin kan kvinnan välja att genomföra en bröstrekonstruktion. Självkänsla och kroppsuppfattning är två centrala begrepp om hur kvinnan ser på sig själv och påverkas av samhällets normer. Lidande är vanligt förekommande bland kvinnor som genomgått mastektomi. Sjuksköterskan ansvarar för att lindra lidande och stärka hälsa hos patienter. Syfte: Undersöka kvinnors upplevelser av hur en mastektomi vid bröstcancer påverkar självkänsla och kroppsuppfattning. Metod: Studien genomfördes som en empirisk studie. Sex bloggar valdes, granskades och analyserades. Resultat: I resultatet framkommer tre teman: Att förlora en kroppsdel, Att känna sig kvinnlig och attraktiv och Acceptans och att älska sig själv. Att förlora en kroppsdel är traumatiskt och påfrestande. Det är svårt att känna sig kvinnlig och attraktiv både inför sig själv och inför män. Det tar lång tid att acceptera och älska sig själv igen. Konklusion: Kvinnorna upplever känslor som utanförskap som leder till förlängt lidande och försämrar deras psykiska hälsa. Ärren är både en positiv och negativ påminnelse om vad de har gått igenom och att livet är skört.Background: Approximately 9000 cases of breastcancer are diagnosed annually at an average of 20 women each day, about 40% of these women undergo a mastectomy. Mastectomy is a surgical treatment where a part of or the whole breast is removed. A reconstruction is being offered for the women who have undergone the procedure. Body-image and Self-esteem are central in women's view of themselves and are affected by the norms of society. Suffering is common among women who have undergone a mastectomy. Nurses are responsible for relieving suffering and strengthening the health of patients. Purpose: To investigate women's experiences of how a mastectomy in breast cancer affects self-esteem and body image. Method: The study was conducted as an empirical study. Six blogs were selected, reviewed and analyzed. Result: Three themes emerged, Losing a body part, Feeling feminine and attractive and Acceptance and loving oneself. Losing a part of the body is traumatic and stressful. It is difficult to feel feminine and attractive both in front of oneself and in front of men. It takes a long time to accept and love oneself again. Conclusion: Women experience feelings of exclusion that lead to prolonged suffering and impair their mental health. The scars are both a positive and a negative reminder of what they have been through and that life is fragile.
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Saldén, Mirja, and Daniel Pejer. "Kvinnnors kroppsuppfattning efter mastektomi på grund av bröstcancer : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8418.
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Oliveira, Mariza Silva de. "Self care of the woman in the whitewashing of the mastectomy: study of appearance validation and content of the educative technology." Universidade Federal do CearÃ, 2006. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=362.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorAs tecnologias educativas merecem discussÃo e reflexÃo quanto à sua validaÃÃo e implementaÃÃo na prÃtica assistencial. A reabilitaÃÃo com o auxÃlio de tecnologias educacionais pode ser bastante eficaz, pois motiva a mulher a se cuidar e adquirir conhecimentos necessÃrios e adequados para serem adotados na efetividade do seu autocuidado. Objetivou-se validar um manual educativo direcionado para a promoÃÃo do autocuidado de mulheres mastectomizadas, identificar aspectos que podem ser aperfeiÃoados e/ou modificados e avaliar o manual educativo proposto quanto à legibilidade e validade de conteÃdo e de aparÃncia. Trata-se de uma pesquisa de desenvolvimento metodolÃgico. O referencial teÃrico-metodologico foi adotado com base nos critÃrios do modelo de Pasquali (1998) composto por trÃs conjuntos de procedimentos: teÃricos, empÃricos e analÃticos. Como se trata de um manual educativo, usou-se apenas os procedimentos teÃricos. A coleta de dados foi realizada de abril a junho de 2006 em dois momentos metodolÃgicos. Primeiro, a avaliaÃÃo dos quatorze juÃzes-especialistas (profissionais); segundo, a anÃlise semÃntica de nove mulheres mastectomizadas escolhidas conforme critÃrios preestabelecidos para ambos. Os dados foram extraÃdos por meio de questionÃrios individuais na forma de escala Likert com itens distribuÃdos em trÃs blocos de anÃlise. Os dados receberam tratamento descritivo, sendo calculada a adequaÃÃo da representaÃÃo comportamental dos itens, a correlaÃÃo linear de Pearson dos itens avaliados pelos juÃzes e a avaliaÃÃo do Ãndice de Legibilidade de Flesch do material (ILF), utilizando o Revisor Gramatical AutomÃtico para PortuguÃs (ReGra). Na validaÃÃo de aparÃncia, os juÃzes-especialistas sugeriram vÃrias alteraÃÃes, mas houve tendÃncia dos juÃzes optarem pelas respostas em concordÃncia. A maioria das respostas ficou entre totalmente adequado (142) e adequado (120), nÃo havendo indicaÃÃo significativa de discordÃncia, pois dos 22 itens e das quatro opÃÃes de respostas, apenas cinco itens obtiveram escores inadequados. Quanto à adequaÃÃo comportamental dos 22 itens, quatorze atingiram a meta proposta de 80% de concordÃncia entre os juÃzes, quatro tiveram Ãndices limÃtrofes e quatro tiveram Ãndices abaixo do parÃmetro adotado. Na correlaÃÃo linear de Pearson, os avaliadores analisaram alguns itens de forma linearmente dependente uns com os outros, a indicar que o instrumento de avaliaÃÃo quanto aos aspectos referentes ao manual està adequado. Quanto à anÃlise semÃntica, 114 respostas ficaram em totalmente adequado e 114 em adequado. Nesse grupo nÃo houve indicaÃÃo significativa de discordÃncia, pois dos 26 itens e das quatro opÃÃes de respostas, apenas um item obteve escore inadequado. Em relaÃÃo ao ILF, os resultados variaram de 43 a 64, ou seja, leitura fÃcil e difÃcil, apropriado para o ensino fundamental completo ou mÃdio incompleto. Conclui-se que o manual educativo à um recurso que pode ser usado de forma positiva no processo de reabilitaÃÃo da mastectomizada caso as mensagens sejam apreendidas por ela; os profissionais devem considerar a escolaridade e habilidade de leitura do paciente, pois a leitura à um processo complexo e a compreensÃo de textos envolve questÃes relacionadas ao leitor e à sua interaÃÃo. Espera-se que a aplicaÃÃo do conhecimento adquirido nesse estudo proporcione impactos positivos para a enfermagem e para a saÃde da mulher mastectomizada e garanta-lhe melhor qualidade de vida.
The educative technologies deserve quarrel and reflection how much to its validation and implementation in the practical assistencial. The rehabilitation with the aid of educational technologies can be sufficiently efficient, therefore it motivates the woman if to take care and to acquire knowledge necessary and adequate to be adopted in the effectiveness of its self care one. It was objectified to validate a directed educative manual for the promotion of the self care of mastectomizadas women, to identify aspects that can be perfected e/or modified and to evaluate the educative manual considered how much to the legibility and validity of content and appearance. One is about a research of methodological development. The referencial theoretician-methodological was adopted on the basis of the criteria of the model of Pasquali (1998) composed for three sets of procedures: theoreticians, empiricists and analytical. As one is about an educative manual, one used only the theoretical procedures. The collection of data was carried through of April the June of 2006 at two methodological moments. First, the evaluation of the fourteen judge-specialists (professional); second, the analysis semantics of nine mastectomizadas women chosen as criteria preset for both. The data had been extracted by means of individual questionnaires in the form of Likert scale with item distributed in three blocks of analysis. The data had received treatment descriptive, being calculated the adequacy of the mannering representation of the item, the linear correlation of Pearson of the item evaluated for the judges and the evaluation of the Index of Legibility of Flesch of the material (ILF), using the Automatic Grammatical to Revise for Portuguese (ReGra). In the appearance validation, the judge-specialists had suggested some alterations, but it had trend of the judges to opt to the answers in agreement. The majority of the answers was enters total adequate (142) and adequate (120), not having significant indication of discord, therefore of the 22 item and the four options of answers, but five item had gotten you prop up inadequate. How much to the mannering adequacy of the 22 item, fourteen had reached the goal proposal of 80% of agreement between the judges, four had had bordering indices and four had had indices below of the adopted parameter. In the linear correlation of Pearson, the appraisers had analyzed some item of form linearly dependent ones with the others, to indicate that the evaluation instrument how much to the referring aspects to the manual is adjusted. How much to the analysis semantics, 114 answers had been in total adequate and 114 in adequate. In this group it did not have significant indication of discord, therefore of the 26 item and the four options of answers, but an item got props up inadequate. In relation to the ILF, the results varied of 43 the 64, that is, easy and difficult reading, appropriate for education basic complete or incomplete mdium. One concludes that the educative manual is a resource that can be used of positive form in the process of rehabilitation of the mastectomizada case the messages is apprehended by it; the professionals must consider the instruction level and ability of reading of the patient, therefore the reading is a complex process and the understanding of texts involves questions related to the reader and its interaction. One expects that the application of the knowledge acquired in this study provides positive impacts for the nursing and the health of the mastectomizada woman and it guarantees to it quality to of life better.
