Main Article Content
OBJECTIVES: To investigate how married women with breast cancer adapted themselves after breast surgery and to evaluate selected variables related to adaptation.
MATERIAL AND METHODS: One hundred participants were married women with breast cancer who met the inclusion criteria from November 2017 to February 2018. To collect data, we compiled the demographic questionnaire and clinical data form, the adaptation of breast cancer questionnaire, and the social support scale. The data were analyzed using descriptive statistics, Chi-square test, and Pearson’s product moment correlation.
RESULT: The average age of participants was 54.37 years (SD = 9.50). The mean duration after breast surgery was seven months (SD = 3.26). One-third of the participants (35 %) received a combination therapy of surgery and chemotherapy. The results showed that the participants had a high adaptation level. Among four modes of adaptation, high levels of adaptation were found for physiological and role-function modes, but moderate levels for the self-concept and interdependence modes. It was found that social support was positively related to adaptation (r = 0.436, p < 0.05).
CONCLUSION: The findings are significant for guiding the intervention by promoting social support among married women after breast surgery.
2. Youlden DR, Cramb SM, Yip CH, et al. Incidence andmortality of female breast cancer in the Asia-Pacific region.Cancer Biol Med 2014;11(2):101-15.
3. Bureau of Health Policy and Strategy. Number and mortalityrates per 100,000 population by sex and causes of death.(Accessed May 4, 2019, at http://bps.moph .go.th/ new_bps/sites/default/files/stratistics60.pdf.)
4. Sakorafas GH, Safioleas M. Breast cancer surgery: anhistorical narrative part III from the sunset of the 19th to thedawn of the 21st century. Eur J Cancer Care 2010;19(2):145-66.
5. Rahman GA. Breast conserving therapy: a surgical techniquewhere little can mean more. J Surg Tech Case Rep 2011;3(1):1-4.
6. Zahoor S, Haji A, Battoo A, et al. Sentinel lymph nodebiopsy in breast cancer: a clinical review and update. J BreastCancer 2017;20(3):217-27.
7. Lee C, Sunu C, Pignone M. Patient-reported outcomes ofbreast reconstruction after mastectomy: a systematic review.J Am Coll Surg 2009;209(1):123-33.
8. Vitug AF. Complications in breast surgery. Surg Clin NorthAm 2007;87(2):431-51.
9. Lim CC, Devi MK, Ang E. Anxiety in women with breastcancer undergoing treatment: a systematic review. Int J EvidBased Healthc 2011;9(3):215-35.
10. Falk Dahl CA, Reinertsen KV, Nesvold IL, et al. A study ofbody image in long-term breast cancer survivors. Cancer2010;116(15):3549-57.
11. Mary P, Robin J, Susan RD. Sexual function after breastcancer. J Sex Med 2010;8(1): 294-302.
12. Kocan S, Gürsoy A. Body image of women with breast cancerafter mastectomy: a qualitative research. J Breast Health2016;12(4):145-52.
13. Poungsamai P, Choowattanapakorn T, Chimluang J. Therelationships between age, education, uncertainty in illness,sense of coherence, social support and adaptation in breastcancer patients receiving chemotherapy. JOPN 2015;7(2):187-200.
14. Soison A. The relationship between stimuli and adaptation ofpatients with total knee arthroplasty; 2010, Master’s Thesis,Khonkean University, Khonkean. [In Thai]
15. Yiadthaisong K, Sittipakorn S, Buatee S. Selected factorscorrelated with physical adaptation among stroke patients inrehabilitation phase. Srinagarind Med J 2015;30(5):491-7.
16. Buapan A. Factors influencing adaptation in heart failurepatients; 2008, Master’s Thesis, Mahidol University, Bangkok.[In Thai]
17. Samranrat J. The relationships between perceived severity ofillness, spouse support, and adaptation of patients with breastcancer who have undergone mastectomy; 2005, Master’sThesis, Mahidol University, Bangkok. [In Thai]
18. Andrew J, Roy SC. Essentials of the Roy Adaptation Model.Appleton-Century-Crofts, Norwalk, CT; 1986.
19. Faul F, Erdfelder E, Lang AG, et al. G*Power 126.96.36.199. 2014.(Accessed November 12, 2018, at http://gpower.software.informer.com/3.1/)
20. Toljamo M, Hentinen M. Adherence to self-care and socialsupport. J Clin Nurs 2001; 10(5):618-27.
21. Leelacharus S, Orathai P. Construct validity of social supportquestionnaire in Thai women who diagnosed with hypertension.Public Health Nurs 2011;25(3):1-17.
22. Oztunc G, Yesil P, Paydas S, et al. Social support andhopelessness in patients with breast cancer. Asian Pac JCancer Prev 2013;14(1):571-8.
23. Boonchoo B, Thongcharoen W, Thongcharoen V, et al. TheRelationships between age, caregiving burden, social support,and adaptation of caregivers of older persons with chronicobstructive pulmonary disease. Songklanagarind J Nurs2015;35(2):61-78.
24. Kumto O, Soonthronchaiya R. Factors related to adaptationamong older persons with depressive disorder. J PsychiatrMent Health Nurs 2014;28(2):74-87.
25. Fang SY, Shu BC, Chang YJ. The effect of breast reconstructionsurgery on body image among women after mastectomy: ameta-analysis. Breast Cancer Res Treat 2012;137(1): 13-21.