Myungsun Yi; Woo Joung Joung; Eun Young Park; Eun Jin Kwon; Haejin Kim; Ji Young Seo

doi:10.4040/jkan.2016.46.6.894

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Original Article
Decision Making Experience on Breast Reconstruction for Women with Breast Cancer: Myungsun Yi, Woo Joung Joung, Eun Young Park, Eun Jin Kwon, Haejin Kim, Ji Young Seo; Journal of Korean Academy of Nursing 2016;46(6):894-904.
DOI: https://doi.org/10.4040/jkan.2016.46.6.894
Published online: December 30, 2016

¹College of Nursing·Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

²Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

³College of Nursing, Gachon University, Inchon, Korea.

⁴Department of Nursing, Bucheon University, Bucheon, Korea.

⁵College of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Joung, Woo Joung. Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080 ,Korea. Tel: +82-2-740-8460, Fax: +82-2-740-8837, kimsoft1@snu.ac.kr

• Received: June 22, 2016 • Revised: October 20, 2016 • Accepted: November 21, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
REFERENCES

Abstract

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.
Keywords: Breast Neoplasms; Mammoplasty; Decision Making; Qualitative Research; Women

REFERENCES

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Table 1

Demographic and Disease-related Characteristics of the Participants

MRM=Modified radical mastectomy; BCS=Breast conservative surgery; TRAM=Transverse rectus abdominis muscle.

Table 2

Theme Clusters and Themes on Decision Making Experience of Breast Reconstruction

Figure & Data

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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer

J Korean Acad Nurs. 2016;46(6):894-904. Published online December 30, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.894

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Decision Making Experience on Breast Reconstruction for Women with Breast Cancer

Table 1

Demographic and Disease-related Characteristics of the Participants

MRM=Modified radical mastectomy; BCS=Breast conservative surgery; TRAM=Transverse rectus abdominis muscle.

Table 2

Theme Clusters and Themes on Decision Making Experience of Breast Reconstruction

Table 1 Demographic and Disease-related Characteristics of the Participants

MRM=Modified radical mastectomy; BCS=Breast conservative surgery; TRAM=Transverse rectus abdominis muscle.

Table 2 Theme Clusters and Themes on Decision Making Experience of Breast Reconstruction