Characterizing Beliefs About Breast Cancer and Comorbid Diabetes After Cancer Treatment.
Characterizing Beliefs About Breast Cancer and Comorbid Diabetes After Cancer Treatment.
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DOI：
10.1188/22.onf.158-166
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发表时间：
2022-03-01
影响因子：
1.9
通讯作者：
Lin, Jenny J.
中科院分区：
文献类型：
--
作者：
Muellers, Kimberly A.;Prieto, Sarah;Lin, Jenny J.
探讨乳腺癌（BC）幸存者如何合并糖尿病（DM）概念化他们的疾病。一个有目的的样本19个社区居住，英语或西班牙语的妇女与DM在纽约市谁接受化疗或激素治疗的阶段I-IIIA BC在过去五年。半结构化访谈由受过训练的研究人员进行，录音和转录。三名编码员通过迭代编码过程审查转录本。采用解释性描述方法确定主题。主要主题包括（1）疾病控制和关注之间的反比关系;（2）感知疾病持久性的变化;（3）疾病后果的差异。妇女更大的感知控制BC认为DM作为一个更大的问题;其他人认为BC无法控制，而DM可以。将DM或BC确定为慢性的妇女认为它们具有更多的后果。了解BC幸存者如何看待DM和癌症可以解释幸存者自我管理行为的变化，并可能通过阐明有关共病疾病的信念可能影响癌症治疗背景下患者的态度和行为的方式来告知肿瘤学护理实践。
To investigate how breast cancer (BC) survivors with comorbid diabetes mellitus (DM) conceptualize their illnesses. A purposive sample of 19 community-dwelling, English- or Spanish-speaking women with DM in New York City who received chemotherapy or hormone therapy for stage I-IIIA BC in the past five years. Semi-structured interviews were administered by trained research staff, audio-recorded and transcribed. Three coders reviewed transcripts through an iterative coding process. An interpretative descriptive approach was used to identity themes. Major themes included (1) an inverse relationship between illness control and concern; (2) variation in perceived illness permanence; and (3) differences in illness consequences. Women with greater perceived control over BC viewed DM as a larger concern; others felt BC could not be controlled while DM could. Women who identified DM or BC as chronic perceived them as having more consequences. Understanding how BC survivors view DM and cancer may explain variation in survivors’ self-management behaviors, and can potentially inform oncology nursing practice by illuminating ways in which beliefs about comorbid illnesses may influence patient attitudes and behaviors in the context of cancer treatment.