Breast cancer is one of the most life-threatening cancers among women worldwide. The incidence of breast cancer has increased in both developed and developing countries. In 2018, the World Health Organization reported that there were more than 2 million new cases of breast cancer patients or 24.2 % of all newly diagnosed cancers among women around the world. 1 Approximately a quarter of total breast cancer cases was diagnosed in the Asia-Pacific region. 2 In Thailand in 2017, the Bureau of Health Policy and Strategy reported that the estimated number of Thai women with breast cancer death was 4,177. 3 Surgery is usually the primary treatment and the cornerstone for the early stage of breast cancer women. The modified radical mastectomy (MRM) has been performed as the standard of traditional therapy for breast cancer surgery over the past few decades. 4 However, the current surgical technique has become more developed with a less invasive procedures.Breast conserving surgery followed by radiation has been more broadly performed. 5 Moreover, sentinel lymph node biopsy (SLNB) has become a standard of care to examine the nodal staging of breast cancer. Women with breast cancer who undergo SLNB are more likely to have less incidence of lymphedema, stiffness of shoulder, numbness, and wound seroma compared with axillary lymph node dissection. 6 Furthermore, breast reconstruction has become an available option leading to an improvement of body image, sexuality, and quality of life in women with breast cancer. 7 Although breast surgery has benefits in terms of enhancing overall survival and improving aesthetic outcome after treatment, its adverse outcome also affects both physical and psychological integrity of women with breast cancer. After breast surgery, women with breast cancer are at risk to possibly develop complications such as wound infection, seroma formation, hemorrhage Abstract OBJECTIVES: To investigate how married women with breast cancer adapted themselves after breast surgery and to evaluate selected variables related to adaptation. MATERIAL AND METHODS: One hundred participants were married women with breast cancer who met the inclusion criteria from November 2017 to February 2018. To collect data, we compiled the demographic questionnaire and clinical data form, the adaptation of breast cancer questionnaire, and the social support scale. The data were analyzed using descriptive statistics, Chi-square test, and Pearson's product moment correlation. RESULT: The average age of participants was 54.37 years (SD = 9.50). The mean duration after breast surgery was seven months (SD = 3.26). One-third of the participants (35 %) received a combination therapy of surgery and chemotherapy. The results showed that the participants had a high adaptation level. Among four modes of adaptation, high levels of adaptation were found for physiological and role-function modes, but moderate levels for the self-concept and interdependence modes. It was found that social support was positively related to adaptation (r = 0.436,...
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