Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study

Sema Koçan; Canan Altınsoy; Yağmur Demirel Özbek

doi:10.38108/ouhcd.1362771

TR EN

Kemoterapi Alan Meme Kanseri Hastalarının Beslenmeye İlişkin Deneyim Ve Algıları: Nitel Bir Çalışma

Öz

Amaç: Araştırmanın amacı; kemoterapi alan meme kanseri hastalarının beslenmeye ilişkin deneyim ve algılarını belirlemektir. Yöntem: Nitel türde olan araştırmanın çalışma grubunu amaçlı örneklem yöntemine göre seçilmiş kemoterapi alan 12 meme kanseri hastası oluşturdu. Veriler yarı yapılandırılmış görüşme yöntemi ile toplandı ve fenomenolojik analiz yöntemi ile değerlendirildi. Bulgular: Araştırmanın sonucunda “bilgiye duyulan açlık”, “sağlığımı korumak ve geliştirmek istiyorum” ve “beslenmeye yüklenen anlam” olmak üzere üç ana tema oluşturuldu. Hastaların çoğunluğunun kemoterapide beslenme konusunda yeterli bilgi alamadıkları ve bu süreçte hastaların nasıl besleneceklerini bilemedikleri saptandı. Hastaların yarıya yakınının kemoterapi yan etkileriyle baş edebilmek için beslenmeye yönelik çözümlerde bulundukları, besinleri ve beslenmeyi kendilerine şifa olarak gördükleri belirlendi. Sonuç: Kemoterapi alan bireylere beslenme konusunda yeterli bilginin verilmesi süreç açısından önem taşımaktadır. Bu çalışmada kemoterapi alan meme kanseri hastalarının beslenmeye ilişkin deneyimlerine ve algılarına ilişkin kapsamlı bilgi edinildi. Bu bilgi bütüncül bakımın planlanması ve gerçekleştirilmesine katkı sağlayacaktır.

Anahtar Kelimeler

Beslenme , fenomoloji , kemoterapi , meme kanseri , nitel araştırma.

Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study

Abstract

Objective: This study aims to determine the nutritional experiences and perceptions of breast cancer patients receiving chemotherapy. Methods: The sample of this qualitative study consisted of 12 breast cancer patients receiving chemotherapy, selected using the purposive sampling method. The data were collected with a semi-structured interview method and evaluated with the phenomenological analysis method. Results: Three main themes emerged in the research: “hunger for knowledge”, “I want to protect and improve my health” and “the meaning attributed to diet”. According to the results, most of the patients did not get enough information about nutrition in chemotherapy, and they did not know what to eat in this period. Nearly half of the patients considered the foods as medicine and found nutritional solutions to overcome the side effects of chemotherapy. Conclusion: It is essential to give sufficient nutritional information to patients receiving chemotherapy. The study provides comprehensive information about the nutritional experiences and perceptions of breast cancer patients receiving chemotherapy and is thought to contribute to the planning and implementation of holistic care.

Keywords

Nutrition , Phenomenology , Chemotherapy , Breast Cancer , Qualitative interwievs

Kaynakça

Abdelaal M, le Roux CW, Docherty NG. (2017). Morbidity and mortality associated with obesity. Annals of Translational Medicine, 5, 1-12. https://doi.org/10.21037/atm.2017.03.107
Akyolcu N, Özhanlı Y, Kandemir D. (2019). Meme kanserinde güncel gelişmeler. Sağlık Bilimleri ve Meslekleri Dergisi, 6, 583-594. https://doi.org/10.5152/hsp.2019.440012
Bahrami M, Taleghani F, Loripoor M, Yousefy A. (2015). Positive changes after breast cancer: A qualitative study. Journal of Education and Health Promotion, 4, 1-8. https://doi.org/10.4103/2277-9531. 162353
Baltacı A. (2018). Nitel araştırmalarda örnekleme yöntemleri ve örnek hacmi sorunsalı üzerine kavramsal bir inceleme. Bitlis Eren Üniversitesi Sosyal Bilimler Dergisi, 7, 231-274.
Baykara O. (2016). Kanser tedavisinde güncel yaklaşımlar. Balıkesir Sağlık Bilimleri Dergisi, 5, 154-165.
Beeken RJ, Williams K, Wardle J, Croker H. (2016). “What about diet?” A qualitative study of cancer survivors' views on diet and cancer and their sources of information. European Journal of Cancer Care, 25, 774-783. https://doi.org/10.1111/ecc.12529
Bıçaklı DH, Yılmaz M. (2018). Kemoterapi alan onkoloji hastalarında yaşam biçimi davranışları, besin tüketim sıklıkları ve riskli beslenme alışkanlıkları. Beslenme ve Diyet Dergisi, 46, 230-239. https://doi.org/10.33076/2018.BDD.315
Boldo E, Castelló A, Aragonés N, Amiano P, Pérez-Gómez B, Castaño-Vinyals G, et al. (2018). Meat intake, methods and degrees of cooking and breast cancer risk in the MCC-Spain study. Maturitas, 110, 62-70. https://doi.org/10.1016/j.maturitas.2018.01.020
Ciria-Suarez L, Jiménez-Fonseca P, Palacín-Lois M, Antoñanzas-Basa M, Fernández-Montes A, Manzano-Fernández A, et al. (2021). Breast cancer patient experiences through a journey map: A qualitative study. PLoS One, 16, 1-23. https://doi.org/10.1371/journal.pone.0257680
de Kruif AJ, Chrifou R, Langeslag GL, Sondaal AE, Franssen MM, Kampman E, et al. (2020). Perceptions of non-Western immigrant women on having breast cancer and their experiences with treatment-related changes in body weight and lifestyle: A qualitative study. PloS One, 15 (7), e0235662. https://doi.org/10.1371/journal.pone.0235662

