以质量求发展,以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (23): 73-78.doi: 10.16460/j.issn1008-9969.2023.23.073

Previous Articles    

Psychological experience and benefit finding in young breast cancer patients during convalescence: a qualitative study

TAN Jian-feng1, WANG Yong-cun2a, ZHENG Xiu-ying1, WANG Zheng-ye1, LIU yan-hua2b   

  1. 1. Department of Psychology, School of Humanity and Management, Guangzhou Medical University, Zhanjiang 524023, China;
    2a. Cancer Center; c. Dept. of Nursing Administration, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524023, China
  • Received:2023-07-31 Online:2023-12-10 Published:2024-01-09

Abstract: Objective To understand the psychological experience and benefit finding in young breast cancer patients during the convalescence. Methods Purposive sampling was used to recruit 12 young breast cancer patients from a tertiary grade-A hospital in Zhanjiang, Guangdong Province. Semi-structured interviews were conducted and Colaizzi 7-step analysis was used to sort out the data. Results Four themes were extracted from the psychological experience during the rehabilitation, including impact of diagnosis and reluctant acceptance, pain and patience of treatment, need for care and encouragement during rehabilitation, and gratitude and post-traumatic growth after cancer. Five themes were extracted from the benefit finding, including personality change, changes in the relationships, change in the life, the meaning of illness, and gratitude and dedication. Conclusion The young breast cancer patients are experiencing negative emotions and pressures brought by the disease, as well as benefit discovery and positive growth. To enhance the physical and mental well-being of young breast cancer patients, healthcare providers should prioritize fostering positive psychological experiences and facilitating the discovery of benefits.

Key words: breast cancer, convalescence, psychological experience, benefit finding, qualitative study

CLC Number: 

