Objective To gain an in-depth understanding of the current status of marital life experience of breast cancer patients at reproductive age based on ecosystem theory, and to provide reference for clinical support of breast cancer patients at reproductive age in a targeted manner. Methods Purposive sampling was used to select 15 married breast cancer patients from October 1 to December 1, 2024 to conduct in-depth interviews. Directed content analysis and NVivo software were used to analyze the interview data. Results Three themes and 12 sub-themes were summarized: marital anxiety (somatic anxiety activation, increased self-blame and guilt, self-reflective retrospection, and negative avoidance tendencies); couple interaction (increased emotional dependence, adequate emotional support, effective provision of caregiving support, and deepened marital estrangement); and family change (increased role conflict, children's health concerns, increased burden of living, and activation of resilience adjustment). Financial stress and role conflict were particularly prominent for patients with low-income. Conclusion This study innovatively reveals the multilevel and interactive nature of marital life experiences of low-income breast cancer patients at reproductive age. Anxiety emerges as the core distress (micro level); spousal support serves as the critical buffer for marital quality maintenance (meso level), and financial strain and family role imbalance constitutes pervasive and burdensome stressors (macro level). This suggests that clinical staff need to identify problems at different levels, with particular attention to the socioeconomic and role dilemmas faced by low-income patients. An integrated, tiered marital support program should be implemented, incorporating psychological counseling, spousal communication facilitation, and family resource linkage to improve patients’ overall marital quality of life.
Key words
breast cancer /
reproductive age /
married /
martial life /
ecosystem theory /
qualitative research
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