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Rockström, Monica, and Isaura Rodriguez. "Sjuksköterskans stödjande roll i omvårdnaden av patienter med bröstcancer : En litteraturstudie." Thesis, Röda Korsets Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-1859.
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BAKGRUND: Mer än var tionde kvinna drabbas av bröstcancer under sin livstid, vilken är den vanligaste cancertyp som drabbar flest kvinnor. Trots den höga incidensen har antalet friskförklarade ökat de senaste åren. Kvinnor med bröstcancer får en förändrad självbild efter diagnos och behandling, vilket generellt skapar specifika omvårdnadsbehov. Det är viktigt att hantera dessa konsekvenser av bröstcancer, då de är starkt sammankopplade med livskvaliteten. Detta medför ett ökat behov av holistisk omvårdnad med fokus på livskvalitet. SYFTE: Att belysa sjuksköterskans stödjande roll i omvårdnaden av patienter med bröstcancer. METOD: Undersökningen genomfördes som en litteraturöversikt och utgår från artiklar baserade på kvalitativa studier. RESULTAT: Bröstcancerpatienter i olika stadier, från diagnos till efter avslutad behandling, uttrycker att sjuksköterskan varit en viktig resurs genom hela vårdprocessen. Framför allt betonas hantering av information, stöd och kompetenta sjuksköterskor. Sjuksköterskan har förmedlat emotionellt stöd, hjälpt till att navigera i systemet som omger vårdprocessen, varit kompetent, varit kunnig inom cancervård samt har förmedlat information. SLUTSATS: Litteraturstudien visar att sjuksköterskor i de flesta fall möter bröstcancerpatienter i deras behov av stöd, information, kliniska färdigheter samt kunskap om hur systemet i hälso- och sjukvården fungerar. Det framkommer att de flesta patienter och närstående är nöjda med vården och att de har känt förtroende för sjuksköterskan. För att ett salutogent hälsoperspektiv ska kunna råda behöver de här patienterna inte bara hjälp med den fysiska vården relaterad till bröstcancer utan detta förutsätter vård i ett holistiskt perspektiv.BACKGROUND: More than one in ten women get diagnosed with breast cancer during their lifetime. Breast cancer is currently the most common type of cancer amongst women. Despite the high incidence the number of women who are declared healthy in recent years, increase. Women with breast cancer experience an altered self-image after diagnosis and treatment which generally creates specific nursing-needs. It is important to handle these impacts of breast cancer since they are strongly connected with life quality. This increases the need of holistic nursing with a quality of life focus. PURPOSE: To highlight the nurse´s supportive role in the care of patients with breast cancer. METHOD: The survey was conducted as a literature review and based on qualitative studies. RESULT: Breast cancer patients at various stages, from diagnosis to after completed treatment express that the nurse has been an important resource throughout the care process. In particular, they emphasize managing information, being supportive and is knowledgeable. The nurse has conveyed emotional support, helped to navigate in the system surrounding the care process, owned skills and knowledge in cancer care and that supplied information. CONSLUSION: The literature review show that nurses in the majority of cases meet patients in their needs for support, information, clinical skills and knowledge of how the system of health care functions. It appears that most patients and their relatives are satisfied with the care and they have trusted the nurses. To be able to provide care with a salutogenic perspective in interest, the patients not only need physical care, they need care with a holistic perspective.
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Carter, Sue A. "A Description of BMI and the Incidence of Breast Cancer in the Premenopausal Woman." Walsh University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=walsh1429279507.
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Ödling, Gunvor. "Professional caregivers' experiences of caring for women with breast cancer on a surgical ward /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-371.
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Törnquist, Julia, and Tove Wessman. "Kroppsuppfattning och livskvalitet i relation till sexualitet hos kvinnor efter mastektomi." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-432429.
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SAMMANFATTNING Bakgrund: Bröstcancer är idag den vanligaste formen av cancer hos kvinnor och även den cancerform som är mest studerad. Att drabbas av bröstcancer genererar i ett lidande trots att sannolikheten för att överleva efter att ha diagnostiserats med bröstcancer har ökat. Kirurgi är den primära behandlingen vid bröstcancer vilket ökar behovet att vidare studera hur detta påverkar livskvaliteten samt hur det kan påverka kroppsuppfattningen. Förändringar av kroppsuppfattningen och livskvalitet i relation till sexualitet skapar lidande, därav behöver vård- och omsorgspersonal ha kunskap kring detta då lidandet är motivet till all vård. Syfte: Syftet med denna studie är att undersöka hur kvinnor med bröstcancer som genomgått en mastektomi upplever sin kroppsuppfattning och livskvalitet i relation till sexualitet. Metod: Deskriptiv litteraturstudie av vetenskapliga artiklar med kvalitativ ansats. Resultat: Mastektomi tenderar att ha inverkan på kvinnors kroppsuppfattning och livskvalitet i relation till sexualitet. De mest framträdande resultaten var att ärrbildningen och att samhällets normer hade en påverkan på kvinnors kroppsuppfattning samt att den feminina identiteten rubbades vid förlusten av bröstet. Vidare påvisar denna studie en negativ förändring av kvinnors livskvalitet i relation till sexualitet på grund av den förändrade kroppsuppfattningen. Slutsats: Kroppsuppfattningen och livskvaliteten i relation till sexualitet påverkades negativt till följd av mastektomi.ABSTRACT Background: Breast cancer is today the most common form of cancer in women and also the most studied form of cancer. Breast cancer generates in a suffering even though the probability of surviving after being diagnosed with breast cancer has increased. Surgery is the primary treatment for breast cancer, which increases the need to further study how this affects the quality of life and how it can affect body perception. Changes in body perception and quality of life in relation to sexuality create suffering, hence care and nursing staff need to have knowledge about this as suffering is the motive for all care. Aim: The purpose of this study is to investigate how women with breast cancer who have undergone a mastectomy experience their body perception and quality of life in relation to sexuality. Method: Descriptive literature study of scientific articles with a qualitative approach. Results: Mastectomy tends to have an impact on women's body image and quality of life in relation to sexuality. The most prominent results were that scarring and societal norms had an impact on women's body image and that the feminine identity was disturbed in the loss of the breast. Furthermore, this study shows a negative change in women's quality of life in relation to sexuality due to the changed body perception. Conclusion: Body perception and quality of life in relation to sexuality were negatively affected because of mastectomy.
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Ingelsson, Veronicka, and Evastina Noltorp. "Kvinnan, bröstet och kroppen : En litteraturstudie om kvinnors upplevelser kring sin kropp efter en mastektomi." Thesis, Kristianstad University, School of Health and Society, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6907.
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Syftet: Syftet med studien var att belysa kvinors upplevelser av kroppen efter en cancerrelaterad mastektmoi. Bakgrund: Allt fler kvinnor drabbas av bröstcancer i dagsläget. Detta har gjort att behandlingen har utvecklats och fler kvinnor överlever sin bröstcancer. Den kirurgiska metoden mastektomi är ett alternativ till att avlägsna bröstcancern vilket kan påverka kvinnans upplevelse av kroppen både fysiskt och psykiskt.Sjuksköterskan har en betydande roll kring kvinnorna. Metod: Detta är en litteraturstudie som bygger på artiklar med kvantitativa samt kvalitativa metoder. Resultat: Resultatet visar att flertalet kvinnor som har genomgått en mastektomi får en förändrad uppfattning om kroppen. Även upplevelser som påverkar den psykiska hälsan är identifierade såsom upplevelsen av förlust och känslan av att vara oattraktiv. Slutsats: Det som framkom var att hänsyn bör tas till att försöka förbättra kvinnornas acceptans av den kroppsliga förändringen. Då flertalet kvinnor har uttryckt en negativ påverkan på den. Ytterligare aspekt att ta hänsyn till är kvinnans relation med eventuell partner. Sjuksköterskan bör integrera honom i omvårdnaden och även ge honom den stöttning han är i behov av. Det är inte bara en förändring för kvinnan utan också för mannen.
