scholarly journals Evaluation of an educational handbook as a knowledge-acquisition strategy for mastectomized women

2012 ◽  
Vol 20 (4) ◽  
pp. 668-676 ◽  
Author(s):  
Mariza Silva de Oliveira ◽  
Míria Conceição Lavinas Santos ◽  
Paulo César de Almeida ◽  
Marislei Sanches Panobianco ◽  
Ana Fátima Carvalho Fernandes

This descriptive, cross-sectional and quantitative study presents an analysis of knowledge acquired by mastectomized women concerning breast cancer after reading an educational handbook. The sample was composed of 125 women. Data were collected in a specialized cancer facility in three phases: preparatory, operational I and operational II. As to the knowledge acquired, the posttest showed an 11% increase in the number of correct answers compared to the pretest. The most frequent correct answer regarded a question asking the name of the surgery (97.60%) while the question concerning breast reconstruction obtained the lowest number of correct answers (58.40%). Answers to all the questions significantly improved in the posttest, with the exception of a question addressing breast reconstruction (p=0.754). The assessment of knowledge showed positive results after reading, suggesting that cognition is essential to understanding and adhering to guidance, thus the handbook is a favorable resource to be used in the rehabilitation of mastectomized women.

2021 ◽  
Author(s):  
Nitikorn Phoosuwan ◽  
Pranee C. Lundberg

Abstract Background: Globally, breast cancer is commonly found among women, and Sweden has the largest number of new cases diagnosed. Treatment leads to increased survival of patients, but they are at risk to experience psychological distress, including anxiety and depressive symptoms, and decreased health-related quality of life (HRQoL). This study investigated relationship between psychological distress and HRQoL, and related factors among women with breast cancer in Sweden.Methods: This descriptive cross-sectional study was conducted in Sweden. A total of 481 women with breast cancer from a list of a regional cancer centre answered a questionnaire about sociodemographic factors, social support, psychological distress and HRQoL. Data were subjected to Pearson’s correlation and linear regression analyzes. Results: Psychological distress was related to HRQoL in terms of body image, future perspective, side effects of systemic therapy, breast symptoms, arm symptoms, and hair loss. Lower age was likely to increase symptoms of anxiety, and undergone breast reconstruction was likely to increase symptoms of depression. Breast reconstruction and chemotherapy worsened body image, low support from partner decreased sexual functioning and enjoyment, and low support from physicians and nurses worsened future perspective, side effects of systemic therapy, breast symptoms and indignation about hair loss.Conclusions: Psychological distress were correlated with the HRQoL. Increased support from physicians, nurses, and partner may increase the HRQoL among women with breast cancer. Treatments of women with breast cancer, such as breast reconstruction and chemotherapy were factors that decreased the psychological distress and increased the HRQoL.


Mastology ◽  
2020 ◽  
Vol 30 ◽  
Author(s):  
Aline Fernanda Fontinele Murici ◽  
Ângela Ferreira Barros

Objective: To evaluate which stage of breast reconstruction promotes improved quality of life for women treated for breast cancer, and to verify the socioeconomic and clinical factors associated with better quality of life. Methods: A cross-sectional study was conducted with 70 women treated for breast cancer in the perioperative period of late breast reconstruction in the Federal District. To assess quality of life, the Functional Assessment of Cancer Therapy — Breast (FACT-B) instrument was used. Results: Half of the women were under 50 years old. Tumor removal surgery had occurred on average 5.4 years ago. Women with axillary dissection had greater impairment in the physical well-being domain (p=0.001) and the breast cancer subscale (p=0.016). Among women who had undergone surgery more than one year previously, there were higher domains of emotional (p=0.006) and functional (p=0.003) well-being. Women who underwent breast reconstruction had higher values in the social/family well-being (p<0.001), emotional well-being (p=0.001), functional well-being (p=0.001), and breast cancer subscale (p=0.005) domains; and on the FACT-B score (p<0.001), right after the first stage. Conclusions: Breast reconstruction favored better quality of life from the first stage, suggesting that this therapeutic modality should be offered promptly, whenever possible, and guaranteed for all women treated for breast cancer.


