The unmet needs of women with breast cancer: a qualitative research

The unmet needs of women with breast cancer: a qualitative research

Authors

  • Chiara Foà Dipartimento di Medicina e Chirurgia- Università degli Studi Parma
  • Maria Cristina Guarnieri
  • Valentina Basciu
  • Silvia Naldi
  • Mariavittoria Scaravella
  • Antonietta Scirpoli

Keywords:

Unmet needs, breast cancer, Case/Care Manager Nurse, narrative interview.

Abstract

Background and aim of the work.

Breast cancer (CM) is the most commonly diagnosed form of cancer in Italy and the most common malignancy in women (25%) with 53,000 new cases. This disease affects all age groups (1 in 40 women <49 years, 1 in 20 between 50 and 69 years, 1 in 25 between 70 and 84 years). The percentage of patients diagnosed with cancer within 5 years of diagnosis is higher than for other cancers, and this conviction rate in these cancer patients has increased, leading to an ever-improving level of attention.

The research aims to understand the main needs of women with breast cancer, compare them with those reported in the literature and in particular to identify which of these are still unsatisfied.

Method

The study is based on the use of the narrative interview conducted by the Case Manager, in the Breast Unit of Melegnano (Milan), selected with a sampling of convenience.The participants who joined the research project were 12 women with breast cancer, aged between 40 and 60, who are in the active treatment phase of the disease.

Results.

As highlighted by literature, various unmet needs have emerged, afferent to well-defined areas: emotional health, continuity of care, information, adverse effects, educational strategies, economics, information and social support. The study showed that, the needs that are most unsatisfied relate to the information area and the psychological area.

Conclusion.

The interviews conducted underlined the importance of the role of the Case Care Manager as a facilitator of the disease path that patients are experiencing both in terms of the clinical and psychological aspects but also as a support in managing daily life. future research should investigate the role of the Case Vare manager in meeting these needs

References

. Fang S-Y, Fetzer SJ, Lee K-T, Kuo Y-L. Fear of Recurrence as a Predictor of Care Needs for Long-Term Breast Cancer Survivors. Cancer Nurs 2018; 41: 69-76.

. AIOM. Linee guida dell’oncologia italiana [Guidelines of Italian oncology]. Brescia IT.: Intermedia Editore, dicembre 2019.

. Conferenza Stato Regioni, 18 dicembre 2014. Linee di indirizzo sulle modalità organizzative ed assistenziali della rete dei centri di senologia [Guidelines on the organizational and assistence modalities of the network of breast care centers]. IT, Rep. Atti n. 185/CSR of 18/12/2014.

. Ahern T, Gardner A, Courtney M. Exploring patient support by breast care nurses and geographical residence as moderators of the unmet needs and self-efficacy of Australian women with breast cancer: Results from a crosssectional, nationwide survey. Eur J Oncol Nurs 2016; 23:72-80.

. Moriconi T. Tumore al seno, quasi una donna su tre non è ancora stata curata in una Breast Unit – [Breast Cancer, one in three women is not yet treated in a breast unit] Quotidiano La Repubblica, Roma: Gruppo Editoriale GEDI, 30/10/2019.

. Research institute SWG for Association Europa Donna Italia supported by Roche, Campagna “Chiedo di più” [I ask for more]. Italia: 28 agosto – 16 settembre 2019.

. Zdenkowski N, Tesson S, Lombard J, et al. Supportive care of women with breast cancer: key concerns and practical solutions. MJA 205 2016; 10: 471-475.

. Willems RA, Bolman CAW, Mesters I, Kanera IM, Beaulen AAJ, Lechne L. Cancer survivors in the first year after treatment: the prevalence and correlates of unmet needs in different domains. Psycho-Oncol. 2015; 25: 52-57.

. Martínez Arroyo O, Andreu Vaíllo Y, Martínez López P, Galdón Garrido MJ. Emotional distress and unmet supportive care needs in survivors of breast cancer beyond the end of primary treatment. SCC 2019; 27: 1049-1057.