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Silva, Anna Paula Sousa da. "Basic actions for early detection and risk factors for breast cancer in women at a primary care center in Fortaleza-CearÃ." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2512.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorThe breast cancer has been established as a serious public health problem, not only by the growing number of cases diagnosed each year, but also by the financial investment that is required for diagnosis and treatment. The objective of this study was to evaluate actions for early detection and risk factors for breast cancer in women at a Basic Health Unit, Fortaleza, CearÃ. It was conducted a cross-sectional study, descriptive and analytical, with a quantitative approach, on shares of early detection and risk factors to the breast cancer. The research was developed in a Basic Unit of Family Health, Fortaleza, CearÃ, in the period from March to November of 2008. The population was based on the amount of annual gynecological attendances made by nurses, for a total of 1920. The sample was 320 women. It was used as technique for data collection a semi-structured interview and as instrument, the semi-structured form. For the analysis was used the chi-square test with the aid of SPSS version 15.0 in order to measure the association of variables, at 5% level of significance. The following results were obtained: the average age of interviewed women was 37, had family income below a minimum wage 139 (43.44%) of them; studied between 11 and 15 years of study, 192 (60%) of the total; reported first episode menstrual, aged over twelve years, 206 (64.38%); only 64 (20%) had entered the menopause and 238 (74.38%) had their first pregnancy, aged below 30 years of age; on breastfeeding, 210 (65.63%) breastfed their children; it was found that 177 (55.31%) make use contraceptive oral; had family history of breast cancer, 71 (22.19 %); affirm the habit of smoking 62 (19.38%); said drink alcohol 89 (27.81%). It was inferred that 252 (78.75%) know the BSE. The Clinical examination of the breasts is performed by 246 (76.87%) of respondents. It was observed that 46 (44.23%) reported perform mammography annually. It was detected that the years of study influenced on practice of BSE. However, there was a lack of association between the time of study and implementation of BCE and knowledge of mammography. As the range of income, this variable was associated only with the knowledge of the BSE and the mammography. It is noteworthy from the results of the research, that even with the technology developed in recent decades for the control of breast cancer, can not ignore the many factors that make the etiology of this neoplasm. Hence the need for greater effectiveness in detecting breast cancer, and early recognition of its risk factors
O cÃncer de mama tem se constituÃdo como um grave problema de saÃde pÃblica, nÃo sà pelo nÃmero de casos crescentes diagnosticados a cada ano, mas tambÃm pelo investimento financeiro que à necessÃrio para diagnÃstico e tratamento. Objetivou-se neste estudo, avaliar aÃÃes de detecÃÃo precoce e fatores de risco para cÃncer de mama, em mulheres atendidas em uma Unidade BÃsica de SaÃde, Fortaleza, CearÃ. Realizou-se um estudo transversal, descritivo e analÃtico com abordagem quantitativa, sobre aÃÃes de detecÃÃo precoce e fatores de risco para cÃncer de mama. A pesquisa foi desenvolvida em uma Unidade BÃsica de SaÃde da FamÃlia do municÃpio de Fortaleza-CearÃ, no perÃodo de marÃo a novembro de 2008. A populaÃÃo baseou-se na quantidade anual de atendimentos ginecolÃgicos realizados pelos enfermeiros perfazendo um total de 1920. A amostra obtida foi de 320 mulheres. Utilizou-se como tÃcnica de coleta de dados a entrevista semi-estruturada e como instrumento o formulÃrio semi-estruturado. Usou-se para a anÃlise, o teste qui-quadrado com o auxÃlio do SPSS versÃo 15.0, a fim de medir a associaÃÃo de variÃveis, ao nÃvel de 5% de significÃncia. Obtiveram-se os seguintes resultados: a idade mÃdia das mulheres entrevistadas foi de 37 anos; possuÃam renda familiar inferior a um salÃrio mÃnimo 139 (43,44%) delas; apresentaram escolaridade entre 11 e 15 anos de estudo, 192 (60%) do total; relataram primeiro episÃdio menstrual, com idade acima de doze anos, 206 (64,38%); apenas 64 (20%) haviam entrado na menopausa e 238 (74,38%) tiveram a primeira gestaÃÃo, na faixa etÃria abaixo de 30 anos de idade; quanto à amamentaÃÃo, 210 (65,63%) amamentaram seus filhos; constatou-se que 177 (55,31%) fazem uso anticoncepcional oral; tinham histÃrico familiar de cÃncer de mama, 71 (22,19%); declararam o hÃbito de fumar 62 (19,38%); afirmaram ingerir bebida alcoÃlica 89 (27,81%). PÃde-se inferir que 252 (78,75%) conhecem o AEM. O exame clÃnico das mamas à realizado em 246 (76,87%) das entrevistadas. Pode-se observar ainda que 46 (44,23%) relataram realizar o exame mamogrÃfico anualmente. Constatou-se que o tempo de estudo influencia na prÃtica do AEM. PorÃm, verificou-se a nÃo existÃncia de associaÃÃo entre o tempo de estudo e a realizaÃÃo do ECM e o conhecimento da mamografia. Quanto à faixa de renda, houve associaÃÃo desta variÃvel somente com o conhecimento do AEM e com o da mamografia. Vale ressaltar, a partir dos resultados da pesquisa, que mesmo com a tecnologia desenvolvida nas Ãltimas dÃcadas para o controle do cÃncer de mama, nÃo se podem desconsiderar os mÃltiplos fatores que compÃem a etiologia desta neoplasia. DaÃ, a necessidade de uma maior efetividade na detecÃÃo do cÃncer de mama e reconhecimento precoce dos seus fatores de risco
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Nordqvist, Annelie, and Sjöman Kristoffer Turesson. "Vad händer efter avslutandet av primär behandling för bröstcancer? : En litteraturöversikt om kvinnors upplevelser av uppföljningsvården." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7248.
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Bakgrund: Fler kvinnor överlever sin bröstcancer tack vare tidig upptäckt och behandling av tumörer. Den primära behandlingen för bröstcancer är omfattande med operation, cellgifter samt strålning som ger biverkningar. Den ökade överlevnaden ställer krav på uppföljningsvården, där uppgiften är att följa upp förändringar i hälsan efter avslutad primär behandling. Syfte: Syftet var att belysa kvinnors upplevelser av vården efter primär behandling för bröstcancer. Metod: En litteraturöversikt genomfördes enligt Fribergs metod. Databassökningen av resultatartiklar gjordes med sökord relaterade till “bröstcancer”, “uppföljningsvård” samt “upplevelser” eller “erfarenheter” i MEDLINE with Full Text samt Cinahl Complete. Sökningarna gjordes med begräsningen att artiklarna skulle ha publicerats mellan åren 2008 och 2018. Nio kvalitativa studier samt en med mixad metod analyserades avseende likheter/skillnader och tematiserades. Resultat: Analysen resulterade i tre teman. Kvinnornas informationsbehov som har två underteman: Informationsbrist angående uppföljningsvården som handlar om informationsbrist från specialistvården vid utskrivning av primär behandling som påverkade kvinnorna i tiden efter och informationsbrist i uppföljningsvården som handlar om informationsbrist under uppföljningar. Det andra huvudtemat är: Hur kvinnorna föredrogs att följas upp och kontinuitet. Det tredje huvudtemat är: Stressade besök och att inte bli bemött utifrån sina behov. Diskussion: I metoddiskussionen diskuteras litteraturöversiktens styrkor samt svagheter. I resultatdiskussionen diskuteras resultatet utifrån bakgrunden, annan forskning samt Antonovskys teori om känsla av sammanhang. Resultatet visar att kvinnor efter avslutad primär behandling upplever att det finns informationsbrister. Författarna diskuterar sjuksköterskans roll i uppföljningsvården av bröstcancerpatienter.Background: More women survive their breast cancer due to early detection and treatment of the tumour. The primary treatment for breast cancer is extensive with surgery, chemotherapy, radiation and side effects. The increased survival poses higher demands for the follow-up care, where the task is to monitor changes in health after completion of primary treatment. Aim: The aim was to explore women's’ experience of care following end of primary treatment for breast cancer. Method: A literature review was performed according to Friberg's method. The following electronic databases were searched: Cinahl Complete and Medline with Full Text. Terms related to “breast cancer”, “follow upp care” samt “experience” eller “perceptions” were used in all searches. One mixed method and nine qualitative articles, published between 2008 and 2018, were included in the review. Results were thematized based on similarities and differences. Results: The analysis resulted in three themes. Women's information needs that have two sub-themes: Lack of information regarding follow-up care, which is about the lack of information from the specialist care which affected women posttreatment and The lack of information in the follow-up care which is about information shortages during follow-ups. The second main theme is: Womens preference about follow-up care and continuity. The third main theme is: Stressful visits and not being met from their needs. Discussion: In the method discussion the literature review strength and weaknesses are discussed. In the result discussion, the results are discussed based on the background, new research, and Antonovsky's theory of sense of coherence. The result shows that there are information shortages. The authors discuss the role of the nurse in the after care for breast cancer patients.