Author(s):  
Nitikorn Phoosuwan ◽  
Pranee C. Lundberg

Abstract Purpose Breast cancer is the most common type of cancer found in women in Sweden and worldwide. Treatment leads to increased survival of patients, but they are at risk to experience psychological distress, including anxiety and depressive symptoms, and decreased health-related quality of life (HRQoL). This study investigated the relationship between psychological distress and HRQoL and related factors among women with breast cancer in Sweden. Methods This descriptive cross-sectional study was conducted in Sweden. A total of 481 women with breast cancer answered voluntarily a questionnaire about sociodemographic and support factors, psychological distress, and HRQoL. Data were subjected to Pearson’s correlation and linear regression analyses. Results Psychological distress was related to HRQoL in terms of body image, future perspective, side effects of systemic therapy, breast symptoms, arm symptoms, and hair loss. Women with lower age were associated with increased symptoms of anxiety, while those having undergone breast reconstruction were associated with increased symptoms of depression. Breast reconstruction and chemotherapy worsened body image, low support from partner decreased sexual functioning and enjoyment, and low support from physicians and nurses worsened future perspective, side effects of systemic therapy, breast symptoms, and indignation about hair loss. Conclusions Psychological distress was correlated with the HRQoL. Increased support from physicians, nurses, and husband/partner may increase the HRQoL among women with breast cancer. Breast cancer treatments such as breast reconstruction and chemotherapy were factors that decreased the psychological distress and increased the HRQoL.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052121
Author(s):  
Kaitlyn M Tsuruda ◽  
Marit B Veierød ◽  
Nehmat Houssami ◽  
Gunvor G Waade ◽  
Gunhild Mangerud ◽  
...  

ObjectiveTo investigate conceptual knowledge about mammographic screening among Norwegian women.DesignWe administered a cross-sectional, web-based survey. We used multiple-choice questions and a grading rubric published by a research group from Australia.SettingOur Norwegian-language survey was open from April to June 2020 and targeted women aged 45–74 years.Participants2033 women completed our questionnaire. We excluded 13 women outside the target age range and 128 women with incomplete data. Responses from 1892 women were included in the final study sample.Primary and secondary outcome measuresThe questionnaire focused on women’s knowledge about the breast cancer mortality reduction, false positive results and overdiagnosis associated with mammographic screening. The primary outcome was the mean number of marks assigned in each of the three themes and overall. There were three potential marks for questions about breast cancer mortality, one for false positives and six for overdiagnosis.ResultsMost women (91.7%) correctly reported that screened women are less likely to die of breast cancer than non-screened women. 39.7% of women reported having heard of a ‘false positive screening result’ and 86.2% identified the term’s definition; 51.3% of women had heard of ‘overdiagnosis’ and 14.8% identified the term’s definition. The mean score was 2.59 of 3 for questions about breast cancer mortality benefit and 0.93 of 1 for the question about false positive screening results. It was 2.23 of 6 for questions about overdiagnosis.ConclusionsMost participants correctly answered questions about the breast cancer mortality benefit and false positive results associated with screening. The proportion of correct responses to questions about overdiagnosis was modest, indicating that conceptual knowledge about overdiagnosis was lower. Qualitative studies that can obtain in-depth information about women’s understanding of overdiagnosis may help improve Norwegian-language information about this challenging topic.


Medicina ◽  
2020 ◽  
Vol 56 (6) ◽  
pp. 256 ◽  
Author(s):  
Roberto Cuomo

Background and objectives: Breast cancer treatment has deeply changed in the last fifty years. Acellular dermal matrices (ADMs) were introduced for breast reconstruction, with encouraging results, but with conflicting reports too. The present paper aims to summarize the current data on breast reconstruction using acellular dermal matrices. Materials and Methods: We reviewed the literature regarding the use of ADM-assisted implant-based breast reconstruction. Results: The main techniques were analyzed and described. Conclusions: Several authors have recently reported positive results. Nevertheless, an increased complications’ rate has been reported by other authors. Higher cost compared to not-ADM-assisted breast reconstruction is another concern.


