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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer
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Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo
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J Korean Acad Nurs 2016;46(6):894-904. Published online December 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.6.894
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 Abstract
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Purpose
The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.
Methods
Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.
Results
Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradox of appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.
Conclusion
Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
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Citations
Citations to this article as recorded by  - Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem
Yunhee Jang, Mihyeon Seong, Sohyune Sok
Journal of Clinical Nursing.2023; 32(17-18): 6366. CrossRef - Effects of decision aids on breast reconstruction: A systematic review and meta‐analysis of randomised controlled trials
Shu Yang, Lin Yu, Chunmiao Zhang, Mengmeng Xu, Qi Tian, Xuan Cui, Yantong Liu, Shuanghan Yu, Minglu Cao, Wei Zhang
Journal of Clinical Nursing.2023; 32(7-8): 1025. CrossRef - “Struggling to Accept the New Breast as Part of My Body” – The Challenge of Immediate Breast Reconstruction in Women With Breast Cancer
Jeehee Han, Juhye Jin, Sanghee Kim, Dong Won Lee, Sue Kim
Cancer Nursing.2022; 45(4): 262. CrossRef - Do COVID-19–Related Treatment Changes Influence Fear of Cancer Recurrence, Anxiety, and Depression in Breast Cancer Patients?
Soo Yeon Kim, Sue Kim
Cancer Nursing.2022; 45(2): E628. CrossRef - A Decision Tree Model for Breast Reconstruction of Women with Breast Cancer: A Mixed Method Approach
Eun Young Park, Myungsun Yi, Hye Sook Kim, Haejin Kim
International Journal of Environmental Research and Public Health.2021; 18(7): 3579. CrossRef - The Lived Experience of Body Alteration and Body Image with Regard to Immediate Breast Reconstruction among Women with Breast Cancer
Jeonghee Ahn, Eunyoung E Suh
Journal of Korean Academy of Nursing.2021; 51(2): 245. CrossRef - Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction
A Young Kim, Jeong Hye Kim
Asian Oncology Nursing.2020; 20(1): 1. CrossRef - Korean Translation and Psychometric Evaluation of Korean Version EORTC QLQ-BRECON23
Soo-Kyung Bok, Youngshin Song, Ancho Lim, Hyunsuk Choi, Hyunkyung Shin, Sohyun Jin
International Journal of Environmental Research and Public Health.2020; 17(24): 9163. CrossRef - Operation Experiences of Women with Breast Cancer
Hyeon-Young Kim, Sun Hwa Shin
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129. CrossRef - “Waiting for breast reconstruction”: An interpretative phenomenological analysis of heterosexual couples’ experiences of mastectomy for breast cancer
Kristopher Lamore, Cécile Flahault, Léonor Fasse, Aurélie Untas
European Journal of Oncology Nursing.2019; 42: 42. CrossRef - Breast reconstruction statistics in Korea from the Big Data Hub of the Health Insurance Review and Assessment Service
Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
Archives of Plastic Surgery.2018; 45(05): 441. CrossRef
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