Keywords

Breast cancer, Experience, New diagnosis, Older women, Qualitative

 

Authors

  1. Lu, Mei-Hsueh MSN, RN
  2. Lin, Hung-Ru PhD, RN
  3. Lee, Ming-Der PhD, RN

Abstract

Background: Breast cancer is one of the most common types of cancer among women. Older women have differences in physical conditions and culture backgrounds compared with young age, which may influence their experiences in facing the diagnosis and treatment for breast cancer.

 

Objective: The objective of the study was to explore the experiences of older Taiwanese women when they first faced a new diagnosis of breast cancer.

 

Methods: A qualitative design was used. Fourteen women, aged 65 to 91 years, with a new diagnosis of breast cancer were interviewed within a month after they completed the first course of treatment at a cancer hospital in northern Taiwan.

 

Results: Content analysis of the interviews revealed 5 themes: the delay in seeking medical help, the impact caused by the initial diagnosis, facing the threat from cancer and its treatments, the battle against the illness, and living with breast cancer.

 

Conclusion: Participants simultaneously faced physical discomfort, shock, denial, fear, worry, and hopelessness. Fortunately, despite these difficulties, they were encouraged to battle and live with breast cancer through the caring and support of family and by seeking information, searching for alternative therapies, practicing religion, readjusting their attitude to face the illness, getting back to a normal life, and appreciating the lives they have.

 

Implications for Practice: It is vital to assist older Taiwanese women to go to the physician earlier when they find something abnormal in their breast. Children, female relatives, and friends have important roles in helping them face the disease and treatment of breast cancer.