  • R473.73
[1] Pascoe L, Edvardsson D.Benefit finding in cancer: a review of influencing factors and health outcomes[J]. Eur J Oncol Nurs,2013, 17(6):760-766.DOI:10.1016/j.ejon.2013.03.005.
[2] Liu JE, Wang HY, Wang ML,et al.Posttraumatic growth and psychological distress in Chinese early-stage breast cancer survivors: a longitudinal study[J]. Psycho-Oncology,2014,23(4):437-443.DOI:10.1002/pon.3436.
[3] Lassmann I,Dinkel A,Marten-Mittag B,et al.Benefit finding in long-term prostate cancer survivors[J].Support Care Cancer,2021,29(8):4451-4460.dOI:10.1007/s00520-020-05971-3.
[4] Aderhold C,Morawa E,Paslakis G,et al.Protective factors of depressive symptoms in adult cancer patients: the role of sense of coherence and posttraumatic growth in different time spans since diagnosis[J]. J Psychosoc Oncol, 2019,37(4):1-20.DOI:10.1080/07347332.2019.1631931.
[5] Groarke A,Curtis R,Groarke JM,et al. Post-traumatic growth in breast cancer:how and when do distress and stress contribute?[J].Psycho-Oncology,2017, 26(7):967-974. 2017.DOI:10.1002/pon.4243.
[6] Darshit P,Paolo DI,Gail G,et al.Post-traumatic stress disorder and post-traumatic growth in breast cancer patients-a systematic review[J]. Asian Pac J Cancer Prev,2015,16(2):641-646. DOI:10.7314/APJCP.2015.16.2.641.
[7] Coroiu A, Koerner A, Burke SM, et al.Stress and posttraumatic growth among survivors of breast cancer: a test of curvilinear effects[J]. Int J Stress Manage,2016,23(1):84-97.DOI:10.1037/a0039247.
[8] Yuping W, Xiongzhao Z, Jinyao Y, et al.Benefit finding predicts depressive and anxious symptoms in women with breast cancer[J]. Qual Life Res,2015, 24(11):2681-2689.DOI:1010.1007/s11136-015-1001-z.
[9] Zsigmond O,Vargay A,E Józsa,et al. Factors contributing to post-traumatic growth following breast cancer: results from a randomized longitudinal clinical trial containing psychological interventions[J]. Developments in Health Sciences,2019,2(4):1-7.DOI:10.1556/2066.2.2019.005.
[10] Liu Z,Doege D,Thong MSY,et al.Distress mediates the relationship between cognitive appraisal of medical care and benefit finding/posttraumatic growth in long-term cancer survivors[J]. Cancer, 2021, 127(19):3680-3690.DOI:10.1002/cncr.33684.
[11] 郭素然,伍新春.反刍思维与心理健康[J].中国心理卫生杂志,2011,25(4):314-318.
[12] Lindstrom CM,Cann A,Calhoun LG,et al.The relationship of core belief challenge, rumination, disclosure, and sociocultural elements to posttraumatic growth[J].Psychol Trauma-Us,2013,5(1):50-55.DOI:10.1037/a0022030.
[13] 周宵,季林香,亓军军,等.癌症患者及其家庭陪护者癌症进展恐惧,反刍与PTSD症状的关系:基于配对数据的分析[J].中国临床心理学杂志,2022,30(3):658-662.
[14] Nina Ogińska-Bulik, Kobylarczyk M.The role of rumination in posttraumatic growth in people struggling with cancer[J].J Psychosoc Oncol, 2019, 37(2):1-13.DOI:10.1080/07347332.2019.1600628.
[15] 王静,刘维,李菲菲,等.书写表达对乳腺癌青年患者自我效能、躯体症状及心理健康的影响[J].中国健康心理学杂志,2021,29(7):973-978.
[16] 李惠萍,章毛毛,张婷,等.基于自我表露的乳腺癌患者益处发现干预方案的构建及初步验证[J].护理学杂志,2020,35(11):75-79.
[17] 吴丹燕,李惠萍,肖婷,等.自我表露对乳腺癌患者益处发现的影响:亲密关系和自我效能感的链式中介作用[J].中国临床心理学杂志,2019,27(2):388-391.
[18] Wang Y,Zhu X,Yang Y,et al.What factors are predictive of benefit finding in women treated for non-metastatic breast cancer? A prospective study[J]. Psycho-Oncology,2015,24(5):533-539.DOI:10.1002/pon.3685.
[19] Black N, Gruyter ED, Petrie D,et al.Altruism born of suffering? The impact of an adverse health shock on pro-social behaviour[J]. J Econ Behav Organ,2021,191:902-915. DOI:10.1016/J.JEBO.2021.09.038.
[20] 吕峰,皇甫刚.生于苦难的利他:概念、分类和影响因素[J].南开学报(哲学社会科学版),2018,(4):82-90.
[21] 张瑞芹,孙翠勇,康乃馨,等.康复期乳腺癌患者积极情绪与自我效能感及益处发现的关系[J].广东医学,2018,39(12):119-122.
[1] WU Chao-yu, LIU Shang-kun. Crisis management competence of nurses in post-anesthesia care unit: a qualitative study [J]. Journal of Nursing, 2025, 32(3): 17-21.
[2] SUN Juan, LI Ya-li, MA An-na, WANG Hua, ZHANG Hui-min. Experience of nursing postgraduates on ideological and political teaching in community nursing practice: a qualitative study [J]. Journal of Nursing, 2025, 32(1): 19-23.
[3] HUA Jing, ZHANG Qing-yue, WANG Yan, CHENG Chang, ZHANG Xiu-li, ZHANG Ai'ai. Application of question prompt list in patients undergoing breast cancer surgery [J]. Journal of Nursing, 2024, 31(8): 18-22.
[4] MA Rui-rui, FAN Xiao-li, XU Shu-juan, ZHANG Wei, CHEN Ting, TAN Fei-fei. Nurses' involvement in end-of-life decision-making for terminally ill patients: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 6-11.
[5] ZHANG Ying, CHE Xiao-yan, WAN Wan, QIN Xue, ZHANG En-si, CHONG Wu, ZHENG Shu-juan. Scope of practice and core competence of nurses acted as sex therapist in China: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 68-72.
[6] WANG Yao, SHI Jing-hua, GUO Li-xia, CHAI Qian-ru. Disease experience and treatment expectation in patients with primary glaucoma: a qualitative study [J]. Journal of Nursing, 2024, 31(21): 1-6.
[7] DAI Mei-fen, LIANG Yu-zhen, YANG Jing, YOU Yan-yan, YANG Qing, CHANG Guang-ting, OU Xing-ying, HUANG Chuan-qiang, CHEN Zhi-xing, OU Jie-fen. Construction of nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy based on evidence-based practice and theory of chinese medicine [J]. Journal of Nursing, 2024, 31(15): 34-38.
[8] GAO Dan-shan, WANG Xin, ZHANG Zhao-ying. Psychological changes when facing academic stress of nurses pursuing full-time master degree: a longitudinal qualitative study [J]. Journal of Nursing, 2024, 31(13): 1-6.
[9] MA Zhu-yue, YAO Shan-shan, SHI Yan-yan, LU Ning-ning, ZHU Ping, CHENG Fang. Development of risk perception questionnaire in women with breast-cancer-related lymphedema and its reliability and validity [J]. Journal of Nursing, 2023, 30(4): 1-5.
[10] GAO Jie, LI Hui-ping, SONG Jiang-yan, LI Jia-xin, ZHOU Meng-ke, ZHANG Shan-shan, PANG Zi-yun. Construction of coping-focused family resilience intervention program for breast cancer patients [J]. Journal of Nursing, 2023, 30(3): 6-10.
[11] GUO Nan, LIU Jian-jian, YUE Peng. Affective interaction between dementia patients and relative caregivers based on grounded theory: a qualitative study [J]. Journal of Nursing, 2023, 30(12): 7-12.
[12] ZOU Zi-yu, TANG Hong-mei, WU Li, CHEN Rong-feng, MEI Hua. Scoping Review of Readability Assessment of Breast Cancer-related Health Education Materials [J]. Journal of Nursing, 2022, 29(9): 42-46.
[13] ZHU Jin-feng, FANG Ying-ying, WANG Fang, YUAN Ping, CHEN Lu. Exercise Compliance and Its Influence Factors in Stroke Patients: A Systematic Review of Qualitative Studies [J]. Journal of Nursing, 2022, 29(8): 7-13.
[14] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors [J]. Journal of Nursing, 2022, 29(6): 1-6.
[15] LIU Yue, ZHANG Qing-yue, YU Lin-tong, WANG Hui-qing, WANG Yan. Breast Reconstruction Decision-making Experience in Elderly Patients with Breast Cancer: A Qualitative Study [J]. Journal of Nursing, 2022, 29(21): 67-70.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!