Breast Conserving Therapy and Quality of Life in Thai Females: a Mixed Methods Study

Peerawong, Thanarpan; Phenwan, Tharin; Supanitwatthana, Sojirat; Mahattanobon, Somrit; Kongkamol, Chanon

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자료유형: 학술저널

저자정보: Peerawong, Thanarpan (Department of Radiology, Faculty of Medicine, Prince of Songkla University) Phenwan, Tharin (Walailak University School of Medicine) Supanitwatthana, Sojirat (Faculty of Liberal Arts, Rajamangala University of Technology Suvarnabhumi) Mahattanobon, Somrit (Department of Surgery, Faculty of Medicine, Prince of Songkla University) Kongkamol, Chanon (Research Unit of Holistic Health and Safety Management in Community, Faculty of Medicine, Prince of Songkla University)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제17권 제6호

발행연도: 2016.1

수록면: 2,917 - 2,921 (5page)

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Background: To explore factors that influence quality of life (QOL) in patients receiving breast conserving therapy (BCT). Materials and Methods: In this sequential mixed methods study, 118 women from Songklanagarind Hospital were included. We used participants' characteristics, Body Image Scale (BIS), and Functional Assessment of Cancer Therapy with the Breast Cancer Subscale (FACT-B) for analysis. The BIS transformed into presence of body image disturbance (BID). Factors that influenced QOL were determined by stepwise multiple linear regression. Forty-one participants were selected for qualitative analysis. Our female researcher performed the semi-structured interviews with questions based on the symbolic interaction theory. Final codes were analysed using thematic analysis along with investigator triangulation methods. Results: Ninety percent had early stage breast cancer with post-completed BCT, for an average of 2.7 years. The median BIS score and FACT-B score were 2 (IQR=10) and 130 (IQR=39). In the regression analysis, an age of more than 50 years and BID were significant factors. As for the value of conserved breasts, two themes emerged: a conserved breast is an essential part of a participant's life and also the representation of her womanhood; the importance of a breast is related to age. Conclusions: Body image influenced QOL in post BCT participants. The conserved breasts also lead to positive and better impact on their body image as an essential part of their life.

#Breast cancer #breast conservation #quality of life #body image #mixed methods

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