. Cruickshank S, Steel E, Fenlon D, Armes J, Banks E, Humphris G. Specialist breast cancer nurses’ views on implementing a fear of cancer recurrence intervention in practice: a mixed methods study. SCC 2019; 28: 202-210.

. Knobf MT. The transition experience to breast cancer survivorship. Semin Oncol Nurs 2015; 31: 178-182.

. Pembroke M, Bradley J, Nemeth LS. Breast Cancer Survivors’ Unmet Needs After Completion of Radiation Therapy Treatment. Oncol Nurs Forum 2020; 47: 436-445.

. Llewellyn A, Howard C, McCabe C. An exploration of the experiences of women treated with radiotherapy for breast cancer: Learning from recent and historical cohorts to identify enduring needs. Eur J Oncol Nurs 2019; 39: 47-54.

. Sussman J, Bainbridge D, Whelan TJ, et al. Evaluation of a specialized oncology nursing supportive care intervention in newly diagnosed breast and colorectal cancer patients following surgery: a cluster randomized trial. SCC 2018; 26: 1533-1541.

. Swanson AJ, DesHarnais Castel L, McKenna PA, Shen YA, Sagar B, Integration of the National Comprehensive Cancer Network (NCCN) Distress Screening Tool as a Guidepost for Telephonic Oncology Case Management. Prof Case Manag 2019; 24: 148-154.

. Lo W-T, Yates P, Chan RJ. Unmet Supportive Care Needs and Symptom Burden in Taiwanese Cancer Survivors who have completed primary treatment. Eur J Oncol Nurs 2018; 35: 79-84.

. Stahlke S, Rawson K, Pituskin E. Patient Perspectives on Nurse practitioner Care in Oncology in Canada. J Nurs Scholarsh, 2017; 49: 487-494.

. Enzler CJ, Torres S, Jabson J, Hanson AA, Bowen DJ. Comparing provider and patient views of issues for lowresourced breast cancer patients. Psycho-Oncol. 2019; 28: 1018-1024.

. Trescher GP, Amante LN, Martins da Rosa L, et al. Needs of Women with Breast Cancer in the pre-operative period. J. Nurs. 2019; 13: 1288-1294.

. Zoylner IA, Lomborg K, Chrisrìtiansen PM, Kirkegaard P. Surgical breast cancer patient pathway: Experiences of patients and relatives and their unmet needs. Health Expect 2018; 22: 262-271.

. Burris JL, Armeson K, Sterba KS. A Closer Look at Unmet Needs at the End of Primary Treatment for Breast Cancer: A longitudinal Pilot Study. J. Behav. Med. 2015; 41: 70-76.

. Miyashita M, Ohno S, Kataoka A, et al. Unmet Information Needs and Quality of Life in Young Breast Cancer Survivors in Japan. Cancer Nurs 2015; 38: 1-11.

. Chou Y-H, Hsieh V C-R, Chen XX, Huang T-Y, Shieh S-H. Unmet supportive care needs of survival patients with breast cancer in different cancer stages and treatment phases. Taiwan J Obstet Gynecol 2020; 59: 231-236.

. Jiemin Z, Lyn Liu E, Yuwei X, Chan D, Wai-Chi S. Mobile Breast Cancer e-Support Program for Chinese Women With Breast Cancer Undergoing Chemotherapy (Part 2): Multicenter Randomized Controlled Trial. JMIR Mhealth Uhealth 2018; 6: 1-14.

. Campbell-Enns H, Woodgate R. The psychosocial experiences of women with breast cancer across the lifespan: a systematic review protocol. JBI Database System Rev Implement Rep 2015; 13: 112-121

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Published

12-05-2022

How to Cite

1.
Foà C, Guarnieri MC, Basciu V, Naldi S, Scaravella M, Scirpoli A. The unmet needs of women with breast cancer: a qualitative research. Acta Biomed [Internet]. 2022 May 12 [cited 2024 Jul. 18];93(S2):e2022153. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/12956