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한국 유방암 여성들의 유방재건술에 관한 의사결정 경험
Decision Making Experience on Breast Reconstruction for Women with Breast Cance

Cited 4 time in Web of Science Cited 3 time in Scopus
Authors
이명선
Issue Date
2016-12
Publisher
KOREAN SOC NURSING SCIENCE
Citation
대한간호학회지, Vol.46 No.6, pp. 894-904
Keywords
한국 유방암 여성들의 유방재건술에 관한 의사결정 경험의약학Breast NeoplasmsMammoplastyDecision MakingQualitative ResearchWomen유방암유방성형술의사결정질적 연구여성
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.
ISSN
2005-3673
2005-3673
Language
Korean
URI
http://hdl.handle.net/10371/116891
DOI
https://doi.org/10.4040/jkan.2016.46.6.894
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College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
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