This qualitative nursing research used a hermeneutic phenomenological approach to discover meaning in mid-aged women's experience of mastectomy. The ultimate aim of the inquiry was to discover the essence of mid-aged women's experience and promote understanding. The study was guided by Van Manen's method for doing research. The method of inquiry included: turning to phenomenon of interest; inquiring and investigating experience as it was lived rather than as conceptualized; reflecting and analyzing essential themes which characterize phenomenon; and describing phenomenon through art of writing and rewriting. Multiple strategies for data collecting were needed: in depth face-to-face interview; analysis of women's writings; artistic works; and analysis of examples of phenomenon in art, literature, and drama. Although the experience was different for all of the women interviewd, essential themes of experience emerged; Self-discovering of vicious disease, Divining punishment-unfortunate women, loss of self though the scar, a nightmare, change of life values and attitudes, rediscovering living alone, living through with fearing of death. Findings from artistic and creative inquiry further validated findings and meaning descovered. The study illuminated meaning and simultaneously validated the phenomenological research process. Essential themes for understanding women's experience, implications for education, research, and practice, direction and need for continuing inquiry were identified.
This study examined the effects of aerobic exercise using a flex band on the improvement of physical functions & body image in breast cancer women undergoing radiation therapy after a mastectomy.
Women with breast cancer(n = 26) were assigned to an experimental group(EG, n = 15) and control group(CG, n = 11). The E.G. participated in an aerobic exercise program with a 60% to 80% intensity of maximal heart rate for 25 minutes during the main exercise, 3 times per week, for 6 weeks. The EG did not exercise regularly for 3 months before participating in this program. The CG received no exercise treatment during the research period. Data were analyzed using the χ2-test and Mann-Whitney U test by the SPSS version 11.0 program at a 5% significant level.
Group analysis revealed that the EGwomen had significantly more improved cardiopulmonary functions, ROM of the affected shoulder joint, and body image compared to the CG.
Aerobic exercise using a flex band may be an effective rehabilitative measure for mastectomy women with respect to cardio-pulmonary functions, ROM, & body image. Further studies are recommended to study early rehabilitation programs within 10 days post-operatively.