2021 ◽  
Author(s):  
Nitikorn Phoosuwan ◽  
Pranee C. Lundberg

Abstract Purpose Globally, breast cancer is commonly found among women, and Sweden has the largest number of new cases diagnosed. Treatment leads to increased survival of patients, but they are at risk to experience psychological distress, including anxiety and depressive symptoms, and decreased health-related quality of life (HRQoL). This study investigated relationship between psychological distress and HRQoL, and related factors among women with breast cancer in Sweden.Methods This descriptive cross-sectional study was conducted in Sweden. A total of 481 women with breast cancer from a list of a regional cancer centre answered a questionnaire about sociodemographic factors, social support, psychological distress and HRQoL. Data were subjected to Pearson’s correlation and linear regression analyzes. Results Psychological distress was related to HRQoL in terms of body image, future perspective, side effects of systemic therapy, breast symptoms, arm symptoms, and hair loss. Lower age was likely to increase symptoms of anxiety, and undergone breast reconstruction was likely to increase symptoms of depression. Breast reconstruction and chemotherapy worsened body image, low support from partner decreased sexual functioning and enjoyment, and low support from physicians and nurses worsened future perspective, side effects of systemic therapy, breast symptoms and indignation about hair loss.Conclusions Psychological distress were correlated with the HRQoL. Increased support from physicians, nurses, and partner may increase the HRQoL among women with breast cancer. Treatments of women with breast cancer, such as breast reconstruction and chemotherapy were factors that decreased the psychological distress and increased the HRQoL.


2017 ◽  
Vol 11 (12) ◽  
pp. 4885
Author(s):  
Lorena Sampaio Almeida ◽  
Jocastra Bispo de Santana ◽  
Silmara Oliveira Silva ◽  
Maria Inês Bezerra de Melo

RESUMOObjetivo: avaliar o acesso à mamografia de pacientes referenciadas da atenção primária. Método: estudo quantitativo, de corte transversal, realizado no Centro de Diagnóstico e Tratamento do Câncer de Mama IMIP/AVON, com uma amostra de 88 mulheres. Os dados foram analisados a partir de tabelas elaboradas no EpiInfo, versão 3.5.2. Resultados: 93,2% (82) relataram ter realizado este exame anteriormente, o que demonstra amplo conhecimento de sua importância; 51,2% (42) queixaram-se de dor durante o exame, seguidos por 17,1% (14), que referiram nervosismo. Conclusão: Observa-se a necessidade de ampliar a divulgação da importância da mamografia para sua maior adesão. Descritores: Acessibilidade aos Serviços de Saúde; Mamografia; Neoplasias da Mama.ABSTRACTObjective: to evaluate the access to mammography of referenced primary care patients. Method: a cross-sectional, quantitative study performed at the IMIP / AVON Breast Cancer Diagnostic and Treatment Center, involving a sample of 88 women. The data were analyzed from tables elaborated in EpiInfo version 3.5.2. Results: 93.2% (82) reported having performed this examination previously, which demonstrates a wide knowledge of its importance, 51.2% (42) complained of pain during the examination, followed by 17.1% (14) reported nervousness. Conclusion: there is a need to broaden the dissemination of the importance of mammography for its greater adherence. Descriptors: Health Services Accessibility; Mammography; Breast Neoplasms.RESUMENObjetivo: evaluar el acceso a la mamografía de pacientes referenciados de la atención primaria. Método: estudio cuantitativo, de corte transversal, realizado en el Centro de Diagnóstico y Tratamiento del Cáncer de Mama IMIP / AVON, e involucró con una muestra de 88 mujeres. Los datos se analizaron a partir de tablas elaboradas en EpiInfo, versión 3.5.2. Resultados: 93,2% (82) reportaron haber realizado este examen anteriormente, lo que demuestra amplio conocimiento de su importancia, el 51,2% (42) se quejaron de dolor durante el examen, seguidos por el 17,1% (14) que se refirieron nerviosismo. Conclusión: se observa la necesidad de ampliar la divulgación de la importancia de la mamografía para su mayor adhesión. Descriptores: Accesibilidad a los Servicios de Salud; Mamografia; Neoplasias de la Mama.


Author(s):  
Sri Burhani Putri

Breast cancer is one of the most common illness that killed woman. One of the therapy to cure breast cancer is chemotherapy. Chemotherapy has side effect either physical and psychology, that caused people who’s in chemo therapy, prone to stress. Stress effected by many factors, such as characteristic and chopping strategy that patient has been using. The aim of this research is to get a perspective about the relation of characteristic and chopping strategy with breast cancer patient stress, whose in chemo therapy. This research using cross sectional study and taking sample by using accidental sampling method. The data analyzed by using bavariat and multivariat with variable result shows that breast cancer patient stress who has chemo therapy realted to age characteristic (p value = 0.00) the time since they diagnosed with cancer (pvalue = 0.03), how long they have chemo therapy (pvalue = 0.00) and chopping strategyby looking social support (pvalue = 0.00) looking for spiritual (pvalue = 0.00) with dominan variable which related to stress is chopping strategy to looking spiritual support (coeffecients B = -1.139).   Key words : Breast cancer, chemotherapy, stress  


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