The Breast Reconstruction Process of Women With Breast Cancer: A Theoretical Model

Abstract

Objective: to build a theoretical model on the experience and meaning of the breast reconstruction process in women with breast cancer. Method: a qualitative research using Grounded Theory and Symbolic Interactionism as theoretical-methodological frameworks. Data collection and analysis occurred simultaneously, from April to October 2015, through theoretical sampling and theoretical saturation of the categories. Theoretical sample with 31 participants, 21 women and 10 health professionals, interviewed at home or at work, comprising four sample groups. Results: the theoretical model “Women face challenges and overcome difficulties: fear of death, breast mutilation and breast reconstruction, changing the way of being a woman” offers an explanation of the phenomenon and emerged from the systematic interrelation of the 11 study categories, with three causal categories, one category representing the context, five categories of intervening conditions, the strategies and the consequences represented by one category each. Conclusion: this study demonstrates the experience of the breast reconstruction process for women with breast cancer, the meaning of overcoming difficulties, value life and oneself, putting themselves first, taking care of themselves and learning to change, to be more tolerant, to value material things less and to face life with courage and faith. It also indicates that research on theoretical models on issues that plague our professional practices can enhance teaching and science and, consequently, improve care in women's health.

Health-Related Quality of Life and Therapeutic Adherence in Breast and Prostate Cancer

“…4 In patients with breast cancer, HRQoL can be impaired in several dimensions, due to emotional, physical, social and family problems. 5 Mastectomy, whether total or partial, can cause losses in the performance of daily and work activities, resulting from movement limitations imposed by pain and lymphedema. 6 In chemotherapy, women can experience different side effects, including fatigue, poor sleep quality, pain, nausea and vomiting, diarrhea and/or constipation and alopecia, 7 while in radiotherapy, the most frequent complaint is radiodermatitis.…”