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Frison, Fernanda Sucasas 1986. "Dança circular e qualidade de vida em mulheres mastectomizadas = um estudo piloto." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308264.
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Orientador: Antonieta Keiko Kakuda ShimoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: A mulher com câncer de mama vivencia o sofrimento da doença de maneira peculiar, pois o local onde está acometida a enfermidade é símbolo de feminilidade, sexualidade e estética, sendo alvo de contemplação. Com a mastectomia, vários sentimentos e sofrimentos são desencadeados, alterando a qualidade de vida. Há necessidade de aceitação do novo corpo e adequação das atividades diárias após a cirurgia. Diante das severas repercussões do procedimento de mutilação e sensibilizando-se com a situação dessas mulheres, propõe-se nesse trabalho um programa de intervenção, que utilizou a dança circular como instrumento para uma possível modificação no estado bio-psico-emocional. Objetivo: Avaliar a qualidade de vida das mulheres mastectomizadas do grupo de estudo e do grupo controle antes e após três meses de intervenção. Método: Trata-se de um estudo de intervenção com desenho quase-experimental, de abordagem quantitativa (envolvendo mensuração de variáveis). Os critérios de inclusão foram: ter sido submetida à mastectomia total ou parcial, com mutilação da mama; ter dezoito anos ou mais; estar ou não em tratamento quimioterápico e/ou radioterapia; ter mais de três meses de pós-operatório; ter período igual ou menor que um ano da cirurgia; não ter metástases diagnosticada; não apresentar alguma dificuldade de compreensão para responder ao instrumento. Optou-se pela amostragem de conveniência, e a formação de dois grupos (controle e de estudo). Um questionário validado e traduzido no Brasil sobre qualidade de vida (WHOQOL-bref), foi aplicado as participantes, antes e após as atividades de dança, que teve duração de três meses (doze encontros). O grupo controle também respondeu ao questionário antes e após três meses. Os resultados obtidos passaram pela análise estatística descritiva e comparativa intragrupos e entre grupos, segundo teste t de Student pareado e não pareado, respectivamente. Para avaliar o efeito da intervenção foram utilizadas as análises de Modelos Lineares Generalizados, com estimativa através das Equações de Estimação Generalizada (EEG) e Análises de Contrastes. Resultados: A amostra constituiu-se de 35 participantes, com 11 no grupo de dança e 24 no grupo controle. Na comparação dos domínios do instrumento WHOQOLbref, entre e intragrupos (antes e depois da intervenção) observou-se na análise intragrupo uma diferença significativa (p<0,05) nos domínios psicológico (p=0,0018), físico (p=0,0006) e meio ambiente (p=0,0297) do grupo de estudo, demonstrando que a intervenção (dança circular) provocou um efeito nesses domínios. As análises de contrastes revelaram ainda diferenças significativas no grupo de dança apenas para o domínio psicológico (p=0,0001). Não houve diferenças em nenhum dos domínios no grupo controle. Conclusões: Os resultados apontam que na análise entre os grupos (controle e de estudo) não se verificou diferenças significativas entre eles. Mas, ao analisar somente o grupo de intervenção, houve diferenças, com destaque para o domínio psicológico. Linha de pesquisa: O processo de cuidar em enfermagem, saúde da mulher
Abstract: Introduction: The woman with breast cancer lives deeply the suffering of the illness in a peculiar way, therefore the place where it is attacked the disease is a symbol of femininity, sexuality and aesthetic, being targeted of contemplation. With the mastectomy, many feelings and sufferings are unchained, modifying the quality of life. After surgery there is need for acceptance of the new body and adequacy in daily activities. Ahead of the severe consequences of the procedure of mutilation and sensitizing itself with the situation of these women, is proposed in this work an intervention program, who used the circular dance as a instrument for a possible modification in the bio-psycho-emotional state. Objective: To evaluate the quality of life of the mastectomies women of the group of study and of the group controlled before and after three months of intervention. Subjects and Methods: One is about a study of intervention with almost-experimental drawing, quantitative boarding (measure of the variable). The inclusion criteria had been: women submitted to the total or partial mastectomy, with mutilation of the breast; to have eighteen years or more; undergoing or not in chemotherapy and/or radiotherapy; to have three months of post operative or more; to have equal or lesser period that one year of the surgery; not to have metastases; not to present some incapacity to answer to the questionnaires. It was opted to the sampling of convenience, and the formation of two groups (control and of study). A questionnaire validated and translated in Brazil about quality of life (WHOQOL-brief) was applied the participants, before and after to the activities of dance, that it had duration of three months (twelve meeting). The group control also answered to the questionnaire before and after three months. The gotten results had passed for the analysis statistics of descriptive and comparative form intra group and between group, second test t (t of Student paired) and t of Student respectively. To evaluate the effect of the intervention were used the analysis of Generalized Linear Models with estimated through the Generalized Estimating Equations (GEE) and Analyses of Contrasts. Results: The sample consisted of 35 participants, with 11 in the dance group and 24 in the control group. In the comparison of the domains of the instrument WHOQOL-bref, between and within groups, before and after the intervention, observed in the intragroup analysis a significant difference (p<0,05), in the domains psychological (p=0,0018), physical (p=0,0006) and environmental (p=0,0297) of the group of study, showing that the intervention (dance move) caused an effect in these areas. Analysis of contrasts also revealed significant differences (p <0.05) in the group of dance just for the psychological domain (p=0,0001). It did not have differences in none of the domains in the control group. Conclusions: The results show that in the analysis between the groups (control and study) there was no significant differences between them. But in analyzing only the intervention group, there were differences, with emphasis on the psychological domain
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Fransson, Ariana, Malin Bergman, and Olivia Tollesson. "Kvinnors upplevelser av sexuell hälsa relaterat till mastektomi vid bröstcancer." Thesis, Jönköping University, Hälsohögskolan, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-52688.
