The process of accepting breast cancer among Chinese women: A grounded theory study

Chen, Shuangqin; Liu, June; Zhi, Li; Su, Yali

doi:10.1016/j.ejon.2017.03.005

Cited by 14 publications

(21 citation statements)

References 25 publications

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“…Chen and et al demonstrated that acceptance is one of the most common types of coping reactions and it can prospectively predict lower distress. Most of the participants progressed from one stage of acceptance to the next as the treatment stage changed [39]. The making changes coping strategy after spirituality and positive cognitive restructuring were used more than other coping strategies after 6 months.…”

Section: Discussionmentioning

confidence: 99%

Breast Cancer Coping Strategies after Diagnosis: A Six-month Follow-up

Sajadian¹,

RajiLahiji²,

Motaharinasab³

et al. 2017

mcij

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Introduction: Breast cancer is a tragic experience that accompanies stressful situations for patients. Adjustment with breast cancer has a significant effect on decreasing stress and increasing the patients› quality of life. Methods: In a prospective cross-sectional study, breast cancer patients› experiences were evaluated at Breast Cancer Research Center (BCRC), Motamed Cancer Institut (MCI), Tehran, Iran. To evaluate coping strategies in breast cancer patients, a modified Ways of Coping-cancer Version (WOC-CA) questionnaire was used. A written informed consent was obtained from the patients. Results: From a total of 187 breast cancer patients participated in this study, 177 cases followed up for 6 months later. The mean age of the patients was 47.3 ± 9.6 years. Eighty-seven percent of the patients were married, 91% of the subjects had middle and high education and most of them (83%) were housewife. Seven coping strategies were used by the patients after diagnosis and 6 months later. The most commonly used coping strategies after diagnosis included «seeking for social support», «spirituality», and «positive cognitive restructuring» and the least used coping strategy was «detachment». The most frequently used strategies 6 months after the diagnosis were «seeking for social support», «spirituality», «positive cognitive restructuring», and «making changes» and the least commonly used ones included «wishful thinking», and «keeping feelings to self-coping strategies». Conclusions: It seems that clinicians should provide enough information about the treatment and survival before the surgery. The patients› concerns about the way of adjustment with the disease, especially religious thinking and advices about the way of coping with breast cancer should be considered.

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Section: Discussionmentioning

confidence: 99%

Breast Cancer Coping Strategies after Diagnosis: A Six-month Follow-up

Sajadian¹,

RajiLahiji²,

Motaharinasab³

et al. 2017

mcij

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“…Little has been reported about the PTG process in Chinese women with breast cancer. Two articles were found relating to adjustment and coping among Mainland Chinese women with breast cancer (S.-Q. Chen et al, 2017; Xia et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Chen et al, 2017; Xia et al, 2018). However, S.-Q. Chen et al (2017) mainly focus on acceptance as a coping strategy for women diagnosed with breast cancer, although some positive change/transcendence experiences pertaining to PTG was articulated.…”

Section: Introductionmentioning

confidence: 99%

Emerging From the “Ku:” Fluctuating in Adjusting With Breast Cancer—A Post-Traumatic Growth Theory Situated Within Chinese Culture

et al. 2020

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This purpose of the study was to construct a model (theory) to understand Chinese women’s adjustment process in living with breast cancer. A constructivist grounded theory method was adopted in this study. A total of 24 women were recruited through purposive and theoretical sampling. Semi-structured, audio-recorded interviews were undertaken in Chinese and transcribed. Initial coding, focused coding, and theoretical coding approaches were used to identify subcategories and categories, and to construct the emergent theory. The basic social process these women used to deal with the breast cancer diagnosis was identified as: Emerging from the ‘ku’: Fluctuating in adjusting with breast cancer. Four categories were revealed following analysis: confronting challenges, orienting to reality, accommodating the illness, and transforming their lives, which encapsulated the main cognitive and emotional processes in which Chinese women engaged in their adjustment to living with their illness. The core process was influenced by a variety of contextual influences, which were identified as personal factors, social-environmental factors, and some specific cultural factors which emphasized positive changes. Chinese cultural values such as “Wuwei” coping strategies, familial primacy, and Chinese self-disclosure contribute to Chinese women’s adjustment processes and post-traumatic growth experiences. Hence, there is a need to consider Chinese cultural features, in designing culturally tailored supportive programs in multi-cultural clinical settings.

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“…It was seen that as their treatment progressed, participants' negative feelings about alopecia decreased, and they started to accept the situation they were in and got used to being bald. Hesketh et al defined a strategy consisting of stages to individualize alopecia treatment [39]. This strategy involves coping with the uncertainty and anxiety associated with hair loss in the process of waiting for the onset of alopecia, having the right expectation about the physical changes that will occur during the hair loss, and preparing the patient for psychological and social changes [40].…”

Section: Discussionmentioning

confidence: 99%

Which is More Difficult? Losing Hair or Losing Breast: A Qualitative Study

Aktuğ,

Gürsoy

2021

JCNRC

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The study was conducted to determine how women with breast cancer perceive chemotherapy-induced alopecia. This qualitative study included 20 patients with chemotherapy-induced alopecia. The data were collected through the semi-structured interview method and analyzed using the "phenomenological analysis" method. Perceptions and experiences of women with breast cancer about chemotherapy-induced alopecia were examined under six themes; facing alopecia, perceiving alopecia, hiding alopecia, changes in life after alopecia, keeping hope alive, and facilitating the difficulties experienced. When women lost their hair, they experienced sadness, anxiety, panic, and regret. Most women shaved their hair and used accessories such as wigs, bandanas, and headscarves to hide their hair loss and not to experience alopecia. The women who lost their hair worried that their spouses would not like them anymore and the majority preferred to hide their alopecia not to worry their children. Besides, they avoided entering social circles because alopecia made their disease visible. It was seen that those who knew that they would lose their hair, who believed that it was their destiny, and who had support systems accepted their situation more easily. The study results provide detailed information on how women perceived hair loss and will contribute to identifying nursing interventions that will help improve adaptability to alopecia and coping mechanisms.

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The process of accepting breast cancer among Chinese women: A grounded theory study

Cited by 14 publications

References 25 publications

Breast Cancer Coping Strategies after Diagnosis: A Six-month Follow-up

Breast Cancer Coping Strategies after Diagnosis: A Six-month Follow-up

Emerging From the “Ku:” Fluctuating in Adjusting With Breast Cancer—A Post-Traumatic Growth Theory Situated Within Chinese Culture

Which is More Difficult? Losing Hair or Losing Breast: A Qualitative Study

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