Meaning of Breast Cancer in Women’s Discourse

Authors

DOI:

https://doi.org/10.5294/aqui.2021.21.3.8

Keywords:

Breast neoplasms, nursing, oncology nursing, speech, women’s health

Abstract

Objective: To reveal the meaning of breast cancer.

Materials and method: A narrative research study that selected, using the snowball technique, 11 women (data saturation) diagnosed with breast cancer, on disease remission, and living in the region of Florianópolis (Brazil). Semi-structured interviews were conducted between August and December 2018, and they were subjected to the Collective Subject Discourse technique. Four central ideas emerged from the analysis of the narratives; this article presents the central ideal called “Meaning of the breast cancer diagnosis”, which has eight sense categories.

Results: The central idea covers the following categories: “Suffering when facing the diagnosis”, “Fear of the disease and of death”, “Professional inability for bad news”, “Initiatives to streamline treatment”, “Concern and affection with the family members as a driving force to face cancer”, “Difficulties with the family members”, “Support from the family members, from the professionals and/or from the support group”, and “Faith and spirituality”.

Conclusions: The discourse reveals that the meaning of the disease diagnosis is linked to the need for treatment, to the support provided by faith, family members, the health team, and support groups, and to the difficulties faced with family members and professionals. These results should imply the provision of specific Nursing care from the diagnostic phase until after cancer remission/survival.

Downloads

Download data is not yet available.

References

Ferlay J, Ervik M, Lam F, Colobet M, Mery L, Piñeros M et al. Glocal Câncer Observatory: Cancer Today. Lyon/France; 2020. Available from: https://gco.iarc.fr/today

Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2019. Disponível em: https://www.inca.gov.br/ sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf

Alvares RB, Santos IDL, Lima NM, Mattias SR, Cestari MEW, Gomes NCRC et al. Sentimentos despertados nas mulheres frente ao diagnóstico de câncer de mama. J Nurs Health. 2017;7(3):1-10. DOI:https://doi.org/10.15210/jonah.v7i3.12639

Machado MX, Soares DA, Oliveira SB. Meanings of breast cancer for women under going chemotherapy. Physis (Rio J.) 2017;27(3):433-51. DOI: https://doi.org/10.1590/s0103-73312017000300004

Oliveira MR, Mattias SR, Santos IDLS, Pinto KRTF, Gomes NCC, Cestari MEW. Family facing breast cancer diagnosis under the woman’s view point. Rev Pesqui. 2018;10(4):932-5. DOI: https://doi.org/10.9789/2175-5361.2018.v10i4.932-935

Varela AIS, Rosa LM, Sebold N, Iaverde AG, Maçaneiro A, Erdmann AL. Comprometimento da sexualidade de mulheres com câncer de mama. Enferm foco. 2017;8(1):67-71. DOI: https://doi.org/10.21675/2357-707X.2017.v8.n1.764

Pintado S. Breast cancer patients’ search for meaning. Health Care Women Int. 2018;39(7):771-83. DOI: https://doi.org/10.1080/07399332.2018.1465427

Bubolz BK, Barbosa MCN, Amaral DED, Viegas AC, Bernardes LS, Muniz RM. Perceptions of Nursing Professionals with Regards to the Suffering and its Coping Strategies in Oncology. Rev Pesqui. 2019;11(3):599-606. DOI: https://doi.org/10.9789/2175-5361.2019.v11i3.599-606

Rosa LM, Radünz V. Significado do câncer de mama na percepção da mulher: do sintoma ao tratamento. Rev enferm UERJ. 2012;20(4):445-50.

Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with school children. Rev Bras Enferm. 2018;71(1):228-33. DOI:https://doi.org/10.1590/0034-7167-2016-0616

Clandinin DJ. Engaging in Narrative Inquiry. WalnutCreek, CA: LeftCoastPress, Inc.; 2013.

Figueiredo MZ, Chiari BM, de Goulart BNG. Discurso do Sujeito Coletivo: uma breve introdução à ferramenta de pesquisa qualiquantitativa. Distúrb comun. 2013;25(1):129-36.