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Bakgrund: Bröstcancer är den vanligaste förekommande cancerdiagnosen hos kvinnor världen över. Den vanligaste behandlingsformen är kirurgi vilket består av mastektomi där komplikationer kan medföra bland annat förändrad kroppsuppfattning ur ett livsvärldsperspektiv. Kroppsuppfattning är starkt sammankopplat med sexualitet och sexuell hälsa. Syfte: Att beskriva kvinnors upplevelser av sexuell hälsa relaterat till mastektomi vid bröstcancer. Metod: Kvalitativ litteraturöversikt. 10 artiklar inkluderades i resultatet. Resultat: Tre kategorier identifierades: Att leva med förändrad kropp (Förändrad kroppsuppfattning & förlust av identitet och Emotionell påverkan), Förändrad sexuell hälsa (Betydelse av bröst, Sexuell dysfunktion och Betydelsen av samliv & relationer), Normalitet och dess betydelse (Att inte passa in och Att acceptera & anpassa sig). Resultatet påvisade att kroppsuppfattningen hade inverkan på sexuell hälsa och sexualitet. Negativ kroppsuppfattning ledde till upplevelser av att vara oattraktiv och känslan av identitetsförlust. Det uppkom strävan efter normalitet. Olika hanteringsstrategier tillämpades för att kunna acceptera och anpassa sig till de förändringar mastektomin medförde. Slutsatser: Mastektomi hade i stor utsträckning negativ påverkan på sexuell hälsa. Dock är det viktigt att uppmärksamma att alla kvinnor inte delade upplevelsen och att vissa hade lättare att anpassa sig till den förändrade kroppen efter mastektomin. Varje upplevelse är individuell och unik.Background: Breast cancer is the most common cancer diagnosis in women globally. The most common treatment is surgery in the form of mastectomy. An altered body-image is in a life-world perspective a common complication. Body-image and sexuality are strongly correlated to sexual health. Aim: To describe women’s experiences of sexual health related to mastectomy due to breast cancer. Method: A literature review with qualitative method. 10 articles were included in the result. Results: Three categories were identified: To live with a changed body (Altered body image & loss of identity and Emotional impact), Altered sexual health (Signification of breast, Sexual dysfunction and The significance of cohabitation & relationships), Normality and its meaning (To not fit in and Acceptance and adaptation). The result showed that perceived body image had an impact on sexual health and sexuality. Negative body image greatly impacted feelings of attractiveness and identity loss. A strive for normality emerged. Different coping strategies were used to accept and adapt to the changes the mastectomy brought. Conclusion: Mastectomy has a negative effect on perceived sexuality in women. However, it is important to note that not all women shared the experience and that some women found it easier to adapt to the mastectomy and the altered body. Each experience is individual and unique.
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Dingley, Catherine E. "Inner strength as a predictor of quality of life and self-management in women with cancer /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2008.
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Thesis (Ph.D. in Nursing) -- University of Colorado Denver, 2008.Typescript. Includes bibliographical references (leaves 125-141). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;
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Arving, Cecilia. "Individual psychosocial support for breast cancer patients : Quality of life, psychological effects, patient satisfaction, health care utilization and costs." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7929.
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Hellström, Tina, and Kallnäs Karolina Holmén. "Fysisk aktivitet som omvårdnadsåtgärd till personer med bröstcancer: en litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-33804.
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Bakgrund: Bröstcancer är en internationellt växande sjukdom som drabbar framförallt kvinnor, med symtom och biverkningar från behandling som berövar personerna på glädjeämnen de tidigare upplevt. Fysisk aktivitet ger bland annat minskad östrogennivå, höga östrogennivåer sammankopplas med uppkomst av bland annat bröstcancer. Sjuksköterskans omvårdnadsåtgärder består av symtomkontroll, utvärdering av symtomlindrande behandling, samt psykosocialt stöd. Genom att ha ett personcentrerat förhållningssätt kan maktbalansen mellan vårdgivare och vårdtagare jämnas ut, och vårdtagarens autonomi värderas högt. Syfte: Syftet med litteraturöversikten är att beskriva fysisk aktivitet som ett komplement till den ordinarie omvårdnad som ges till personer med bröstcancer. Metod: Litteraturöversikt som inkluderar 17 kvantitativa artiklar. Resultat: Fysisk aktivitet fungerar som komplement till ordinarie omvårdnad som ges till personer som genomgår bröstcancerbehandling. Fysisk aktivitet reducerar smärta, fatigue, illamående och stress. Dessutom ökar livskvalité och energinivåer medan muskelmassa och muskelfunktion bibehålls. Slutsats: Fysisk aktivitet bör inkluderas i ordinarie omvårdnad för personer med bröstcancer, då träning fungerar symtomlindrande och höjer livskvalitén för de under behandling. Detta icke-farmakologiska alternativ till symtomlindring reducerar vissa biverkningar, som uppkommer från farmakologiska alternativ som används.Background: Breast cancer is an international growing illness which occurs mostly in women, symptoms and side effects from treatments can deprive patients of pleasures they experienced previously. Physical activity leads to a reduction in estrogen levels, elevated estrogen levels are associated with onset of for instance breast cancer. The nurses care actions consist of symptom control, evaluation of symptom-reliving treatment and psychosocial support. With a person-centered approach, the balance of power between caregiver and caretaker can be evened out, and the care-takers autonomy is highly valued. Aim: The aim with this literature review is to describe physical activity as a compliment to the ordinary treatment for breast cancer. Method: Literature review which includes 17 articles with a quantitative approach. Result: Physical activity serves as complement to the ordinary nursing care for persons undergoing breast cancer treatment. Physical activity reduces pain, fatigue, nausea, and stress. Additionally, quality of life and energy levels increases, and muscle mass and function are maintained. Conclusion: Physical activity should be included in the ordinary care for persons with breast cancer. Exercise alleviates symptoms and enhances quality of life for persons during breast cancer treatment. Physical activity is a non-pharmacological alternative which reduces some side effects from pharmacological symptomrelieving treatment.
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Egnell, Tilda, and Johanna Ragnarsson. "Kvinnors kroppsuppfattning efter bröstcancerbehandling – En litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-27783.
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Bakgrund: Bröstcancer är den vanligaste cancerformen som drabbar kvinnor. Biverkningarna av behandlingarna är många och påfrestande och kan leda till psykisk ohälsa. Trots en stor chans att överleva påverkas kvinnornas psykiska tillstånd. Detta beror bland annat på grund av den förändrade kroppsuppfattningen efter behandlingarna. När sjuksköterskan arbetar personcentrerat är målet att inkludera och stötta patienten. Syfte: Beskriva vilka faktorer som bidrar till en förändrad kroppsuppfattning efter en bröstcancerbehandling. Metod: En litteraturöversikt som baserats på 15 vetenskapliga artiklar. Resultat: Kvinnornas förändrade kroppsuppfattning kan beskrivas utifrån fyra kategorier och dessa är; synliga kroppsförändringar, faktorer som påverkar den psykiska hälsan, sexualitet, information och stöd. Konklusion: Det fanns flera faktorer till att kvinnornas kroppsuppfattning förändrades efter bröstcancerbehandling. Behandlingens biverkningar påverkade kvinnorna negativt, både fysiskt och psykiskt. Att förlora ett eller båda brösten samt att tappa håret gjorde att den kvinnliga identiteten blev lidande. De fysiska förändringarna påverkade den psykiska hälsan och kvinnorna riskerade att drabbas av depression och ångest. Många upplevde ett missnöje med sin kropp och kände sig mindre attraktiva inför sin partner vilket i sin tur ledde till att de valde att ta avstånd från sexuella aktiviteter. Det fanns ett stort behov av stöd och information från hälso-och sjukvårdspersonalen.Background: Breast cancer is the most common type of cancer that affects women. The side effects of treatments are many and stressful and may result in mental illness. Even though the chances for surviving are good women’s mental health are affected. This is, for instance, because of the changed body image after the treatments. The nurse’s aim with the personcentered- care is to include and support the patient. Aim: To describe what factors contribute to a changed body perception after breast cancer treatment. Method: A literature review based on 15 scientific articles. Results: Women’s changed perception of her body can be described in four categories, and these are; visible changes of the body, mental health, sexuality, need for support. Conclusion: There were many factors that changed the body image after breast cancer treatment. The side effects of the treatments affected women both physically and psychologically. Losing one or two breasts and hair loss caused the female identity to suffer. The physical changes affected mental health and women were at risk of depression and anxiety. Many experienced a dissatisfaction with their body and felt less attractive to their partner, which in turn led them to distance themselves from sexual activities. There was a great need for support and information from healthcare professionals.
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Nicolau, Sandra Regina Terra Campos. "Cuidados sensíveis de enfermagem a mulheres submetidas a mastectomia: subsídios para uma ação educativa com enfoque na dimensão ética e estética." Universidade Federal Fluminense, 2015. https://app.uff.br/riuff/handle/1/3059.
