scholarly journals Doctor-patient relationship in the course of treating for breast cancer patients: Based on the emotional experience and cognitive viewpoint

2013 ◽  
Vol 16 (1) ◽  
pp. 177-205 ◽  
Author(s):  
이혜범
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Emotional Experience ◽  
Patient Relationship ◽  
Breast Cancer Patients ◽  
Doctor Patient Relationship

scholarly journals Influence of the Sense of Coherence, the Doctor–Patient Relationship, Optimism and Non-Haematological Adverse Reactions on Health-Related Quality of Life in Patients with Breast Cancer

2019 ◽  
Vol 8 (12) ◽  
pp. 2043
Author(s):  
Blanca Prieto-Callejero ◽  
Francisco Rivera ◽  
Montserrat Andrés-Villas ◽  
Juan Gómez-Salgado
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Sense Of Coherence ◽  
Adverse Reactions ◽  
Patient Relationship ◽  
Breast Cancer Patients ◽  
Doctor Patient Relationship ◽  
Starting Point

Breast cancer is the most common malignant tumour in women around the world. The objective of this study was to quantify the number of non-haematological adverse reactions associated with chemotherapy, as well as to assess the effect of the sense of coherence, optimism–pessimism and the quality of the doctor–patient relationship on the quality of life of breast cancer patients. To this end, a cross-sectional descriptive study was conducted involving 110 breast cancer patients who were treated with docetaxel, epirubicin, and cyclophosphamide during the period 2012–2014. The difference in the quality of life in patients who have five or fewer toxicities compared to those with more than six is highlighted. This difference is not as important when comparing patients with 6 to 10 toxicities and those with more than 10. The multivariate model used in this study corroborates the direct implication of the sense of coherence on the quality of life and adds the number of adverse reactions as a new construct. This has virtually the same impact on the quality of life of these patients, but in reverse. In conclusion, to improve the quality of life of breast cancer patients it would be necessary to have an impact on the number of adverse reactions involved in chemotherapeutic treatment, as well as on psychological interventions, with the sense of coherence as a possible starting point.

Pandemic and resilience: A qualitative analysis of the emotional impact of the COVID-19 pandemic on breast cancer patients in active treatment

2021 ◽  
Vol 25 (3) ◽  
pp. 243-259
Author(s):  
Silvia Nicolescu ◽  
Adriana Băban
Keyword(s):  
Breast Cancer ◽  
Qualitative Analysis ◽  
Cancer Patients ◽  
Active Treatment ◽  
Emotional Regulation ◽  
Emotional Experience ◽  
Emotional Impact ◽  
Breast Cancer Patients ◽  
Emotional Resilience ◽  
Insight Into

The COVID-19 pandemic has had an unequivocal disruptive impact on all walks of life. Cancer care and the patients involved have been especially affected due to disruptions in treatment scheduling and enhanced vulnerability to COVID-19 infection. The present study undertook an exploratory qualitative analysis to investigate the emotional impact the COVID-19 pandemic has had on breast cancer patients undergoing active treatment. Ten breast cancer patients were interviewed concerning their illness and pandemic perception. To supplement their perspective, we also interviewed six psycho-oncologists on the emotional impact the pandemic has had on the patients they provide care to. The data collected during the interviews was inductively analysed using thematic analysis. The resulting themes showed patients to have experienced increased emotional distress symptoms, while prioritising the cancer treatment over the threat of infection. Those that had developed emotional regulation skills prior to the pandemic, along their cancer journey, made good use of them, providing proofs of emotional resilience. More vulnerable patient groups have also been highlighted, such as those that did not previously develop such healthy emotional regulation skills, newly diagnosed cancer patients and those lacking social support. Our study provides a useful insight into the emotional experience of the assessed oncology patients during the Covid-19 pandemic, and useful insight into the mechanisms that build resilience and flexibility for this population.

Patient Satisfaction With Treatment of Breast Cancer: Does Surgeon Specialization Matter?

