Experiences of Self-management Support among Breast Cancer Survivors

Seok-Mo Heo; Narae Heo

doi:10.7469/kjan.2016.28.4.470

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Heo and Heo: Experiences of Self-management Support among Breast Cancer Survivors

Original Article

Korean J Adult Nurs 2016;28(4):470-481.

Published online: NaN August 2016

DOI: https://doi.org/10.7469/kjan.2016.28.4.470

Experiences of Self-management Support among Breast Cancer Survivors

Seok-Mo Heo, Ph.D., D.D.S.¹, Narae Heo, Ph.D., FNP^2,

^¹Assistant Professor, Department of Periodontology, School of Dentistry, Chonbuk National University, Jeonju

^²Assistant Professor, Department of Nursing, Hansei University, Jeonju, Korea

Corresponding author: Heo, Narae Department of Nursing, Hansei University, 30 Hanse-ro, Gunpo 15852, Korea. Tel: +82-31-450-9875, Fax: +82-31-450-5379, E-mail: graceheo@hansei.ac.kr

Received 19 July 201620 August 2016 Accepted 23 August 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to explore self-management support experiences among breast cancer survivors.

Methods

Individual in-depth interviews were performed for survivors who had treated breast cancer after completion of chemotherapy and radiation therapy. Data were collected from April 2014 to July 2014 and analyzed using phenomenological method by Colaizzi.

Results

Five essential themes were found as follows: 1) Need for continuous help and support to maintain self-management, 2) Need for professional resources to carry out regular exercise, 3) Overcoming psychological difficulties through others rather than health care professionals, 4) Disappointment with time with and circumstances of health care consultation, 5) Dependence on means of media for health related information.

Conclusion

The results might contribute to an understanding of self-management support experienced by breast cancer survivors in Korea. It is suggested that evidence-based program for self-management support should be developed and applied to nursing intervention for breast cancer survivors.

Keywords: Breast cancer, Survivors, Self-care, Support, Experiences

REFERENCES

1.National Cancer Center. 2015 Statistics registration project annual report. [Internet]. Seoul: National Cancer Center;2015. [cited 2015 September 3]. Available from:. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040402000000.

2.Feuerstein M. Defining cancer survivorship. Journal of Cancer Survivorship. 2007. 1(1):5–7. http://dx.doi.org/10.1007/s11764-006-0002-x.

3.Rosedale M., Fu MR. Confronting the unexpected: temporal, situational, and attributive dimensions of distressing symptom experience for breast cancer survivors. Oncology Nursing Forum. 2010. 37(1):E28–33. http://dx.doi.org/10.1188/10.ONF.E28-E33.

4.Kim SH., Lee R., Lee KS. Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory. Journal of Clinical Nursing. 2012. 21:1014–23. http://dx.doi.org/10.1111/j.1365-2702.2011.03896.x.

5.Ryu YM., Yi M. The factors influencing quality of life in women with breast cancer. Korean Oncology Nursing Society. 2013. 13(3):121–7. http://dx.doi.org/10.5388/aon.2013.13.3.121.

6.Mols F., Vingerhoets AJ., Coebergh JW., van de Poll-Franse LV. Quality of life among long-term breast cancer survivors: a systematic review. European Journal of Cancer. 2005. 41(17):2613–9. http://dx.doi.org/10.1016/j.ejca.2005.05.017.

7.Loh SY., Ong L., Ng LL., Chew SL., Lee SY., Boniface G. Qualitative experiences of breast cancer survivors on a self-management intervention: 2 year post-intervention. Asian Pacific Journal of Cancer Prevention. 2011. 12:1489–95.

8.Brunet J., Taran S., Burke S., Sabiston CM. Qualitative exploration of barriers and motivators to physical activity participation in women treated for breast cancer. Disability & Rehabilitation. 2013. 35(24):2038–45. http://dx.doi.org/10.3109/09638288.2013.802378.

9.Rock CL., Doyle C., Demark Wahnefried W., Meyerhardt J., Courneya KS., Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA: A Cancer Journal for Clinicians. 2012. 62(4):242–74. http://dx.doi.org/10.3322/caac.21142.

10.Schmitz KH., Courneya KS., Matthews C., Demark-Wahnefriend W., Galvão DA., Pinto BM, et al. American college of sports medicine roundtable on exercise guidelines for cancer survivors. Medicine & Science in Sports & Exercise. 2011. 42(7):1409–26. http://dx.doi.org/10.1249/MSS.0b013e3181e0c112.

11.Davies N., Batehup L. Self-management support for cancer survivors: guidance for developing interventions. London, UK: Macmillan Cancer Support;2010. p. 1–82.

12.Kang G., Oh S. Effects of mindfulness meditation program on perceived stress, ways of coping, and stress response in breast cancer patients. Journal of Korean Academy of Nursing. 2012. 422:161–70. http://dx.doi.org/10.4040/jkan.2012.42.2.161.

13.Cho EA., Oh HE. Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. Journal of Korean Academy of Nursing. 2011. 41(3):285–93. http://dx.doi.org/10.4040/jkan.2011.41.3.285.