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Sandra Regina Terra Campos Nicolau.pdf: 1208261 bytes, checksum: 81fbc9b2ad89c7f1b2ea23193db1dd4c (MD5)Made available in DSpace on 2017-03-16T19:42:05Z (GMT). No. of bitstreams: 1 Sandra Regina Terra Campos Nicolau.pdf: 1208261 bytes, checksum: 81fbc9b2ad89c7f1b2ea23193db1dd4c (MD5) Previous issue date: 2015
Mestrado Profissional em Enfermagem Assistencial
Objetivos: descrever as atividades de cuidado de enfermagem prestadas às mulheres submetidas à mastectomia; discutir os resultados na perspectiva do cuidado ético e estético em saúde; e elaborar uma ação educativa visando à discussão do modo de cuidar da equipe de enfermagem e a aplicação dos cuidados diretos e indiretos à paciente. Método: estudo descritivo e exploratório de abordagem qualitativa. Os dados foram coletados por meio de entrevista semiestruturada e observação de campo. Os sujeitos do estudo foram os profissionais que compõem a equipe de enfermagem da unidade da clínica cirúrgica feminina de um hospital universitário da rede pública federal de ensino de Niterói/RJ. Os dados foram tratados por análise de conteúdo do tipo temática. Resultados: Da análise emergiram três categorias: O cuidado sensível: o afetivo e estético; Orientações para o autocuidado e; Cuidados de enfermagem no pós-operatório imediato de mulheres submetidas à mastectomia. Como produtos dessa pesquisa, foi criada a oficina solidária e um folheto informativo com orientações para a alta de pacientes. Conclusões: Este estudo teve como relevância a contribuição para uma prática assistencial humana e eficaz, e desenvolvimento do conhecimento da área da saúde da mulher em enfermagem oncológica, bem como contribuiu para o ensino e a pesquisa e inovação de cuidado
Objectives: to describe the nursing care activities provided to women undergoing mastectomy; discuss the results in the ethical and aesthetic care in health perspective; and develop an educational action aimed at discussion of ways to take care of the nursing staff and the application of direct and indirect care to the patient. Method: descriptive study of qualitative approach. Data were collected through semi-structured interviews and field observation. The study subjects were the professionals that make up the nursing staff of the surgical clinic female unit of a federal university hospital at Niterói / RJ. The data were analyzed by thematic content analysis. Results: by analysis three categories emerged: The sensitive care: the affective and aesthetic; Guidelines for self-care; Nursing care in the immediate postoperative women undergoing mastectomy. As products of this research, was created the joint workshop and a leaflet with guidelines for discharge from the hospital. Conclusions: The relevance of study was contribution to a humane and effective care practice, and development of knowledge of the health of women in oncology nursing, and contributed to the education and research and care innovation
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Kelley, Marjorie M. "Engaging with mHealth to Improve Self-regulation: A Grounded Theory for Breast Cancer Survivors." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu157365193302496.
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Hansson, Sara, and Pia Malmgren. "Bröstcancer. En litteraturstudie om hur bröstcancerdrabbade kvinnor och män upplever och hanterar sin sjukdom." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26537.
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Bröstcancer är en vanligt förekommande sjukdom idag och väcker många starka känslor. Syftet med denna litteraturstudie var att få klarhet och ökad förståelse i hur bröstcancerdrabbade kvinnor och män upplever och hanterar sin sjukdom för att ta reda på hur vi som sjuksköterskor kan ge tillfredsställande omvårdnad till dessa patienter. Litteraturstudien baserades på elva vetenskapliga artiklar med kvalitativ inriktning granskade enligt Polits et al (2001) kriterier. Den teoretiska referensramen var Cullbergs (1992) beskrivning av den traumatiska krisens förlopp. Resultatet uppdelades i sju teman, under vilka upplevelser och hanteringsstrategier hos de drabbade beskrivs. Dessa teman var emotionella upplevelser, identitet & kroppsbild, inre styrka, yttre stöd, nya livsperspektiv, framtid samt omvårdnad. Bland de viktigaste och mest framträdande upplevelserna var betydelsen av det emotionella stödet och vikten av tillhandahållandet av information för att kunna hantera sin situation. I detta fanns en viss genusskillnad.Upplevelsen och hanteringen av bröstcancer är väldigt komplex och individuell, därför måste också omvårdnaden anpassas därefter. Resultatet kan öka sjuksköterskans förståelse och kunskap om dessa kvinnors och mäns upplevelser och hantering av bröstcancer, vilket kan leda till en bättre omvårdnad med en helhetssyn på patienten.Breast cancer is a common disease today and arises many strong feelings. The aim of this study was to bring clarity and better understanding about how female and male breast cancer patients experience and cope with their disease, in order to find out how we as nurses can give satisfying care to these patients. The literature review was based on eleven scientific articles with qualitative alignment that were revised according to the Polit et al (2001) criteria’s. The theoretical reference frame was the description of the traumatical crisis process presented by Cullberg (1992). The results were divided into seven themes, under which the experiences and coping strategies of the patients were outlined. These themes were emotional experiences, identity & body image, inner strength, practical support, new life perspectives, the future and care. Among the most important and most salient experiences were the importance of the emotional support and the role of perceiving information in order to be able to cope with the situation. Here a gender difference was found.The experience and the coping of breast cancer is very complex and individual, hence the care must be adjusted thereby. The results can increase the nurses understanding and knowledge of the experiences and the coping of the female and male breast cancer, which could contribute to a better care with a holistic view of the patient.
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Brorsson, Lisa, and Sofia Hasselquist. "Kvinnors upplevelser efter genomgången mastektomi : En litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-39796.
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Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor globalt sett. År 2016 drabbades 7 500 kvinnor av bröstcancer i Sverige och av dessa avled 1400 kvinnor på grund av sjukdomen. Vidare behandlas 90 % av kvinnorna kirurgiskt och mastektomi, som primär kirurgisk behandling, ökar bland alla åldersgrupper. Ärret som blir kvar på kroppen är en ständig påminnelse om sjukdomen. Syfte: Att beskriva bröstcancerdrabbade kvinnors upplevelser efter genomgången mastektomi. Metod: En kvalitativ litteraturöversikt med induktiv ansats gjordes där 10 kvalitativa artiklar inkluderades. Resultat: Kvinnor upplevde på flera sätt att kroppen förändrades och att deras självbild påverkades. Förändringar i det sociala livet förekom och kvinnor upplevde ett behov av stöd. Vidare uppkom existentiella funderingar hos kvinnorna, som bland annat en förändrad syn på livet. Slutsats: Resultatet kan leda till att vårdpersonal, men också människor i samhället får en ökad kunskap och förståelse för kvinnor som genomgått en mastektomi. Som sjuksköterska är det viktigt att vara öppen för alla kvinnors upplevelser och tillämpa personcentrerad omvårdnad i bemötandet.Background: Breast cancer is the most common form of cancer among women around the world. In 2016, 7 500 women in Sweden received the diagnosis and of these, 1 400 passed away. Of all women, 90 % is treated surgically, and mastectomy as primary treatment increases among all ages. The scar becomes a constantly reminder of the disease. Aim: To describe the experience of mastectomy as a treatment among women with breast cancer. Method: A qualitative literature review with inductive approach where 10 qualitative articles were included. Results: Women experienced that their bodies changed in many ways. Also, their body image was affected. Changes in their social life occurred and women experienced a need of support. Furtherly, existential questions appeared, such as seeing life in a new perspective. Conclusion: The result can lead to an increased knowledge in the society and health professionals which can lead to a better understanding for the women who had undergone a mastectomy. As a nurse it is important to respect every unique experience and apply person centered care in the treatment.
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Lindström, Graff Louise, and Martina Giernalczyk. "Kvinnors upplevelser efter mastektomi : En allmän litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397820.
