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| Author(s): |
Janaína de Fátima Vidotti
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2017-05-16 |
| Examining board members: |
Manoel Antonio dos Santos;
Éwerton Hélder Bentes de Castro;
Willian Barbosa Gomes;
Adriano Furtado Holanda
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| Advisor: | Manoel Antonio dos Santos |
| Abstract | |
The event of breast cancer can be traumatic for who experiences it, impacting and changing these womens quality of life, mainly in terms of the organization of daily family and social life, implying the need to adapt to new conditions of existence and to the transformations that may result in a new personal and social identity. At the time of the diagnosis, several feelings are experienced, among which despair, anguish and fear of the unknown stand out, being the impact of the diagnosis often considered as an extremely significant experience that influences the entire process until the rehabilitation of the patient. In addition, health professionals are considered important elements in coping with cancer, especially when they inform about the disease and its evolution, as well as when they comfort and encourage women during the diagnosis and treatment. The objective of this study is to understand the experience of the communication process of the breast cancer diagnosis from the perspective of the woman and the physician diagnosing the condition. This is a descriptive, exploratory and prospective qualitative research. Six women who underwent diagnostic investigation and who subsequently received confirmation of breast cancer and six oncologists who are responsible for communicating the diagnosis collaborated with the study. The collaborators were recruited at the Department of Mastology and Gynecological Oncology of the Gynecology and Obstetrics Service at the Hospital das Clínicas of the Ribeirão Preto Medical School. The instruments used were: Sociodemographic Data Form of the LEPPS, open interview, developed based on a guiding question; and a field diary. The data analysis was based on the theoretical and methodological framework of Phenomenology. The results show that both patients and physicians go through the communication of the breast cancer diagnosis as a complex experience. At the same time as the physicians see themselves as transmitters of the bad news, they understand their role as the people who also offer possibilities of life for the sick person. As for the women, it can be appointed that the experience of this process is liminal, nonlinear and of singular significance, through which they go through different paradoxical feelings, such as fear, uncertainty, anguish, sadness, tranquility, hope and indifference, which arouse different ways (denial, coping and acceptance) of dealing with the particularities of the illness. It is concluded that, for both patients and physicians, it is important to value the singularities in their modes of existence, aiming to provide space for the manifestation of subjectivities, in order to achieve integral care from the perspectives of those who care and those who receive care (AU) | |
| FAPESP's process: | 15/04445-2 - The communication of breast cancer diagnosis in patient and physician perspective: a phenomenological study |
| Grantee: | Janaína de Fátima Vidotti |
| Support Opportunities: | Scholarships in Brazil - Master |