Psychosocial Distress in Women With Breast Cancer and Their Partners and Its Impact on Supportive Care Needs in Partners

Goerling, Ute; Bergelt, Corinna; Müller, Volkmar; Mehnert‐Theuerkauf, Anja

doi:10.3389/fpsyg.2020.564079

Cited by 15 publications

(12 citation statements)

References 52 publications

(67 reference statements)

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“…These findings are compatible with the literature that elderly women with breast cancer have an overall better quality of life despite experiencing more health problems in survivorship than younger counterparts, independent of the adjuvant oncologic treatment due to comorbid conditions [33,34]. Low income, which may be a conspicuous life fact for elderly women whose families live on a fixed income or the minimum wage, can be a significant quotient of psychosocial distress [cause of frailty] that is directly associated with sensory ability, autonomy, and PPF activity domains of the module [34,35]. However, factors such as having more life experiences, including prior experiences with the health care system, witnessing the diagnosis of beloved ones with cancer, and having few competing demands suggest a higher degree of psychosocial adaptation among elderly women with breast cancer [34,36].…”

Section: Discussionmentioning

confidence: 99%

The Relationships between Frailty and Quality of Life in Elderly Women with Breast Cancer

et al. 2022

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Background: It is well known that oncologic management of elderly patients is complicated, and physicians should well define the ultimate goals when choosing treatment modalities. Cancer treatment should not necessarily focus on survival but aim for a good quality of life for the patient in light of their frailty. Patients and Methods: This is a retrospective cross-sectional survey study. One hundred fifty-eight women with breast cancer participated in this study. The PRISMA-7 Frailty Index and WHOQOL-OLD Module assessed participants’ frailty and quality of life. SPSS 26.0 and Medcalc 14 [Acacialaan 22, B-8400 Ostend, Belgium] programs were used for statistical analyses. Statistically significant associations between the PRISMA-7 scale and the WHOQOL-OLD Module were assessed. Results: Of the158 participants, the median age [min-max] was 71 [65-96] years, and 61.2% had stage I and II breast cancer. Lumpectomy was 61.1%, and 75% received chemotherapy-radiotherapy and hormone therapy. For the WHOQOL-OLD domains; financial status [p=0.001] with the sensory ability domain, work status [p<0.001] and education status[p=0.004] with the autonomy domain, education status [p=0.002] with PPF activity domain, education status [p=0.001] and work status [p=0.007] with the social participation domain, treatment modality [p=0.003] with death &dying domain, number of comorbidities [p=0.004] with intimacy domain statistically significant. The total score was associated with education status [p=0.005] and the number of comorbidities [p=0.010]. Frailty correlated positively with age [cut-off age 68 years; p<0.001]. Education status was inversely associated with increased frailty [p=0.003]. The relationship between the PRISMA-7 scale and the WHOQOL-OLD Module correlated negatively in five out of six dimensions except for the Intimacy domain. Conclusions: It is necessary to design customized cancer management programs to improve specific components of elderly women with breast cancer with increased frailty by revealing the associations in domains of QoL.

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Section: Discussionmentioning

confidence: 99%

The Relationships between Frailty and Quality of Life in Elderly Women with Breast Cancer

et al. 2022

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“…Individuals with breast cancer require to adapt to these complex changes and require supportive care from family, society, and professionals such as nurses, doctors, and others. [19][20] Among all medical professionals, nurses act on the front in the health care provision andare in a true sense, the backbone of the healthcare system who can bring better health outcomes with their quality nursing care. 21 Referring to the case, nurses can play a major role to help patients to cope with their altered conditions through quality care and theory-based practices.However, the usefulness of theory-guided practices is being under looked.…”

Section: Discussionmentioning

confidence: 99%

Theory Guided Practices: An Approach to Better Nursing Care through Roy Adaptation Model

Kumar¹,

Jan²,

Rattani³

et al. 2022

IJCRR

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Introduction: The nursing discipline is considered an integral part of the health care delivery system. Effective nursing practice needs the application of knowledge, skills, critical thinking, and art of care in an efficient, effective, and considerate method. This can be achieved through an amalgamation of understanding, practice, and nursing theories. The theory provides a logical way to organize for and give direction to nursing care. Theory-guided nursing practices act as a fundamental framework for the development of proactive and organized nursing care that assist to improve quality nursing care. Aim: The paper aims to elaborate on the theory-guided nursing practice by utilization of the Roy Adaptation Model in the clinical setup for delivering effective nursing care. Methodology: This paper will illustrate the case study of a breast cancer patient and the application of Sister Calista Roy’s Adaptation Model into nursing practice and the nursing process. Discussion: Theory-guided assessment, nursing care, and interventions provide the foundation for the development of suitable and meaningful nursing practices. Theories and models provide a basis for quality nursing practices and are considered a vital component of patient, family, and community care. Conclusion: The theory-guided practices are more efficient and possess better control over the outcome of nursing care through a purposeful and systematic approach.

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“…Although the mechanisms underlying the gender difference are not well understood, theoretical explanations include the impact of internalized traditional gender roles on psychological processes and behaviour [34]. For example, men may be less likely to perceive or disclose their needs for help, compared to women [37]. In addition, men may tend to perceive the caring role as a competency task leading to a positive appraisal and self-mastery and esteem response [32,38], whereas women may tend to hold high internal expectations and a sense of moral obligation related to their caring role, leading to over-responsibility, dys-functional self-sacrifice, and an absence of self-care [32,33,38,39].…”

Section: Discussionmentioning

confidence: 99%

The Supportive Care Needs of Regional and Remote Cancer Caregivers

et al. 2021

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Objective: As cancer survival rates continue to increase, so will the demand for care from family and friends, particularly in more isolated settings. This study aims to examine the needs of cancer caregivers in regional and remote Australia. Methods: A total of 239 informal (i.e., non-professional) cancer caregivers (e.g., family/friends) from regional and remote Queensland, Australia, completed the Comprehensive Needs Assessment Tool for Cancer Caregivers (CNAT-C). The frequencies of individuals reporting specific needs were calculated. Logistic regression analyses assessed the association between unmet needs and demographic characteristics and cancer type. Results: The most frequently endorsed needs were lodging near hospital (77%), information about the disease (74%), and tests and treatment (74%). The most frequent unmet needs were treatment near home (37%), help with economic burden (32%), and concerns about the person being cared for (32%). Younger and female caregivers were significantly more likely to report unmet needs overall (OR = 2.12; OR = 0.58), and unmet healthcare staff needs (OR = 0.35; OR = 1.99, respectively). Unmet family and social support needs were also significantly more likely among younger caregivers (OR = 0.35). Caregivers of breast cancer patients (OR = 0.43) and older caregivers (OR = 0.53) were significantly less likely to report unmet health and psychology needs. Proportions of participants reporting needs were largely similar across demographic groups and cancer type with some exceptions. Conclusions: Caregiver health, practical issues associated with travel, and emotional strain are all areas where regional and remote caregivers require more support. Caregivers’ age and gender, time since diagnosis and patient cancer type should be considered when determining the most appropriate supportive care.

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Psychosocial Distress in Women With Breast Cancer and Their Partners and Its Impact on Supportive Care Needs in Partners

Cited by 15 publications

References 52 publications

The Relationships between Frailty and Quality of Life in Elderly Women with Breast Cancer

The Relationships between Frailty and Quality of Life in Elderly Women with Breast Cancer

Theory Guided Practices: An Approach to Better Nursing Care through Roy Adaptation Model

The Supportive Care Needs of Regional and Remote Cancer Caregivers

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