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Background: Breast cancer is the most common type of cancer among women and every year 8000 people in Sweden gets diagnosed. Today eight out of ten breast cancer patients survive and the survival rates increase every year. However, breast cancer is still the type of cancer with the highest death rate among women besides lung cancer. During a mastectomy the whole breast is surgically removed. The changes in appearance and body image after mastectomy can lead to psychological, emotional and sexual consequences that may have a change in quality of life among these patients. Aim: The purpose of this study was to explore women’s experiences of body image, quality of life, psychological- and sexual health after mastectomy due to breast cancer as well as to compare these expieriences between women who have and have not undergone breast reconstruction after mastectomy. Method: A literature review based on 18 scientific articles. Searches in Pubmed resulted in thirteen studies of quantitative design and five with qualitative design. Resultat: Four main themes were identified. Depression & Anxiety which described that mastectomized women showed greater symptoms of depression and anxiety compared to women who had undergone breast conserving surgery. In Body Image the women reported a negative change in body image post mastectomy. Sexuality showed that many women experienced that the mastectomy affected their sexual relations and partnerships. Lastly, in the theme Quality of life women declared a decreased self- esteem, emotional stability and social functioning negatively affecting quality of life. Conclusion: The experiences of mastectomy varies and are highly individual. However, many women experiences negative consequences following mastectomy. It is therefore important for nurses and other health workers to be aware of how mastectomy can affect patients in order to give an optimal care and support.Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor och varje år får fler än 8000 en bröstcancerdiagnos i Sverige. Överlevnaden i Sverige är åtta av tio drabbade och antal dödsfall minskar varje år. Trots detta är bröstcancer, efter lungcancer, den cancerform som orsakar flest dödsfall bland kvinnor. Vid mastektomi avlägsnas hela bröstet, vilket leder till en kroppslig förändring. Detta kan påverka kvinnor i olika aspekter såsom den psykiska hälsan, kroppsbild, sexualitet och livskvalitén. Syfte: Syftet med föreliggande studie var att undersöka kvinnors upplevelser av kroppsbild, livskvalité, sexuella-och psykiska hälsa efter att ha genomgått en mastektomi samt jämföra upplevelserna av kroppsbild, livskvalité, sexuella-och psykiska hälsa mellan kvinnor som genomgått en mastektomi och kvinnor som genomgått en bröstrekonstruktion. Metod: Studien genomfördes som en allmän litteraturöversikt. Databasen PubMed användes för informationssökning. Urvalet resulterade i tretton kvantitativa och fem kvalitativa artiklar. Resultat: Huvudteman som presenterades var depression & ångest som visade att kvinnor efter en mastektomi uppvisade en högre grad av depressions-och ångestsymptom än kvinnor som genomgått en bröstrekonstruktion. Kroppsbild redogör att kvinnor hade sämre självbild efter att ha opererat bort bröstet än innan operationen. Sexualitet klargör att kvinnors sexuella- och partnerrelationer påverkades negativt på grund av det förändrade kroppsutseendet. Livskvalité, beskriver att kvinnor hade sämre självförtroende, emotionell stabilitet samt social funktion vilket orsakade en sämre livskvalité Slutsats: Kvinnors erfarenheter och upplevelser efter genomgången mastektomi är högst individuella och varierande. Resultatet i denna studie belyser dock många negativa erfarenheter och välbefinnande. Forskning inom området ger sjuksköterskor och annan vårdpersonal kunskapen om hur psykosocialt och emotionellt lidande pre- och postoperativt kan förebyggas i samband med mastektomi.
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Bexhorn, Hanna, and Lovisa Furegård. "Vilka former av stöd främjar den psykiska hälsan hos kvinnor med bröstcancer : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-347448.
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Background: Today breast cancer is most common form of cancer related diseases among women. It has been shown that the disease may result in mental suffering. Aim: To review what kind of psychological support for mental illness that women with breast cancer experience most effective. Method: This study was made as a descriptive study. To answer the issues of this study 15 original articles was used. To find relevant articles the authors used the two databases CINAHL and PubMed. Results: All studies that examined different kinds of relaxation methods showed significant positive effect on the variables anxiety, distress and depression. Out of the three articles that concerned physical training there was one that found significant improvements in the categories anxiety and depression. The study that investigated massage as a method to promote psychological wellbeing showed an improvement in quality of life and relaxation. Four studies viewed the effect of Cognitive Behavioral Therapy (CBT). Of those three showed that CBT did have a positive effect on psychological wellbeing. Four studies tested whether support groups had effect on psychological health. One of the studies demonstrated that this kind of intervention could lower the amount of suppressed feelings. None of the studies that examined educational interventions showed any significant effects. Finally, two studies presented study results of phone counseling. One of these studies showed that it had a short-term effect on mood, but this effect diminished in a later follow-up. Conclusions: There was no clear answer how to encourage psychological wellbeing among patients with breast cancer. Despite that the result showed that certain interventions had some effect and thus these interventions should further be investigated.Bakgrund: Bröstcancer är idag den vanligaste formen av cancer bland kvinnor. Det har visat sig att sjukdomen kan resultera i psykisk lidande för dessa kvinnor. Syfte: Att undersöka vilka former av psykiskt stöd för psykisk ohälsa som upplevs mest effektiva hos kvinnor med bröstcancer. Metod: Denna studie genomfördes som en deskriptiv litteraturstudie. 15 originalartiklar användes för att svara på frågeställningarna. För att finna relevanta artiklar använde författarna databaserna CINAHL och PubMed. Resultat: Samtliga studier som undersökte olika former av avslappning visade någon form av positiv effekt på någon av variablerna ångest depression och stress. Av tre artiklar som berörde fysiska träningsinterventioner hittade författarna i en artikel förbättringar gällande oro och depression. Studien som undersökte massage som metod för att främja den psykiska hälsan visade på förbättring inom livskvalité och avslappning. Fyra studier granskade effekten av Kognitiv Beteende Terapi (KBT). Av dessa visade tre att KBT hade positiv effekt på den psykiska hälsan. Fyra studier prövade huruvida stödgrupper hade effekt. Av dessa visade resultatet i en artikel att denna form av intervention kunde minska tillbakahållna känslor. Ingen av de studier som undersökte utbildningsinterventioner visade på effekter. Slutligen berörde två av artiklarna telefonrådgivning. I en artikel visades en kortsiktig positiv effekt på humöret bland kvinnorna, denna effekt hade dock avtagit vid senare uppföljning. Slutsats: Denna studie gav inget tydligt svar på vad som främjar psykisk hälsa vid bröstcancerdiagnos. Resultatet visade ändå på att vissa interventioner hade viss effekt och bör därmed undersökas närmare.
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Birk, Noeli Maria. "A espiritualidade de mulheres com câncer de mama: um estudo na ótica da teoria do cuidado transpessoal." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/7485.
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Falling ill with cancer is a human experience that, by their socio-cultural meanings and stigmas, refers to facing existential questions and the search for resources to help make sense of what is being lived. The attention focused on the spiritual dimension becomes increasingly necessary to practice in health care, as science gradually recognizes the fundamental role of spirituality in the dimension of the human being. The study's research question: what is the perception of women diagnosed with breast cancer in relation to spirituality as a coping strategy of the disease? The overall goal is to understand the perception of women diagnosed with breast cancer in relation to spirituality as the disease coping strategy, and specific objectives are to know the meanings that women with breast cancer attaches to spirituality; identify strategies related to spirituality used in fighting the disease / treatment; know how women diagnosed with breast cancer perceive the care provided by nurses in relation to spirituality. This is a descriptive research with a qualitative approach, guided by the theoretical framework of the Theory of Human Caring, in an department of oncology of a teaching hospital in the central region of the state of Rio Grande do Sul. Data were collected from March to June 2015, through semi-structured interviews with 14 women who underwent cancer treatment, after approval of the Research Ethics Committee, Nº 991.305. Data analysis was performed according to the content analysis technique. Resulting in the development of four categories, that approach the extent of women with breast cancer and their meanings, the driving force to face the adversities of illness, spirituality and self-esteem, nursing and spiritual care. Therefore, it was understood that spirituality was an effective coping strategy in the face of illness from breast cancer. The results of this study may provoke reflections that allow rethink the practices developed by nurses not only about the spirituality of people they interact, but also bes ides contribute to strengthening the practice in the care of the spiritual dimension.O adoecimento por câncer constitui-se em uma experiência humana que, por seus significados socioculturais e estigmas, remete ao enfrentamento de questões de ordem existenciais e a busca por recursos que ajudem a encontrar sentido para o que está sendo vivido. A atenção voltada para a dimensão espiritual torna-se cada vez mais necessária à prática assistencial na saúde, uma vez que a ciência, aos poucos, reconhece o papel fundamental da espiritualidade na dimensão do ser humano. O estudo tem como pergunta de pesquisa: qual a percepção das mulheres com diagnóstico de câncer de mama em relação a espiritualidade como estratégia de enfrentamento da doença? O objetivo geral foi conhecer a percepção das mulheres com diagnóstico de câncer de mama em relação à espiritualidade como estratégia de enfrentamento da doença. E, os objetivos específicos, foram conhecer os significados que a mulher com câncer de mama atribui à espiritualidade; identificar as estratégias relacionadas à espiritualidade utilizadas no enfrentamento da doença/tratamento; compreender como as mulheres com diagnóstico de câncer de mama percebem o cuidado prestado pela enfermagem no que se refere a espiritualidade. Trata-se de uma pesquisa descritiva, com abordagem qualitativa, orientada pelo referencial teórico da Teoria do Cuidado Transpessoal, realizada no serviço de oncologia de um hospital de ensino de um município do interior do estado do Rio Grande do Sul, Brasil. Os dados foram coletados no período de março a junho de 2015, mediante entrevista semiestruturada, com 14 mulheres que realizavam tratamento oncológico, após a aprovação pelo Comitê de Ética em Pesquisa com Seres Humanos sob o parecer Nº 991.305. A análise dos dados foi realizada conforme Análise de Conteúdo, que possibilitou a elaboração de quatro categorias, que abordam a dimensão da mulher com câncer de mama e seus significados, a força que impulsiona enfrentar as adversidades da doença, espiritualidade e autoestima, a enfermagem e o cuidado espiritual. Os resultados evidenciaram que a espiritualidade foi uma estratégia de enfrentamento efetiva diante do adoecimento por câncer de mama. Conclui-se que este estudo poderá suscitar reflexões que possibilitem repensar as práticas desenvolvidas pela enfermagem no que tange a espiritualidade das pessoas com quem interage, além de contribuir para fortalecer a prática em relação ao cuidado da dimensão espiritual.
