BREAST CANCER AND NURSING MANAGEMENT

Year 2025, Volume: 7 Issue: 2, 95 - 103, 25.08.2025

Sevda Güvenç , Funda Akduran

Abstract

Breast cancer is one of the most common cancer types among women globally and is a manageable disease with early diagnosis and treatment. Healthy lifestyle changes and regular screening programs play a crucial role in reducing the risk of breast cancer. Nurses play a vital role in increasing patient participation in screening programs, managing treatment side effects, and providing emotional support. Multidisciplinary treatment approaches, combining surgical interventions, radiotherapy, chemotherapy, and hormonal therapies, aim to improve the quality of life of patients. Nursing interventions have been effective in improving patients' quality of life by reducing symptoms such as anxiety, depression, and fatigue. Consequently, the critical role of nurses in the fight against breast cancer is to improve patients' quality of life and enhance their treatment adherence by adopting holistic approaches that address both physical and psychosocial needs.

Keywords

Breast Cancer , Non-pharmacological Methods in Breast Cancer , Nursing Care

MEME KANSERİ VE HEMŞİRELİK YÖNETİMİ

Abstract

Meme kanseri küresel anlamda kadın cinsiyette en sık rastlanan kanser türlerinden biri olup, erken teşhis ve tedavi ile yönetilebilir bir hastalıktır. Meme kanseri riskini azaltmada sağlıklı yaşam tarzı değişiklikleri ve düzenli tarama programlarının önemi büyüktür. Hemşireler, bu süreçte hastaların tarama programlarına katılımını artırma, tedavi yan etkilerini yönetme ve duygusal destek sağlama konularında hayati bir rol oynar. Multidisipliner tedavi yaklaşımları, cerrahi müdahaleler, radyoterapi, kemoterapi ve hormonal tedavilerle birleştirilerek hastaların yaşam kalitesini artırmayı hedefler. Hemşirelik müdahaleleri, anksiyete, depresyon ve yorgunluk gibi semptomları azaltarak hastaların yaşam kalitesini iyileştirmede etkili olmuştur. Sonuç olarak, meme kanseriyle mücadelede hemşirelerin kritik rolü, hastaların fiziksel ve psikososyal ihtiyaçlarını karşılamaya yönelik bütüncül yaklaşımlar benimseyerek hastaların yaşam kalitesini iyileştirmek ve tedaviye uyumlarını artırmaktır.

