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Experiences of women in transition to survivorship following mastectomy in the Cape Metropole

Thesis (MCur)--Stellenbosch University, 2016.

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Main Author: Stecher, Nicole Elizabeth
Other Authors: Cohen, Mary A.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2016
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access_status_str Open Access
author Stecher, Nicole Elizabeth
author2 Cohen, Mary A.
author_browse Cohen, Mary A.
Stecher, Nicole Elizabeth
author_facet Cohen, Mary A.
Stecher, Nicole Elizabeth
author_sort Stecher, Nicole Elizabeth
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MCur)--Stellenbosch University, 2016.
format Thesis
id oai:scholar.sun.ac.za:10019.1/98650
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:21.236Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/98650 Experiences of women in transition to survivorship following mastectomy in the Cape Metropole Stecher, Nicole Elizabeth Cohen, Mary A. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Nursing. UCTD Mastectomy Breast -- Cancer -- Patients -- Care Breast -- Cancer -- Surgery -- Patients -- Care Thesis (MCur)--Stellenbosch University, 2016. ENGLISH ABSTRACT: Background: Breast cancer is one of the most common female malignancies worldwide and the cause of cancer death among women in developed and economically developing countries. The researcher, a professional nurse practicing in the operating theatre assisting with high volumes of breast surgery, identified a need to explore the needs of women following mastectomy as they transition into survivorship, in order to understand the challenges patients face after surgery. Methods: A qualitative design with a descriptive phenomenological approach was applied, underpinned by Husserl’ post-positive philosophy to elicit the participant’s needs following mastectomy. Seven women who had undergone mastectomy for breast cancer and who resided in the Cape Metropole were selected by means of snowball sampling to participate in individual interviews. Consent to conduct the study was obtained from the Health Research Ethical Committee at Stellenbosch University and informed consent was obtained from the participants before each interview. Interviews took place at a location of the participant’s choice, were audio recorded, transcribed verbatim and verified. The interviews were analysed thematically and the themes that emerged were emotional distress and individual coping mechanisms, concern for children and family, impact of changes to appearance and preferred support needs. Results: Findings show that support requirements are based on the individual’s psychological, physical and social needs. A need for breast cancer education and information in the individual’s mother tongue was expressed. It is suggested that women diagnosed with breast cancer should be educated along with their families in order to enhance the transition into survivorship. AFRIKAANSE OPSOMMING: Agtergrond: Borskanker is die algemeenste maligniteit in vroue en die grootste oorsaak van kankerverwante sterfte in beide onwikkelde en ekonomies ontwikkelende lande. Die navorser, ‘n professionele verpleegkundige wat praktiseer in ‘n operasie teater met hoë volumes van bors chirurgie, het ‘n behoefte geïdentifiseer om die oorlewingsbehoeftes van vroue na mastektomie te evalueer ten einde die uitdagings wat hulle in die gesig staar na chirurgie beter te begryp. Metodiek: ‘n Kwalitatiewe benadering met beskrywende fenomenologie is toegepas, vanuit post-positivistiese perspektief soos gepopulariseer deur Husserl, om die deelnemers se behoeftes na mastektomie te identifiseer. Sewe vroue vanuit die Kaapse metropool wat almal ‘n mastektomie ondergaan het vir borskanker is deur ‘n sneeubal steekproef geïdentifiseer om individuele onderhoude te ondergaan. Toestemming vir die studie is van die Menslike Navorsingsetiek kommitte van Die Universiteit van Stellenbosch verkry en ingeligte toestemming van elke deelnemer verkry voor die aanvang van elke onderhoud. Onderhoude het plaasgevind op ‘n plek volgens elke deelnemer se voorkeur. ‘n Klankopname daarvan is gemaak en na die tyd woordeliks oorgeskryf en geverifiieer. Die onderhoude is tematies ontleed. Emosionele benoudheid, hanteringsmeganismes, kommer oor kinders en familie, die impak van veranderinge in voorkoms en voorkeure in ondersteuningsbehoeftes was tema’s wat na vore getree het. Resultate: Daar is bevindings dat ondersteuningsbehoeftes afhang van die individu se psigiese, fisiese en sosiale omstandighede. Die nodigheid van inligting en opvoeding in die individue se moedertaal is deurgans vermeld. Daar word voorgestel dat vroue wat met borskanker gediagnoseer word, saam met hul familie deeglike ingelig en onderrig ontvang ten einde die oorgang na oorlewing te vergemaklik. 2016-03-09T14:44:40Z 2016-03-09T14:44:40Z 2016-03 Thesis http://hdl.handle.net/10019.1/98650 en_ZA Stellenbosch University 73, 4 pages application/pdf Stellenbosch : Stellenbosch University
spellingShingle UCTD
Mastectomy
Breast -- Cancer -- Patients -- Care
Breast -- Cancer -- Surgery -- Patients -- Care
Stecher, Nicole Elizabeth
Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title_full Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title_fullStr Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title_full_unstemmed Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title_short Experiences of women in transition to survivorship following mastectomy in the Cape Metropole
title_sort experiences of women in transition to survivorship following mastectomy in the cape metropole
topic UCTD
Mastectomy
Breast -- Cancer -- Patients -- Care
Breast -- Cancer -- Surgery -- Patients -- Care
url http://hdl.handle.net/10019.1/98650
work_keys_str_mv AT stechernicoleelizabeth experiencesofwomenintransitiontosurvivorshipfollowingmastectomyinthecapemetropole