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Structuring the Distress and Coping Strategies of Premenopausal Women with Breast Cancer Undergoing Hormone Therapy Yukiko Iioka 1 , Megumi Umeda 2 1St. Luke's College of Nursing 2Palliative Care Partners Co., ltd Keyword: 乳がん , ホルモン治療 , 苦痛 , 対処 , サバイバー , breast cancer , hormone therapy , distress , coping strategy , survivor pp.16-26
Published Date 2013/9/25
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Abstract

 Purpose: The purpose of this research is to clarify the distress and coping strategies of women with breast cancer who are undergoing hormone therapy, and to consider their care.

 Method: The participants were 7 women under the age of 50 with breast cancer who were undergoing hormone therapy on an outpatient basis. Verbatim recordings from semi-structured interviews were utilized as data and analyzed under the supervision of a qualitative researcher, while drawing on the Grounded Theory Approach.

 Results: The following 7 categories of distress were extracted: "painful symptoms that interfere with living", "uncontrollable emotional instability", "reduced self-confidence", "agitation over differences between the present and past", "conflict concerning continuing treatment", "a sense of social isolation" and "anxiety over being able to cope on one's own". Since women with breast cancer suffer side effects from treatment and also feel agitated and a sense of isolation, the core category was established as "agitation caused by painful symptoms and a reduced sense of control". The following 6 categories of coping strategies were extracted: "rebuilding a lifestyle that comes to terms with my condition", "coping while making changes to the road to progress", "surrounding myself with supportive people", "maintaining a feeling of conviction and keeping up my spirits", "sustaining energy to avoid struggling" and "having a vision of the future and making preparations in advance". Since the women adapt to distressful circumstances while gaining emotional support, the core category was established as "receiving emotional support and coping while altering the path to progress".

 Conclusions: Women with breast cancer who are receiving hormone therapy experience not only the side effects of treatment, but as survivors, they also experience distress caused by the agitation and sense of isolation derived from the process of adapting to their lifestyles and social environment. They cope with this distress by adapting and receiving emotional support.


Copyright © 2013, Japanese Society of Cancer Nursing All rights reserved.

基本情報

電子版ISSN 2189-7565 印刷版ISSN 0914-6423 日本がん看護学会

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