فرایند تطابق و پذیرش ماستکتومی در بیماران با سرطان پستان

Title

process of coping and acceptance of mastectomy by breast cancer patients

English Abstract

Introduction: Breast cancer with %22.6 is the most prevalent cancer among Iranian women and mastectomy comprises %81 of surgeries done for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail temper disorders. The study has aimed at elaboration of coping process in women with mastectomy Method and Material: A grounded theory method was used in conducting this study. Twenty participants undergone mastectomy were recruited. Purposive sampling was used for sampling. Open, semi- structured questionnaire were developed. Obtaining their consent, their conversation was recorded and immediately was transcribed by researcher after each session. Data analysis was carried out with the constant comparative method using Strauss Corbin method. Findings: Analyzing the collected data, the study came up with seven main categories (with 10 subcategories) which affected the coping process in patients with breast cancer, namely: reactions to mastectomy, loss and death contest, reconstruction of evaluation system, consent for undergoing mastectomy, reactions and troubles after loss, confrontation of loss and health, reorganization and compatibility withy changes. Conclusion: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt with mastectomy. Having insight about them is likely to contribute medical personnel in leading the patients to the highest degree of feeling healthy.

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