BackgroundBody image altered is the most important psychosocial concern associated with breast cancer. Yet, there is a paucity of information regarding strategies for coping with this problem. This study aimed to explore Iranian breast cancer women’s strategies for coping with body image altered.MethodsThis qualitative study was conducted in 2016–2017. A purposive sample of 36 women with breast cancer was selected with maximum variation from three health care centers in Alborz Province, Iran. Data were collected by semi-structured interviews and analyzed by performing conventional qualitative content analysis.ResultsThe main theme of the study was “reconstruction of feminine identity” with the six main categories of physical appearance improvement, active information seeking, self-care for managing limits, psychological self-empowerment, maintaining maternal role, and maintaining wife role.ConclusionIranian breast cancer women’s strategies for coping with body image altered are multidimensional and are mainly based on personal resources. Breast cancer women use these strategies to reconstruction of their feminine identity. Health policy-makers can use the findings of the present study to develop interventions and programs for improving breast cancer women’s body image care.
BackgroundWomen with breast cancer (BC) are commonly confronted with others’ pity. However, there is limited information about pity in Iranian women with BC. The aim of this study was to explore perceptions, reactions, coping strategies, and consequences of pity among Iranian women with BC.MethodsThis qualitative study was carried out from March 2016 till October 2017. A purposive sample of 36 women with BC was selected with maximum variation from three health care centers in Alborz Province, Iran. Data were collected using semistructured interviews and analyzed using a conventional content-analysis approach.ResultsOur findings indicated that Iranian women with BC experienced received pity and perceived unusual attention from others as due to certain reasons. Others’ pity caused negative emotional reactions in them. They used self-protection strategies against others’ pity. The consequences of self-protection against pity were normalizing the patient’s flow of life and/or social isolation.ConclusionPity is a serious psychosocial challenge in Iranian women with BC, with negative effects on quality of life. Therefore, pity should be considered in counseling and psychosocial screening of patients.
Background and Purpose: Sleep breathing disorders have a negative impact on the illness outcome and quality of life in patients with heart failure. This study was conducted to investigate the probability of obstructive sleep apnea in men with heart failure and some related factors. Method: This was a cross-sectional study conducted on 100 male patients with systolic heart failure selected through convenience sampling. Demographic data, anthropometric indices, and information about the disease, treatment, and STOP-BANG questionnaires were collected through interviewing subjects. Data was analyzed with SPSS 18 using descriptive statistics, t-test, Pearson correlation and linear regression. Results: 87% of heart failure patients were at a high risk of obstructive sleep apnea. The probability of obstructive sleep apnea had significant relationship with age and neck circumference (p<0.001). A significant difference was found in the mean score of obstructive sleep apnea compared with renal disease (p=0.020), use of angiotensin receptor blockers (p=0. 013) and diuretics (p=0. 019). Conclusion: Due to their longer and more direct contact with patients, nurses have more opportunity for evaluating obstructive sleep apnea in patients. Obstructive screening questionnaires of sleep breathing disorders is a simple and economical way for identifying the patients with a high risk of this problem and referring them for more accurate diagnosis and treatment, which can play an important role in reducing the negative outcomes of the disease and improving patients' quality of life.
Background: Coping with body image alteration is one of the most challenging breast cancer treatments. Identifying the facilitators and barriers is essential for integrative care planning to improve coping with body image in women with breast cancer. Objectives: This study aimed to explore facilitating factors and barriers to coping with body image altered in women with breast cancer. Methods: This study was done with a qualitative approach from March 2016 to October 2017. Participants (36 women with breast cancer) were selected using purposeful sampling and maximum variation from healthcare centers in Alborz province, Iran. The data collection method was a semi-structured interview analyzed by the conventional content-analysis approach defined by Graneheim and Lundman. Results: The current study found that the facilitators in coping with body image altered in women with breast cancer were "supportive resources" extracted from the four subcategories of "receive/understand spouse support," "perceived support by the family," "support by peers in real life or online" and "support by non-governmental organizations. "The barriers to coping with body image altered were "unsympathetic interactions" and "failure of the health system to provide services." Conclusions: According to the findings of the present study, supportive guidelines and planning context-based integrated care are needed to improve facilitators and remove barriers, which allow people to cope better with body image altered.
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