Prodiguer du soutien aux femmes atteintes d’un cancer du sein avancé : l’incidence de l’état fonctionnel altéré sur leurs rôles sociaux
Abstract
En dépit de la détection précoce du cancer du sein et des avancées sur le plan des modalités de traitement, les symptômes liés aux métastases continuent d’avoir une incidence sur l’état fonctionnel et la vie quotidienne des femmes. Cette étude avait pour but d’explorer le vécu de l’état fonctionnel altéré et des rôles sociaux des femmes atteintes d’un cancer du sein avancé. En faisant appel à une méthodologie qualitative descriptive, des entrevues semi-structurées ont été réalisées auprès de 10 femmes fréquentant un centre de soins tertiaires en cancérologie et diagnostiquées d’un cancer du sein avancé et d’un état fonctionnel altéré. Les résultats illustraient la nature adaptative des femmes vivant avec leur maladie alors qu’elles refaçonnaient leurs rôles sociaux pour qu’ils concordent avec leur état fonctionnel altéré et leur maladie de niveau avancé. Ces conclusions mettent en relief l’occasion que l’on a d’offrir des interventions infirmières de soutien afin de faciliter les transitions comportementales et cognitives qu’éprouvent les femmes atteintes d’un cancer du sein avancé et d’un état fonctionnel altéré. Ces résultats pourraient avoir des implications pour les femmes atteintes d’autres maladies avancées de nature chronique bien que cela exigera des recherches additionnelles
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Abraido-Lanza, A.F. (1997). Latinas with arthritis: effects of illness,
role identity, and competence on psychological well-being.
American Journal of Community Psychology, 25(5), 601–627.
Abraido-Lanza, A.F., & Revenson, T.A. (2006). Illness intrusion
and psychological adjustment to rheumatic diseases: A social
identity framework. Arthritis Care & Research, 55(2), 224–232.
doi:10.1002/art.21849
Ahles, T.A., Saykin, A.J., Furstenberg, C.T., Cole, B., Mott, L.A., Titus-
Ernstoff, L., & Silberfarb, P.M. (2005). Quality of life of longterm
survivors of breast cancer and lymphoma treated with
standard-dose chemotherapy or local therapy. Journal of Clinical
Oncology, 23(19), 4399–4405. doi:10.1200/jco.2005.03.343
Alavinia, S.M., & Burdorf, A. (2008). Unemployment and
retirement and ill-health: a cross-sectional analysis across
European countries. International Archives of Occupational
and Environmental Health, 82(1), 39–45. doi:10.1007/
s00420-008-0304-6
American Cancer Society. (2011, March 1, 2012.). Breast
cancer survival rates by stage. Retrieved from http://
www.cancer.org/Cancer/BreastCancer/DetailedGuide/
breast-cancer-survival-by-stage
Berg, B.L. (2001). Qualitative research methods for the social sciences.
Boston: Allyn and Bacon.
Bower, J.E., Ganz, P.A. , Desmond, K.A. , Bernaards, C., Rowland, J.H.,
Meyerowitz, B.E., & Belin, T.R. (2006). Fatigue in long-term breast
carcinoma survivors. Cancer, 106(4), 751–758.
Braithwaite, D., Hiatt, R.A., Kerlikowske, K., Moore, D.H., Melisko,
M., Esserman, L., & Tammemagi, M. (2010). Long-term prognostic
role of functional limitations among women with breast cancer.
Journal of the National Cancer Institute, 102(19), 1468–1477.
doi:10.1093/jnci/djq344
Broeckel, J.A., Jacobsen, P.B., Balducci, L., Horton, J., & Lyman, G.H.
(2000). Quality of life after adjuvant chemotherapy for breast
cancer. Breast Cancer Research and Treatment, 62(2), 141–150.
Burke, P.J., & Tully, J.C. (1977). The Measurement of Role Identity.
Social Forces, 55(4), 881–897.
Burnard, P. (1991). A method of analysing interview transcripts in
qualitative research. Nurse Education Today, 11(6), 461–466.
Canadian Cancer Society. (2013). Canadian Cancer Statistics 2013.
Toronto, ON: Canadian Cancer Society.
Cimprich, B., Ronis, D.L., & Martinez-Ramos, G. (2002). Age at
diagnosis and quality of life in breast cancer survivors. Cancer
Practice, 10(2), 85–93.
