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"Waiting for breast reconstruction": An interpretative phenomenological analysis of heterosexual couples' experiences of mastectomy for breast cancer.

Authors
  • Lamore, Kristopher1
  • Flahault, Cécile2
  • Fasse, Léonor3
  • Untas, Aurélie4
  • 1 Université de Paris, LPPS, F-92100, Boulogne-Billancourt, France. Electronic address: [email protected] , (France)
  • 2 Université de Paris, LPPS, F-92100, Boulogne-Billancourt, France. Electronic address: [email protected] , (France)
  • 3 Université de Paris, LPPS, F-92100, Boulogne-Billancourt, France. Electronic address: [email protected] , (France)
  • 4 Université de Paris, LPPS, F-92100, Boulogne-Billancourt, France. Electronic address: [email protected] , (France)
Type
Published Article
Journal
European journal of oncology nursing : the official journal of European Oncology Nursing Society
Publication Date
Jul 23, 2019
Volume
42
Pages
42–49
Identifiers
DOI: 10.1016/j.ejon.2019.07.008
PMID: 31446263
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Treatment decisions, such as breast reconstruction is made by the dyad patient-physician, but close others can have an influence on the process. Shared decision-making models include close others but current studies generally investigate physician-patient interactions only. Moreover, little is known about couples' interactions throughout the breast cancer journey and treatment decision-making. Thus, the aim of the present study was to explore couples' experiences of mastectomy and breast reconstruction decision-making, the month following the mastectomy. Ten unstructured individual interviews, with five couples facing mastectomy for breast cancer, were conducted. A dyadic interpretative phenomenological analysis (IPA) was carried on the data set. Eight super-ordinate themes emerged from the data. Couples' experiences were marked by the experience of the disease, the mastectomy and the impact they produced. The relationships with health professionals and partners were also important. Partners were not only supportive and protective, but directly (i.e., couples talk about treatments) and indirectly influenced (i.e., women make a decision taking into consideration how it will impact their couple) the women in their decision to have or not a breast reconstruction. The interpretative accounts underline how women and partners cope with the disease thinking about the aftertreatment. This study explains for the first time how intimate partners influence breast reconstruction decision-making and how couples cope individually with the disease immediately after mastectomy. Health professionals need to involve partners more in the treatment decision-making process as the women consider and talks to them about the choices they have to make. Copyright © 2019 Elsevier Ltd. All rights reserved.

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