2007 ◽  
Vol 25 (24) ◽  
pp. 3694-3698 ◽  
Author(s):  
Jennifer F. Waljee ◽  
Sarah Hawley ◽  
Amy K. Alderman ◽  
Monica Morrow ◽  
Steven J. Katz
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Patient Satisfaction ◽  
Cancer Patients ◽  
High Volume ◽  
Breast Disease ◽  
Decision Making Process ◽  
Patient Relationship ◽  
Breast Cancer Patients ◽  
Low Volume

Purpose Experience and practice setting vary greatly among surgeons who treat breast cancer patients. However, less is known about how these factors influence patient satisfaction with their care. Patients and Methods We surveyed all ductal carcinoma in situ patients and a 20% random sample of invasive breast cancer patients diagnosed in 2002 reported to the Detroit, MI, and Los Angeles, CA, Surveillance, Epidemiology, and End Results registries. Attending surgeons were surveyed, yielding dyad information for 64.6% of patients (n = 1,539) and 69.7% of surgeons (n = 318). Logistic regression was used to examine the associations between surgeon specialization (percentage of practice devoted to breast disease) and hospital cancer program status, with four domains of patient satisfaction: (1) the surgical decision, (2) decision-making process, (3) surgeon-patient relationship, and (4) surgeon-patient communication, adjusting for patient and surgeon demographics and disease stage. Results In this sample, 34.5% of patients were treated by surgeons who devoted less than 30% (low volume) of their practice to breast disease, 32.5% by surgeons who devoted 30% to 60% (medium volume) of their practice to breast disease, and 33.0% by surgeons who devoted more than 60% (high volume) of their practice to breast disease. Compared to patients treated by low-volume surgeons, patients treated by higher volume surgeons were more satisfied with the decision-making process (medium volume, odds ratio [OR], 1.16; 95% CI, 0.80 to 1.67; high volume: OR, 1.79; 95% CI, 1.14 to 2.80) and with the surgeon-patient relationship (medium volume: OR, 1.13; 95% CI, 0.72 to 1.76; high volume: OR, 1.98; 95% CI, 1.08 to 3.61). Treatment setting was not associated with patient satisfaction after controlling for other factors. Conclusion Surgeon specialization is correlated with patient satisfaction. Examining the processes underlying these associations can inform strategies to improve breast cancer care.

scholarly journals Perceived Risk, Anxiety and Alexithymia in Sisters of Breast Cancer Patients Veena Shukla Mishra and Dhananjaya Saranath

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 117s-117s
Author(s):  
V.S. Mishra
Keyword(s):  
Breast Cancer ◽  
Risk Perception ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Patients ◽  
Perceived Risk ◽  
Emotional Experience ◽  
Healthy Controls ◽  
Breast Cancer Patients ◽  
Increased Risk

Background: Breast cancer is the most common cancer in Indian women with an annual incidence of 144,937 cases and mortality of 70,218. The perception of cancer risk has consistently been mentioned as major factor influencing the women, who are at increased risk of inherited breast and ovarian cancer. The overestimation of cancer risk has been associated with many negative outcomes like anxiety and distress for one's self and family. Study suggests that women those who have higher perceived breast cancer risk experience greater worry and disengage coping. Aim: The purpose of the study was to examine the perception of risk of breast cancer in sisters of newly diagnosed breast cancer patients and further examine the association with anxiety and alexithymia, as compared with healthy controls without a family history of breast cancer. Methods: The participants were requested to complete questionnaires including demographic and risk perception of breast cancer. The association of risk perception was evaluated by using the State Trait Anxiety Inventory Scale and Toronto Alexithymia Scale in sisters of breast cancer patients and healthy controls. Results: Sisters of 111 breast cancer patients and 123 healthy controls completed the questionnaire. Sisters with high perceived risk showed high scores on anxiety and alexithymia scale as compared with healthy control. Regression analysis showed significant association between perceived risk and anxiety (t=2.023, P < .05) and alexithymia factor difficulty in identifying feelings and total alexithymia score (t=6.787, P < .000 and 3.726, P < .000). Conclusion: Sisters of breast cancer patients showed significantly higher perceived risk, anxiety and alexithymia than their healthy counterparts. The sister's perception of breast cancer risk influences the anxiety and emotional experience. Our data emphasizes that medical professional should discuss risk appraisals to anxiety and emotional concerns in both breast cancer patients and their sisters to help them in coping with breast cancer and concerns in the family.

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