Asian Oncol Nurs.  2014 Sep;14(3):155-161. 10.5388/aon.2014.14.3.155.

Body Image and Physical suffering during Radiotherapy in Breast Cancer Patients Following Breast Conserving Operations

Affiliations
  • 1Department of Nursing, GangNeung Asan Hospital, Gangneung, Korea.
  • 2Department of Clinical Nursing, University of Ulsan, Seoul, Korea. pjyun@ulsan.ac.kr

Abstract

PURPOSE
The purposes of this study were to identify body image changes and physical suffering during radiotherapy among breast cancer patients following breast conserving operations and establish correlations between the two.
METHODS
Twenty seven patients were recruited in this survey design. Patient interviews and patient-reported questionnaires were used to collect data from March 1 to July 30, 2013. The questionnaire included 18 items about body image and 10 items about physical suffering.
RESULTS
Patients' body image during radiotherapy following breast conserving operation turned significantly negative. Likewise, patients' physical suffering increased significantly during radiotherapy. Body image and physical suffering were inversely correlated (p=.031).
CONCLUSION
Breast cancer patients receiving radiotherapy following breast conserving operations go through changes in body image. Timely and proper interventions for physical suffering during radiotherapy would help to set up and maintain a positive body image.

Keyword

Breast Neoplasms; Surgery; Radiotherapy; Body Image; Physical Suffering

MeSH Terms

Body Image*
Breast Neoplasms*
Breast*
Humans
Radiotherapy*
Surveys and Questionnaires

Reference

1. National Cancer Information Center. Major cancer prevalence rate. Accessed October 26, 2013. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040105000000.
2. Fobair P, Spiegel D. Concerns about sexuality after breast cancer. Cancer J. 2009; 15:19–26.
Article
3. Jo NH, Shin DS, Park SY. Body image and quality of life by types and time-series of breast surgery. Korean J Womens Health. 2009; 10(2):19–35.
4. Kim BH, Choi JE. The relation between body image and quality of life for middle age. Korean J Womens Health. 2002; 3(2):105–119.
5. Byun HS, Chung BY, Kim GD, Kim KH, Choi EH. Factors affecting sexual function of breast cancer women after receiving cancer treatment. Asian Oncol Nurs. 2013; 13(2):85–94.
Article
6. Jun EY. Factors influencing sexual satisfaction in patients with breast cancer participating in a support group and non support group. Korean J Women Health Nurs. 2005; 11(1):67–76.
Article
7. Breast Cancer Care. Radiotherapy for primary (early) breast cancer. Accessed October 26, 2013. http://www.breastcancercare.org.uk/upload/pdf/bcc_radiotherapy_largeprint_v2.pdf.
8. Chung BY, Yu X, Lee EH. Symptom experience, mood disturbance, & social support in breast cancer patients undergoing radiotherapy. J Korean Oncol Nurs. 2006; 6:172–180.
9. Park JH, Jun EY, Kang MY, Joung YS, Kim GS. Symptom experience and quality of life in breast cancer survivors. J Korean Acad Nurs. 2009; 39(5):613–621.
Article
10. Porock D, Kristjanson L, Nikoletti S, Cameron F, Pedler P. Predicting the severity of radiation skin reactions in women with breast cancer. Oncol Nurs Forum. 1998; 07. 25(6):1019–1029.
11. Yun BS, Back JE, Lee JS, Park MJ, Lim YM. Comparisons of body image, depression, and climacteric symptoms among middle-aged women with and without thyroidectomy. Clin Nurs Res. 2008; 14(3):5–14.
12. McDougall CJ, Franklin LE, Gresle SO. Management of radiation dermatitis in a patient after mastectomy. J Wound Ostomy Continence Nurs. 2005; 32(5):337–339.
Article
13. Byun HS, Kim GD. Impacts of fatigue, pain, anxiety, and depression on the quality of life in patients with breast cancer. Asian Oncol Nurs. 2012; 12(1):27–34.
Article
14. Peck A, Boland J. Emotional reactions to radiation treatment. Cancer J. 1997; 40(1):180–184.
Article
15. Chun JY. A study on body image, spouse support and psychosocial adjustment of patient in mastectomy [dissertation]. Seoul: Korea Univ.;1996.
16. Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995; 4(5):523–531.
Article
17. Jeong KS, Park GJ. Relationships among body image, self-esteem and health promotion behavior in mastectomy patients. J Korean Oncol Nurs. 2007; 7(1):36–46.
18. Lee KJ, Song YS, Cho JK, Jun HK. Development of self-efficacy enhancing program to improvethe quality of life for breast cancer patients-with emphasis on psychosocial perspectives. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16(4):456–468.
19. Kim HJ, Park OJ. Effect of aromatherapy massage on abdominal fat and body image in post-menopausal women. J Korean Acad Nurs. 2007; 37(4):603–612.
Article
20. McQuestion M. Evidence-based skin care management in radiation therapy. Semin Oncol Nurs. 2006; 22(3):163–173.
Article
21. Lee EH, Moon S, Song Y, Chun M. Relationships of lymphedema, the shoulder range of motion, fatigue and social support to the health related quality of life in patients with breast cancer. J Breast Cancer. 2010; 13(2):212–218.
Article
22. Park GJ, Choi JS. Body image and quality of life in women with mastectomy. J Korean Oncol Nurs. 2008; 8(2):86–92.
23. Back M, Guerrieri M, Wratten C, Steigler A. Impact of radiation therapy on acute toxicity in breast conservation therapy for early breast cancer. Clin Oncol (R Coll Radiol). 2004; 16(1):12–16.
Article
24. Porock D, Kristjanson L. Skin reactions during radiotherapy for breast cancer: the use and impact of topical agents and dressings. Eur J Cancer Care (Engl). 1999; 8(3):143–153.
Article
25. Ravo V, Calvanese MG, Di Franco R, Crisci V, Murino P, Manzo R, et al. Prevention of cutaneous damages induced by radiotherapy in breast cancer: an institutional experience. Tumori. 2011; 97(6):732–736.
Article
26. Bolderston A, Lloyd NS, Wong RK, Holden L, Robb-Blenderman L. The prevention and management of acute skin reactions related to radiation therapy: a systematic review and practice guideline. Support Care Cancer. 2006; 14(8):802–817.
Article
27. Porock D, Nikoletti S, Cameron F. The relationship between factors that impair wound healing and the severity of acute radiation skin and mucosal toxicities in head and neck cancer. Cancer Nurs. 2004; 27(1):71–78.
Article
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