Keywords

Hemşirelik Bakımı , Meme Kanseri , Meme Kanserinde Nonfarmakolojik Yöntemler

References

• Arving, C., Sjoden, P. O., Bergh, J., Hellbom, M., Johansson, B., Glimelius, B., … & Brandberg, Y. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30(3), 10–19. https://doi.org/10.1097/01.NCC.0000270709.64790.05.
• Ateş, A., & Dikmen Totur, B. (2021). Meme kanseri cerrahisi ve hemşirelik bakımı: Bir derleme. Gevher Nesibe Journal of Medical and Health Science, 6(10), 10-15.
• Aybar, D. O., Kılıç, S. P., & Çınkır, H. Y. (2020). The effect of breathing exercise on nausea, vomiting and functional status in breast cancer patients undergoing chemotherapy. Complementary Therapies in Clinical Practice, 40, 101213. https://doi.org/10.1016/j.ctcp.2020.101213.
• Bahar, A., Ovayolu, Ö., & Ovayolu, N. (2019). Onkoloji hastalarında sık karşılaşılan semptomlar ve hemşirelik yönetimi. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 6(1), 42-58.
• Brown, T., Cruickshank, S., & Noblet, M. (2021). Specialist breast care nurses for support of women with breast cancer. Cochrane Database of Systematic Reviews, 2(2), CD005634. https://doi.org/10.1002/14651858.CD005634.pub3.
• Chan, R. J., Teleni, L., McDonald, S., Kelly, J., Mahony, J., Ernst, K., … & Yates, P. (2020). Breast cancer nursing interventions and clinical effectiveness: A systematic review. BMJ Supportive & Palliative Care, 10(3), 276-286. https://doi.org/10.1136/bmjspcare-2019-002120.
• Chin, C. H., Tseng, L. M., Chao, T. C., Wang, T. J., Wu, S. F., & Liang, S. Y. (2021). Self-care as a mediator between symptom-management self-efficacy and quality of life in women with breast cancer. PloS One, 16(2), e0246430.
• Coleman, E. A., Tulman, L., Samarel, N., Wilmoth, M. C., Rickel, L., Rickel, M., & Stewart, C. B. (2005). The effect of telephone social support and education on adaptation to breast cancer during the year following diagnosis. Oncology Nursing Forum, 32(4), 822–829. https://doi.org/10.1188/05.onf.822-829.
• Elshami, M., Al-Slaibi, I., Ghithan, R. J., Alser, M., Shurrab, N. R., Ismail, I. O., ... & Bottcher, B. (2022). Women’s awareness of breast cancer symptoms: A national cross-sectional study from Palestine. BMC Public Health, 22(1), 801.
• Esserman, L. J. (2017). The WISDOM Study: Breaking the deadlock in the breast cancer screening debate. NPJ Breast Cancer, 3(1), 34.
• Filonenko, E. V., Kaprin, A. D., Polyak, M. A., Troshenkov, E. A., & Malik, D. S. (2021). Rehabilitation of cancer patients after surgical and combined treatment for breast cancer. Physical and Rehabilitation Medicine, Medical Rehabilitation. Federal Research and Clinical Center for Resuscitation and Rehabilitation. https://doi.org/10.36425/rehab70778.
• Goggins, T. (2024). Breast Cancer Palliative Care. In L. Weese James (Ed.), Breast Cancer (pp. 179-185). Elsevier. https://doi.org/10.1016/B978032393249300014X.
• Goodwin, J. S., Satish, S., Anderson, E. T., Nattinger, A. B., & Freeman, J. L. (2003). Effect of nurse case management on the treatment of older women with breast cancer. Journal of the American Geriatrics Society, 51(9), 1252–1259. https://doi.org/10.1046/j.1532-5415.2003.51409.x.
• He, X., Ng, M. S. N., Choi, K. C., & So, W. K. W. (2022). Effects of a 16-week dance intervention on the symptom cluster of fatigue-sleep disturbance-depression and quality of life among patients with breast cancer undergoing adjuvant chemotherapy: A randomized controlled trial. International Journal of Nursing Studies, 133, 104317. https://doi.org/10.1016/j.ijnurstu.2022.104317.
• Houghton, S. C., & Hankinson, S. E. (2021). Cancer progress and priorities: Breast cancer. Cancer Epidemiology, Biomarkers & Prevention, 30(5), 822-844. Hsueh, E. J., Loh, E. W., Lin, J. J., & Tam, K. W. (2021). Effects of yoga on improving quality of life in patients with breast cancer: A meta-analysis of randomized controlled trials. Breast Cancer, 28(2), 264-276. https://doi.org/10.1007/s12282-020-01209-6.
• International Agency for Research on Cancer. (2023a). World fact sheet. Global Cancer Observatory. Retrieved June 16, 2024, from https://gco.iarc.who.int/media/globocan/factsheets/populations/900-world-fact-sheet.pdf
• International Agency for Research on Cancer. (2023b). Türkiye fact sheet. Global Cancer Observatory. Retrieved June 16, 2024, from https://gco.iarc.who.int/media/globocan/factsheets/populations/792-turkiye-fact-sheet.pdf
• Jung, M. S., Kim, M., Sohn, E. H., & Lee, J. S. (2023). The effectiveness and safety of nurse-led auricular acupressure on chemotherapy-induced peripheral neuropathy among patients with breast cancer: A randomized, double-blind, sham-controlled trial. 10, 1097. https://doi.org/10.1097/NCC.0000000000001286.
• Kalkan, Z. (2022). Meme Kanseri ve Ebelik Yaklaşımları. World Women Studies Journal, 7(1), 29-36.
• Katsura, C., Ogunmwonyi, I., Kankam, H. K., & Saha, S. (2022). Breast cancer: Presentation, investigation and management. British Journal of Hospital Medicine, 83(2), 1-7. https://doi.org/10.12968/hmed.2021.0459.
• Keane, D., Phillips, G., Mitchell, N., Connolly, R. M., & Hegarty, J. (2023). Improving quality of life and symptom experience in patients with metastatic breast cancer: A systematic review of supportive care interventions. Psycho-Oncology, 32(8), 1192-1207. https://doi.org/10.1002/pon.6183.
