• KSAN
  • Contact us
  • E-Submission

Korean J Adult Nurs : Korean Journal of Adult Nursing

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

Original Article

Experiences of Self-management Support among Breast Cancer Survivors

Seok-Mo Heo, Ph.D., D.D.S.1, Narae Heo, Ph.D., FNP2
Korean Journal of Adult Nursing 2016;28(4):470-481.
Published online: August 31, 2016

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: July 19, 2016   • Accepted: August 23, 2016

Copyright © 2016 Korean Society of Adult Nursing

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.

  • 21 Views
  • 0 Download
  • 7 Crossref
  • 5 Scopus
prev next

Full Article

Download PDF Download PDF
  • 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.
  • Key Words: Breast cancer; Survivors; Self-care; Support; Experiences
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.
  • 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 LSelf-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 PEPsychological 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 EGNaturalistic 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):e16http://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 ECancer 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.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Development and Evaluation of an App-Based Self-Management Program for Exercise Practice of Breast Cancer Survivors: A Non-Randomized Controlled Trial
      Suyoun Maeng, Jungok Yu
      Journal of Korean Academy of Nursing.2024; 54(2): 250.     CrossRef
    • A systematic review of qualitative research on the self‐management experience of breast cancer patients
      Xi‐Bo Sun, He‐Peng Su, He Jiang, Bing Wang, Shuai Lu, Jin‐Xiu Qu, Xiang‐Qi Li, Ben‐Qiang Rao
      The International Journal of Health Planning and Management.2024; 39(4): 1131.     CrossRef
    • Verification of Usability of Medical Image Data Using Projective Photography for Designing Clothing for Breast Cancer Patients
      Youn Joo Kim
      Tomography.2022; 8(4): 1820.     CrossRef
    • Photovoice-Based Assessment of Weight Management Experiences of Breast Cancer Patients Treated with Tamoxifen
      Jung Suk Park, Jeong-Won Han, Jin Hyuk Choi, Kyoung Chun Lee
      International Journal of Environmental Research and Public Health.2020; 17(12): 4359.     CrossRef
    • Journey through the Fight against Ovarian Cancer: Finding the Existence Value with being Tied to the Bridle of Death
      Young-Suk Park, Jeong Sook Park
      Korean Journal of Adult Nursing.2018; 30(6): 656.     CrossRef
    • Experience of Chemotherapy in Ovarian Cancer Patients
      Nayeon Shin, Jiyoung Kim
      Asian Oncology Nursing.2017; 17(3): 158.     CrossRef
    • The phenomenological study of self-management intervention among breast cancer survivors: Non-pharmacological approaches
      Seok-Mo Heo, Narae Heo
      Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 270.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Experiences of Self-management Support among Breast Cancer Survivors
    Korean J Adult Nurs. 2016;28(4):470-481.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.470
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Experiences of Self-management Support among Breast Cancer Survivors
    Korean J Adult Nurs. 2016;28(4):470-481.   Published online August 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.4.470
    Close
    Experiences of Self-management Support among Breast Cancer Survivors
    Experiences of Self-management Support among Breast Cancer Survivors

    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.
    Table 1. Theme Clusters and Themes of Self-Management Support Experiences amo ong Breast Cancer Survivors

    Table 1.

    Korean J Adult Nurs : Korean Journal of Adult Nursing

    ABOUT

    BROWSE ARTICLES 

    EDITORIAL POLICY

    FOR CONTRIBUTORS  

    © Korean Society of Adult Nursing.
    TOP