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이명선 ( Yi Myung-Sun ) - 서울대학교 간호대학
정우정 ( Joung Woo-Joung ) - 서울대학교 간호과학연구소
박은영 ( Park Eun-Young ) - 가천대학교 간호대학
권은진 ( Kwon Eun-Jin ) - 부천대학교 간호대학
김해진 ( Kim Hae-Jin ) - 단국대학교 간호대학
서지영 ( Seo Ji-Young ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy.
Methods: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction.
Results: Five theme clusters emerged. First, “expected loss of sexuality and discovery of autonomy” illustrates various aims of breast reconstruction. Second, “holding tight to the reputation of doctors amid uncertainty” specifies the importance of a trust relationship with their physician despite a lack of information. Third, “family members to step back in position” describes support or opposition from family members in the decision making process. Fourth, “bewilderment due to the paradoxof appearance-oriented views” illustrates paradoxical environment, resulting in confusion and anger. Lastly, “decision to be made quickly with limited time to oneself” describes the crazy whirling process of decision making.
Conclusion: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.
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KeyWords
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유방암, , 유방성형술, 의사결정, 질적 연구, 여성
Breast Neoplasms, Mammoplasty, Decision Making, Qualitative Research, Women
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원문 및 링크아웃 정보
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등재저널 정보
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