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Women with breast cancer: experiencing social and family support during treatment.

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Author(s):
Daniela Cristina Mucinhato Ambrósio
Total Authors: 1
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:
Examining board members:
Manoel Antonio dos Santos; Regina Szylit Bousso; Willian Barbosa Gomes
Advisor: Manoel Antonio dos Santos
Abstract

A review of national and international literature evidences a considerable amount of scientific studies addressing psychological repercussions of breast cancer and its treatment. However, issues related to social and family support from the perspective of affected women is still little investigated. Studies aimed to understand how social and family support can minimize the repercussions of a breast cancer diagnosis and treatment on patients are needed to ground health actions and integral health care delivery. Studies emphasized the perspective of family members but there are few studies investigating the view of women under treatment. From this perspective, this study aims to understand how women in breast cancer rehabilitation process experiences care provided by social support networks, specifically in relation to perceived social and family support. Seven women aged between 39 and 73 years submitted to mastectomy between July 2004 and June 2008 and attending a center for mastectomized women rehabilitation at the University of São Paulo at Ribeirão Preto, College of Nursing participated in the study. This qualitative study used Phenomenology as the theoreticalmethodological framework. Data collection was carried out in two stages. The first stage included individual interviews guided by the question Would you tell me how you have experienced family support since you have learned you had breast cancer and what it means to you? Interviews were audio recorded after the participants\' consent. In the second stage a genogram and ecomap were developed jointly with the participants considering two distinct points in time: before and after the breast cancer diagnosis. The Brazilian Economic Classification Criteria was also applied. Data obtained from these instruments permitted to characterize the study\'s participants and their family networks in addition to received support. Interviews were transcribed verbatim and analyzed jointly with the remaining data according to the adopted methodological reference through phenomenological description, reduction and interpretation. The results show that the patients\' social and family support networks were considerable enlarged and diversified after the breast cancer diagnosis, which however, did not necessarily mean they had increased resources since the women under treatment were not always able to attribute positive meanings to the care received for their psychosocial wellbeing. The knowledge acquired with this study is expected to help professionals to improve the signification process of women with breast cancer concerning the social and family support they receive, broadening understanding of care delivery. (AU)