Coty, M.B., & Wallston, K.A. (2008). Roles and well-being
among healthy women and women with rheumatoid
arthritis. Journal of Advanced Nursing, 63(2), 189–198.
doi:10.1111/j.1365-2648.2008.04661.x
Dorval, M., Maunsell, E., Deschenes, L., Brisson, J., & Masse, B. (1998).
Long-term quality of life after breast cancer: Comparison of
-year survivors with population controls. Journal of Clinical
Oncology, 16(2), 487–494.
Helgeson, V.S., & Tomich, P.L. (2005). Surviving cancer: A
comparison of 5-year disease-free breast cancer survivors with
healthy women. Psycho-Oncology, 14(4), 307–317. doi:10.1002/
pon.848
Hurria, A., Hurria, A., Zuckerman, E., Panageas, K.S., Fornier, M.,
D’Andrea, G., & Hudis, C. (2006). A prospective, longitudinal
study of the functional status and quality of life of older patients
with breast cancer receiving adjuvant chemotherapy. Journal of
the American Geriatrics Society, 54(7), 1119–1124.
Kagawa-Singer, M. (1993). Redefining health: Living with
cancer. Social Science & Medicine, 37(3), 295–304.
doi:10.1016/0277-9536(93)90261-2
Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Newbury Park,
CA: Sage.
Luoma, M.L., & Hakamies-Blomqvist, L. (2004). The meaning of
quality of life in patients being treated for advanced breast
cancer: A qualitative study. Psycho-Oncology, 13(10), 729–739.
Mead, G.H. (1967). Mind, self, and society: From the standpoint of a
social behaviorist: University of Chicago Press.
Montazeri, A., Vahdaninia, M., Harirchi, I., Ebrahimi, M., Khaleghi, F.,
& Jarvandi, S. (2008). Quality of life in patients with breast cancer
before and after diagnosis: an eighteen months follow-up study.
BMC Cancer, 8, 330. doi:10.1186/1471-2407-8-330
Morse, J.M., & Field, P.A. (1995). Principles of data collection.
Qualitative data analysis: an expanded sourcebook (2nd ed.).
Thousand Oaks: Sage.
National Cancer Institute. (2011a). Breast cancer treatment.
Retrieved from http://www.cancer.gov/cancertopics/pdq/
treatment/breast/Patient/page6 - Section_265
National Cancer Institute. (2011b). SEER Cancer Statistics Review,
-2008. Bethesda, MD: National Cancer Institute.
Oken, M.M., Creech, R.H., Torney, D.C., Horton, J., Davis, T.E.,
McFadden, E.T. & Carbone, P.P. (1982). Toxicity and response
criteria of the Eastern Cooperative Oncology Group. American
Journal of Clinical Oncology, 5(6), 649–655.
Patrick, D.L., & Chiang, Y.P. (2000). Measurement of health outcomes
in treatment effectiveness evaluations: Conceptual and
methodological challenges. Medical Care, 38(9), II14–II25.
Petrut, B., Trinkaus, M., Simmons, C., & Clemons, M. (2008). A primer
of bone metastases management in breast cancer patients.
Current Oncology (Toronto, Ont.), 15 (Suppl. 1).
Polit, D.F., & Beck, C.T. (2008). Nursing research: Generating and
assessing evidence for nursing practice. Philadelphia: Wolters
Kluwer Health/Lippincott Williams & Wilkins.
Rolland, J.S. (1987). Chronic illness and the life cycle: A conceptual
framework. Family Process, 26(2), 203–221.
Rosedale, M. (2009). Survivor loneliness of women following breast
cancer. Oncology Nursing Forum, 36(2), 175–183. doi:10.1188/09.
onf.175-183
Sandelowski, M. (1995). Qualitative analysis: What it is and
how to begin. Research in Nursing & Health, 18(4), 371–375.
doi:10.1002/nur.4770180411
Sandelowski, M. (2000). Whatever happened to qualitative
description? Research in Nursing & Health, 23(4), 334–340.
Tonkin, K., Califaretti, N., Chia, S., Clemons, M., Rayson, D., Sehdev,
S., & Verma, S. (2006). Breast cancer & you: A guide for women
living with breast cancer (4th ed.). Amgen Canada Inc.
Tuckett, A.G. (2004). Qualitative research sampling: The very real
complexities. Nursing Research, 12(1), 47–61.
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