Women's Educational Needs and Perceptions About Survivorship Following Bilateral Mastectomy

Clin J Oncol Nurs. 2016 Aug 1;20(4):411-8. doi: 10.1188/16.CJON.411-418.

Abstract

Background: More women are choosing to have a bilateral mastectomy to treat unilateral breast cancer despite it not being considered the standard of care. Women are making this choice for various reasons, including anxiety of follow-up screening of the other breast, risk of cancer recurrence for the rest of their lives, and desire to maintain control over the localized cancer. Currently, evidence-based information is lacking regarding this treatment choice. In addition, the concept of survivorship has yet to be examined in this population of women.

Objectives: This study aimed to explore women's educational needs and perceptions about survivorship following bilateral mastectomy as a treatment for unilateral breast cancer.

Methods: In-depth interviews were conducted with 23 women using a semistructured interview guide. Data were elicited, coded, and analyzed using thematic analysis.

Findings: Two themes were identified that addressed education and survivorship.

Keywords: bilateral mastectomy; breast cancer education; decision making; survivorship.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / psychology
  • Breast Neoplasms / surgery*
  • Female
  • Humans
  • Mastectomy, Radical / education
  • Mastectomy, Radical / psychology*
  • Middle Aged
  • Patient Education as Topic*
  • Prophylactic Mastectomy / education
  • Prophylactic Mastectomy / psychology*
  • Survival / psychology*
  • Women / education*
  • Women / psychology*