Emotional and informational needs of women experiencing outpatient surgery for breast cancer

Doreen E. Dawe, Lorna R. Bennett, Anne Kearney, Doreen Westera

Abstract


This article reports a qualitative study about informational and emotional needs of women who had surgery for breast cancer on an outpatient basis. Nineteen women volunteered for the study. The interviews, lasting approximately 60 minutes, were audio taped and transcribed verbatim. Data were analyzed using content analysis outlined by Hsieh and Shannon (2005).

Findings are organized according to: 1) emotional and informational needs prior to and immediately after surgery; 2) emotional and informational supports while recovering at home; and 3) emotional responses to the outpatient surgery experience. Overall, women were satisfied with the experience of surgery for breast cancer on an outpatient basis, but there were several aspects that warrant closer attention, such as the amount and timing of information delivery, discharge care, and the need for consistent community nursing support and follow-up.

Key words: breast cancer, outpatient surgery, nursing care, emotional needs, informational needs


Full Text:

PDF

References


Allard, N.C. (2007). Day surgery for breast cancer: Effects of

a psychoeducational telephone intervention on functional

status and emotional distress. Oncology Nursing Forum, 34(1),

–141.

Badger, T., Segrin, C., Dorros, S.M., Meek, P., & Lopez, A.M. (2007).

Depression and anxiety in women with breast cancer and their

partners. Nursing Research, 56(1), 44–54

Bonnema, J., van Wersch, A.M., van Geel, A.N., Pruyn, J.F., Schmitz,

P.I, Paul, M.A., & Wiggers, T. (1998). Medical and psychosocial

effects of early discharge after surgery for breast cancer:

Randomized trial. British Medical Journal, 316, 1267–71.

Bundred, N., Maquire, P., Reynolds, J., Grimshaw, J., Morris,

J., Thomson, L., Barr, L., & Baildam. A. (1998). Randomized

controlled trial of effects of early discharge after surgery for

breast cancer. British Medical Journal, 317, 1275–1279.

Chantler, M., Podbilewicz-Schuller, Y., & Mortimer, J. (2005). Change

in need for psychosocial support for women with early stage

breast cancer. Journal of Psychosocial Oncology, 23(2/3), 65–77.

Dawe, D., Gaudine, A., & Laryea, M. (2008, August). The Volunteering

Experience of Women who have Breast Cancer. Poster session

presented at the Canadian Association of Psychosocial Oncology.

Halifax, N.S., Canada.

Deane, K.A., & Degner, L.F. (1997). Determining the information needs

of women after breast biopsy procedures. AORN, 65, 767–776.

Dean, A., & Ahamed, D. (2011). Assessing the impact of a breast

cancer telephone help line. Cancer Nursing Practice, 10(5), 25–28.

Drageset, S., Lindstrøm, T.C., Giske, T. & Underlid, K. (2011). “The

support I need” women’s experiences of social support after

having received breast cancer diagnosis and awaiting Surgery.

Cancer Nursing, 11, 1–9.

Giovanardi, F., Gibertoni, F., Scaltriti, L., Cagossi, K., Di Carlo, G, Artioli, F., Cavanna, L. & Giovanardi, G. (2008). One-day surgery in breast cancer patients: Safe and feasible procedure. Journal of Clinical Oncology. American Society of Clinical Oncology Annual Meeting Proceedings (Post-meeting Edition) 26(15S) May 20, Supplement 11589

Goodman, A.A., &. Mendez, A.L. (1993). Definitive surgery for breast

cancer performed on an outpatient basis. Archives Surgery, 128,

–52.

Greenslade, V.M., Elliott, B., & Mandville-Anstey, S.A (2010). Sameday

breast cancer surgery: A qualitative study of women’s lived

experience. Oncology Nursing Forum, 37(2), E92–E97.

Holcombe, C., West, N., Mansel, R.E., & Horgan, K. (1995). The

satisfaction and savings of early discharge with drain insitu

following axillary lymphadenectomy in the treatment of breast

cancer. European Journal of Surgical Oncology, 21, 604–606.

Hsieh, Hsiu-Fong, & Shannon, S.F. (2005). Three approaches to

qualitative content analysis. Qualitative Health Research, 15,

doi:10.1177/1049732305276687

Hsu, S.C., Wang, H.H., Chu, S.Y., & Yen, H.F. (2009). Supportive care

for Taiwanese women with suspected breast cancer during

the check in paper diagnostic period: Effect on healthcare and

support needs. Oncology Nursing Forum, 36(5), 585–592.

Kambouris, A. (1996). Physical, psychological and economic

advantages of accelerated discharge after surgical treatment for

breast cancer. American Surgeon, 62(2), 123–7.

Marchal, F., Dravet, F., Classe, J.M., Campion, L., François, T., Labbe,

D., Robard, S., … Pioud, R. (2005). Post-operative care and patient

satisfaction after ambulatory surgery for breast cancer patients.

Journal of Cancer Surgery, 31, 495–499.

Margolese, R.G., & Lasry, J.C.M. (2000). Ambulatory surgery for breast

cancer patients, Annals of Surgical Oncology, 7(3), 181–187.

Marla, S., & Stallard, S. (2009). Systematic review of day surgery for

breast cancer. International Journal of Surgery, 7, 318–323.

McGinty, H.L., Goldenberg, J.L., & Jacobson, P.B. (2012). Relationship of

threat appraisal with coping appraisal to fear of cancer recurrence

in breast cancer survivors. Psycho-Oncology, 21, 203–210.

Pinkert, C., Holtgräwe, M., & Remmers, H. (2013). Needs of relatives

of breast cancer patients—The perspectives of families and

nurses. European Journal of Oncology Nursing, 17(1) 81–87.

Remmers, H., Holtgräwe, M., Pinkert, C. (2010). Stress and nursing care

needs of women with breast cancer during primary treatment: A

qualitative study. European Journal of Oncology Nursing, 14(1), 11–16.

Rovera, F., Ferrari, A., Marelli, M., Bellani, M., Limonta, G., Corben,

A.D., Dionigi, G., … Dionigi, R. (2008). Breast cancer surgery in an

ambulatory setting. International Journal of Surgery, 6, S116–S118.

Saares, P., & Suominen, T. (2005). Experiences and resources of

breast cancer patients in short-stay surgery. European Journal of

Cancer Care, 14, 43–52.

Schmid-Büchi, S., Halfens, R.J.G., Müller, M., Dassen, T., & van den

Borne, B. (2012). Factors associated with supportive care needs

of patients under treatment for breast cancer. European Journal

of Oncology Nursing, 17(1), 22–9. doi:10.1016/j.ejon.2012.02.003

Saegrov, S., & Halding, A.G. (2004). What is it like living with the

diagnosis of cancer? European Journal Cancer Care, 13(2), 145–53.

Wells, M., Harrow, A., Donnan, P., Davey, P., Devereux, S., Little, G.,

McKenna, E., … Thompson, A. (2004). Patient, carer and health service

outcomes of nurse-led early discharge after breast cancer surgery: A

randomized controlled trial. British Journal of Cancer, 91(4), 651–658.


Refbacks

  • There are currently no refbacks.