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Fjelner, Maria, and Elinor Lundahl. "Bröstcancerdiagnostiserade kvinnors upplevelse av emotionellt stöd från vårdpersonal." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1566.
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Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor. Många av de drabbade reagerar med starka känslor på diagnosen och behandlingen är tung och ofta obehaglig att ta sig igenom. Kvinnorna behöver stöd från anhöriga, vårdpersonal och andra kvinnor som har eller har haft bröstcancer. Anhöriga utgör den största källan till stöd, men stödet från vårdpersonalen är också av stor betydelse. Stöd kan delas in i emotionellt, materiellt och informativt stöd. Syfte: Att beskriva bröstcancerdiagnostiserade kvinnors upplevelse av emotionellt stöd från vårdpersonal. Metod: En litteraturöversikt enligt Friberg utfördes. Nio kvalitativa studier har valts ut och analyserats. Resultat: Resultatet visar att det var många olika faktorer som påverkade om kvinnorna upplevde att de fick emotionellt stöd eller inte. Åtta kategorier bildades under analysen: vårdrelationen, kontinuitet, trygghet och tillit, respekt och individualitet, närvaro, känslighet, tid samt personliga egenskaper. Diskussion: Resultatet jämförs med Joyce Travelbees teori som berör mycket av det som framkommit i resultatet, exempelvis att det är viktigt att se patienten som en individuell individ. I disskussionen betonas bland annat vikten av att uppfatta patienten som mångdimensionell samt hur och vårdpersonalens stress och tidsbrist påverkar möjligheten av att kunna ge emotionellt stöd. Sökord: bröstcancer, emotionellt stöd, kvinnor, omvårdnad, stöd, upplevelse.Introduction: Breast cancer is the most common type of cancer among women. Many of the affected women react to the diagnosis with strong feelings and the treatment is tough and often unpleasant getting through. The women need support from relatives, health-care personnel and other women with or who have had breast cancer. The relatives are a big source for support, but the support from health care personnel is also of great importance. Support can be divided into emotional, material and informational support. Aim: To describe breast cancer diagnosed women’s experience of emotional support from caring personnel. Method: A literature review was performed according to Friberg. Nine studies with a qualitative approach were collected and analysed. Findings: The result shows that there were many different factors who affected if the women experienced getting emotional support or not. Eight categories emerged in the analysis: the caring relation, continuity, confidence and trust, respect and individuality, presence, sensitibity, time and personal characteristics. Discussion: The result is compared to Joyce Travelbee’s theory that is connected to much of what was found in the result, for example the importance of recognizing the patient as an individual. The discussion highlights amongst other things the matter of seeing the many different dimensions of the patient and how the pressure and lack of time affects the health caring staff’s ability to give emotional support. Keywords: breast cancer, emotional support, experience, nursing care, support, women.
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Freitas, Sandra Carvalho de. "Proposta de uma tecnologia de cuidado de enfermagem solidário no controle do câncer do colo do útero e mama." Universidade Federal de Juiz de Fora (UFJF), 2013. https://repositorio.ufjf.br/jspui/handle/ufjf/4561.
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Trata-se de uma pesquisa qualitativa sobre uma tecnologia de cuidado de enfermagem no controle do câncer do colo do útero e mama, baseado no modelo do coletivo feminista de sexualidade e saúde na atenção primária à saúde. A aplicação desta tecnologia de cuidado de enfermagem possibilitou maior autonomia da mulher sobre sua história e seu próprio corpo, preocupou-se com o conhecimento do corpo como um dos elementos centrais para a saúde e pode ser vivenciada pela mulher, de forma menos invasiva. Os objetivos da pesquisa foram descrever uma tecnologia de cuidado de enfermagem no controle do câncer do colo do útero e da mama, baseado no modelo do coletivo feminista de sexualidade e saúde; avaliar a tecnologia de consulta de enfermagem à mulher, no controle do câncer do colo do útero e da mama, em relação ao medo, vergonha e tensão sentidos por ela e discutir a participação da mulher na estratégia de consulta de enfermagem no controle do câncer do colo do útero e da mama, quanto à sua autonomia e satisfação com o atendimento. Foram entrevistadas vinte mulheres que concordaram em participar da estratégia de consulta da pesquisa, em uma unidade de atenção primária à saúde, em um município da Zona da Mata Mineira. Através da análise de conteúdo de Bardin, foram evidenciadas 02 categorias: a) A desapropriação do corpo feminino e b) A enfermagem solidária através da estratégia de consulta. A partir da vivência das mulheres, ressaltamos que a estratégia demonstrou ser mais adequada e propiciadora do desenvolvimento do protagonismo das mulheres, do seu direito como sujeito da assistência. Propõe-se uma “enfermagem solidária”, que pressupõe romper com o modelo biomédico. Cuidar da mulher nesta perspectiva vai além daquilo que se vê, se escuta e se toca. Significa reapropriar a mulher de seu corpo e reaproximar a enfermeira da mulher que está atendendo, priorizando outras dimensões do ser humano e de seus valores, como o respeito, a compaixão, a solidariedade e principalmente o diálogo.
This is a qualitative research on a technology of nursing care in the control of cancer of the cervix and breast cancer, based on the model of the feminist collective of sexuality and health in primary health care. The application of nursing care technology allowed greater autonomy of women about their history and their own body, was concerned with the knowledge of the body as a central element for health and can be experienced by women, a less invasive manner. The research objectives were to describe a technology for nursing care in the control of cervical and breast cancer, based on the model of the feminist collective of sexuality and health; evaluate the technology for nursing consultation to women in the control of cancer cervical and breast cancer, in relation to fear, shame and tension felt by her and discuss the participation of women in the nursing consultation strategy in the control of cervical and breast cancer, as their autonomy and satisfaction with care. Twenty women who agreed to participate in the research strategy consultation in a unit of primary health care, in a county of Zona da Mata Mining were interviewed. Through content analysis of Bardin, were found 02 categories: a) the expropriation of the female body b) The joint nursing through the query strategy. From the women's lives, we emphasize that the strategy proved to be most suitable and propitious development of the role of women, their rights as a subject of care. We propose a "supportive nursing", which requires breaking with the biomedical model. Taking care of the woman in this perspective goes beyond what we see, we hear and touch. Means reappropriate the wife of his body and reconnecting woman nurse who is listening, prioritizing other human dimensions and their values, such as respect, compassion, solidarity and especially dialogue.