14.National Cancer Center, Ministry of Health and Welfare, National Cancer Control Planning Board. 2016 Promoting research and development project to conquer cancer. [Internet]. Seoul: National Cancer Control Planning Board;2016. [cited 2016 August 19]. Available from:. https://ncc.ncc.re.kr/.

15.Choi EN., Choi HR. The relationship between practice in lymphedema self-care management and health-related quality of life in breast cancer patients with mastectomy. Journal of Korean Critical Care Nursing. 2013. 6(1):21–3.

16.Jung HM., Cho Mo., Jun JY., Kim YS., Son KH., Jun EM. The relationships among physical symptoms, ADLs, and self-care behaviors in female cancer patients with lymphedema. Journal of the Korean Data Analysis Society. 2007. 9(3):1139–52.

17.Choi EN., Kim SY. Quality of life in female postmastectomy patients with lymphedema according to the dominant hand. Journal of the Korean Data Analysis Society. 2015. 17(1):453–68.

18.Colaizzi PE. Psychological research as the phenomenological views it. New York: Oxford University Press;1978.

19.Harrington CB., Hansen JA., Moskowitz M., Todd BL., Feuerstein M. It's not over when it's over: long-term symptoms in cancer survivors-a systematic review. The International Journal of Psychiatry in Medicine. 2010. 40(2):163–81. http://dx.doi.org/10.2190/PM.40.2.c.

21.Lincoln YS., Guba EG. Naturalistic inquiry. Beverly Hills, CA: Sage Publications;1985.

19.Bender JL., Jimenez-Marroquin MC., Jadad AR. Seeking support on facebook: a content analysis of breast cancer groups. Journal of Medical Internet Research. 2011. 13(1):e16. http://dx.doi.org/10.2196/jmir.1560.

22.McCorkle R., Ercolano E., Lazenby M., Schulman-Green D., Schilling LS., Lorig K, et al. Self-management: enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians. 2011. 61:50–62. http://dx.doi.org/10.3322/caac.20093.

23.Yi M., Ryu YM., Hwang E. The experience of self-help group activities among women with breast cancer in Korea. Korean Journal of Adult Nursing. 2014. 26(4):466–78. http://dx.doi.org/10.7475/kjan.2014.26.4.466.

24.Luoma ML., Hakamies-Blomqvist L., Blomqvist C., Nikander R., Gustavsson-Lilius M., Saarto T. Experiences of breast cancer survivors participating in a tailored exercise intervention -a qualitative study. Anticancer Research. 2014. 34:1193–9.

25.Galantino ML., Desai K., Greene L., Demichele A., Stricker CT., Mao JJ. Impact of yoga on functional outcomes in breast cancer survivors with aromatase inhibitor-associated arthralgias. Integrative Cancer Therapies. 2012. 11:313–20. http://dx.doi.org/10.1177/1534735411413270.

26.van der Meulen IC., May AM., Ros WJG., Oosterom M., Hordijk GJ., Koole R, et al. One-year effect of a nurse-led psychosocial intervention on depressive symptoms in patients with head and neck cancer: a randomized controlled trial. The Oncologist. 2013. 18:336–44. http://dx.doi.org/10.1634/theoncologist.2012-0299.

27.Lee E. Cancer patient burden fee for consultation: from 90,000 won to 1000 won [Internet]. Seoul; Joongang;2015. [cited 2015 October 3]. Available from:. http://app.mnews.joins.com/news/article/article.aspx?ctg=mobile_06&total_id=18784514.

28.Kim SH., Ham YH., Kim JH., Kim HK., Hwang OH., Kim MY, et al. Satisfaction with Korean oncology advanced practice nurses'role: a study of patients, physicians, and nurses. Asian Oncology Nursing. 2014. 14(1):41–9. http://dx.doi.org/10.5388/aon.2014.14.1.41.

29.Logan AG., Irvine MJ., McIsaac WJ., Tisler A., Rossos PG., Easty A, et al. Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics. Hypertension. 2012. 60(1):51–7. http://dx.doi.org/10.1161/HYPERTENSIONAHA.111.188409.

30.Husson O., Mols F., van de Poll-Franse LV. The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Annals of Oncology. 2011. 22:761–72. http://dx.doi.org/10.1093/annonc/mdq413.

Table 1.

Theme Clusters and Themes of Self-Management Support Experiences amo ong Breast Cancer Survivors

Theme clusters	Themes
․ Continuously searching for the information source necessary for self-management	Need for continuous help and support to maintain self-management
․ Desiring for hot line system of professional healthcare service
․ Experience of unsuccessful self-management in a group exercise program	Need for professional resources to carry out regular exercise
․ Requiring for tailored and individualized coaching to accomplish the self-exercise
․ Sympathy for current state with a self-help group people	Overcoming psychological difficulties through others rather than health care professionals
․ Feeling psychological stability with friends
․ Being fully aware of recommendation from attending physician during consultation	Disappointment with time with and circumstances of health care consultation
․ Being unsatisfied with consultation time and circumstances
․ Getting all information necessary for management from nurses	Dependence on means of media for health related information
․ Requiring patient-centered means of media tailored for each breast cancer survivor.	Dependence on means of media for health related information

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