• Khezri, E., Bagheri-Saveh, M. I., Kalhor, M. M., Rahnama, M., Roshani, D., & Salehi, K. (2022). Nursing care based on the Support-Based Spiritual Care Model increases hope among women with breast cancer in Iran. Supportive Care in Cancer, 30(1), 423-429. https://doi.org/10.1007/s00520-021-06413-4.
• Kunkler, I. H., Williams, L. J., Jack, W. J., Cameron, D. A., & Dixon, J. M. (2023). Breast-conserving surgery with or without irradiation in early breast cancer. New England Journal of Medicine, 388(7), 585-594.
• Li, Y., Zhang, X., Zhang, L., & Wang, W. (2021). Effects of evidence-based nursing on psychological well-being, postoperative complications and quality of life after breast cancer surgery. American Journal of Translational Research, 13(5), 5165–5173.
• Lin, Y., Wu, C., He, C., Yan, J., Chen, Y., Gao, L., … & Cao, B. (2023). Effectiveness of three exercise programs and intensive follow-up in improving quality of life, pain, and lymphedema among breast cancer survivors: A randomized, controlled 6-month trial. Supportive Care in Cancer, 31(1), 9. https://doi.org/10.1007/s00520-022-07494-5.
• Lu, J., Chen, X. M., & Xie, K. H. (2022). Effectiveness of nursing interventions on the sexual quality of life of patients with breast cancer: A systematic review and meta-analysis. PLoS One, 17(11), e0277221. https://doi.org/10.1371/journal.pone.0277221.
• Maguire, P., Tait, A., Brooke, M., Thomas, C., & Sellwood, R. (1980). Effect of counselling on the psychiatric morbidity associated with mastectomy. BMJ, 281(6253), 1454–1456. https://doi.org/10.1136/bmj.281.6253.1454.
• McArdle, J. M., George, W. D., McArdle, C. S., Smith, D. C., Moodie, A. R., Hughson, A. M., & Murray, G. D. (1996). Psychological support for patients undergoing breast cancer surgery: A randomised study. BMJ, 312(7034), 813–816. https://doi.org/10.1136/bmj.312.7034.813.
• Nady, F. S., Youness, E. M., & Hassan, H. (2018). Effect of nursing intervention program on quality of life improvement for women undergoing gynecological and breast cancer treatment. Assiut Scientific Nursing Journal, 6(15), 62-77.
• Nayak, M. G., & George, A. (2023). Effectiveness of symptom management intervention for improving the QOL of cancer patients. Asian Pacific Journal of Cancer Prevention, 24(2), 587-596. https://doi.org/10.31557/APJCP.2023.24.2.587.
• Phung, M. T., Tin, S., & Elwood, J. M. (2019). Prognostic models for breast cancer: A systematic review. BMC Cancer, 19, 1-18.
• Ritz, L. J., Nissen, M. J., Swenson, K. K., Farrell, J. B., Sperduto, P. W., Sladek, M. L., ... & Schroeder, L. M. (2000). Effects of advanced nursing care on quality of life and cost outcomes of women diagnosed with breast cancer. Oncology Nursing Forum, 27(6), 923–932.
• Sağlık Bakanlığı. (2024). Kanser taramaları. Retrieved May 5, 2024, from https://hsgm.saglik.gov.tr/tr/kanser-taramalari.html
• Smolarz, B., Nowak, A. Z., & Romanowicz, H. (2022). Breast cancer—epidemiology, classification, pathogenesis and treatment (review of literature). Cancers, 14(10), 2569.zub.
• Tola, Y. O., Chow, K. M., & Liang, W. (2021). Effects of non-pharmacological interventions on preoperative anxiety and postoperative pain in patients undergoing breast cancer surgery: A systematic review. Journal of Clinical Nursing, 30(23-24), 3369-3384. https://doi.org/10.1111/jocn.15827.
• Vidali, S., & Susini, T. (2023). Breast cancer risk and prevention: A step forward. Cancers, 15(23), 5559. https://doi.org/10.3390/cancers15235559.
• Wang, S., Zhang, F., Tang, H., & Ning, W. (2023). The efficacy and safety of acupuncture and moxibustion for breast cancer lymphedema: A systematic review and network meta-analysis. Gland Surgery, 12(2), 215–224. https://doi.org/10.21037/gs-22-767.
• Wang, X., Lai, Q., Tian, Y., & Zou, L. (2020). Effect of evidence-based nursing intervention on upper limb function in postoperative radiotherapy patients with breast cancer. Medicine (Baltimore), 99(11), e19183. https://doi.org/10.1097/MD.0000000000019183.
• Wei, X., Yuan, R., Yang, J., Zheng, W., Jin, Y., Wang, M., ... & Li, K. (2022). Effects of Baduanjin exercise on cognitive function and cancer-related symptoms in women with breast cancer receiving chemotherapy: A randomized controlled trial. Supportive Care in Cancer, 30(7), 6079-6091.
• Wengström, Y. Y., Häggmark, C., Strander, S., & Forsberg, W. (1999). Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy: A randomized study. Acta Oncologica, 38(6), 763–770. https://doi.org/10.1080/028418699432923.
• WHO. (2024a). Global Breast Cancer Initiative. Retrieved May 5, 2024, from https://www.who.int/initiatives/global-breast-cancer-initiative
• WHO. (2024b). Breast cancer. Retrieved June 16, 2024, from https://www.who.int/news-room/fact-sheets/detail/breast-cancer
• Zhang, X., Zhang, D., Yu, P., & Li, X. (2022). Effects of continuous care combined with evidence-based nursing on mental status and quality of life and self-care ability in patients with liver metastasis from breast cancer: A single-center randomized controlled study. Computational and Mathematical Methods in Medicine, 2022, 3637792. https://doi.org/10.1155/2022/3637792.
• Zhou, K., Wang, W., Zhao, W., Li, L., Zhang, M., Guo, P., … & Li, X. (2020). Benefits of a WeChat-based multimodal nursing program on early rehabilitation in postoperative women with breast cancer: A clinical randomized controlled trial. International Journal of Nursing Studies, 106, 103565. https://doi.org/10.1016/j.ijnurstu.2020.