Lefevre F, Lefevre AMC. Discourse of the collective subject: social representations and communicate on interventions. Texto & Contexto Enfermagem. 2014;23(2):502-7. DOI: https://doi.org/10.1590/0104-07072014000000014

Nicolau KW, Escalda PMF, Furlan PG. Método do Discurso do Sujeito Coletivo e usabilidade dos Softwares Qualiquantisoft e DSCsoft na pesquisa qualiquantitativa em saúde. Fronteiras: Journal of Social, Technological and Environmental Science. 2015;4(3):87-101. DOI: https://doi.org/10.21664/2238-8869.2015v4i3.p87-101

Tolteca Informática. DSCSoft [internet]. São Paulo: Tolteca Informática; 2020. Disponível em: http://www.tolteca.com.br/noticiadscsoft.aspx

Cordeiro LAM, Nogueira DA, Gradim CVC. Women with breast cancer in adjuvant chemotherapy: assessment of quality of life. Rev enferm UERJ. 2018;26:1-7. DOI: https://doi.org/10.12957/reuerj.2018.17948

Rodrigues NS, Orsani MRCA, Tertuliano IW, Bartholomeu D, Machado AA, Montiel JM. O impacto da mastectomia na sexualidade da mulher. Educ.fis.deporte. 2018;23(242). Disponível em: https://www.efdeportes.com/efdeportes/index.php/EFDeportes/article/download/63/228?inline=1

Sehati Shafaee F, Mirghafourvand M, Harischi S, Esfahani A, Amirzehni J. Self-Confidence and Quality of Life in Women Undergoing Treatment for Breast Cancer. Asian Pac J Cancer Prev. 2018;19(3):733-40. DOI: https://doi.org/10.22034/APJCP.2018.19.3.733

Otani MAP, Barros NF, Marin MJS, Pinto AAM. Comunicação entre profissional de saúde e paciente: Percepções de mulheres com câncer de mama. Nursing (São Paulo). 2018; 21(242):2272-6. Disponível em: http://www.revistanursing.com.br/revistas/242-Julho2018/Comunicacao_entre_profissional_saude.pdf

Ribeiro GS, Campos CS, Anjos ACY. Spirituality and religion as resources for confronting breast cancer. Rev Pesqui. 2019;11(4):849-56. DOI: https://doi.org/10.9789/2175-5361.2019.v11i4.849-856

Torre XA. Factores asociados a depresión en pacientes con cáncer de mama. RevFacMed Hum (on-line). 2019;19(1):1-5. DOI: https://doi.org/10.25176/RFMH.v19.n1.1795

Pilevarzadeh M, Amirshahi M, Afsargharehbagh R, Rafiemanesh H, Hashemi SM, Balouchi A. Global prevalence of depression among breast cancer patients: A systematic review and meta-analysis. Breast cancer research and treatment. 2019;176(3):519-33. DOI: https://doi.org/10.1007/s10549-019-05271-3

Santos MA, Souza C. Group interventions for women with breast cancer: Challenges and possibilities. Psicol teor pesqui. 2019;35:1-14. DOI: https://doi.org/10.1590/0102.3772e35410

Dvaladze A, Kizub DA, Cabanes A, Nakigudde G, Aguilar B, Zujewski JA, Duggan C, Anderson BO, Pritam Singh RK, Gralow JR. Breast cancer patient advocacy: A qualitative study of the challenges and opportunities for civil society organizations in low-income and middle-income countries. Cancer 2020;15(10):2439-47. DOI: https://doi.org/10.1002/cncr.32852

Santos, Serafim Barbosa. Alienação no trabalho médico no enfoque da humanização-desumanização. Cad Saude Publica. 2018;34(12):e00152118. DOI: https://doi.org/10.1590/0102-311x00152118

Published

2021-09-30

How to Cite

de Souza, G. ., Martins da Rosa , L., Arzuaga-Salazar, M. A., Radünz, V., dos Santos, M. J. ., & Rangel-Flores, Y. (2021). Meaning of Breast Cancer in Women’s Discourse. Aquichan, 21(3), e2138. https://doi.org/10.5294/aqui.2021.21.3.8

Issue

Section

Articles