Finney Rutten LJ, Agunwamba AA, Wilson P, Chawla N, Vieux S, Hartigan DB, et al. (2016). Cancer-related information seeking among cancer survivors: trends over a decade (2003–2013). Journal of Cancer Education, 31, 348-357. https://doi.org/10.1007/s13187 -015-0802-7
Ganesan K, Xu B. (2020). Deep frying cooking oils promote the high risk of metastases in the breast-A critical review. Food and Chemical Toxicology, 144, 1-14. https://doi.org/10.1016/j.fct.2020.111648
Grob SE, Weidner D, Cecon N, Pfaff H, Strauch C, Scholten N. (2020). Does basic information concerning nutrition improve the information needs of breast cancer patients? An evaluation. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 28, 5419-5427. https://doi.org/10.1007/s00520-020-05385-1
Halbach SM, Ernstmann N, Kowalski C, Pfaff H, Pförtner TK, Wesselmann S, et al. (2016). Unmet information needs and limited health literacy in newly diagnosed breast cancer patients over the course of cancer treatment. Patient Education and Counseling, 99, 1511-1518. https://doi.org/10.1016/j.pec.2016.06.028
Hauner K, Maisch P, Retz M. (2017). Side effects of chemotherapy. Urologe, 56, 472-479. https://doi.org/10.1007/s00120-017-0338-z
Hopkinson J. (2018). Psychosocial Support in Cancer Cachexia Syndrome: The evidence for supported self-management of eating problems during radiotherapy or chemotherapy treatment. Asia-Pacific Journal of Oncology Nursing, 5, 358-368. https://doi.org/10.4103/apjon.apjon_12_18
Kim DH. (2019). Nutritional issues in patients with cancer. Intestinal Research, 17, 455-462. https://doi.org/10.5217/ir.2019.00076
Kümbetoğlu B. (2012). Sosyolojide ve antropolojide niteliksel yöntem ve araştırma. 3. Basım, İstanbul: Bağlam Yayıncılık, s. 28-39.
Larsson M, Hedelin B, Johansson, I., Athlin, E. (2005). Eating problems and weight loss for patients with head and neck cancer: a chart review from diagnosis until one year after treatment. Cancer Nursing, 28, 425-435.https://doi.org/10.1097/00002820-20051 1000-00004
Legese B, Addissie A, Gizaw M, Tigneh W, Yilma T. (2021). Information needs of breast cancer patients attending care at Tikur Anbessa Specialized Hospital: A Descriptive Study. Cancer Management and Research, 13, 277-286. https://doi.org/10.2147/CMAR.S264526
Lemanne D, Maizes V. (2018). Advising women undergoing treatment for breast cancer: A narrative review. The Journal of Alternative and Complementary Medicine, 24, 902-909. https://doi.org/10.1089/acm.2018.0150
Lu H, Xie J, Gerido LH, Cheng Y, Chen Y, Sun L. (2020). Information needs of breast cancer patients: theory-generating meta-synthesis. Journal of Medical Internet Research, 22, 1-18. https://doi.org/10.2196/17907
Lunar KG, Kozjek NR, Kovac MB. (2020). Changes in eating habits in breast cancer patients. Zdravstveno Varstvo, 60, 65-71. https://doi.org/10.2478/sjph-2021-0010
Marinho EC, Custodio IDD, Ferreira IB, Crispim CA, Paiva CE, Maia YC. (2017). Impact of chemotherapy on perceptions related to food intake in women with breast cancer: A prospective study. PLoS One, 12, 1-14. https://doi.org/10.1371/journal.pone.0187573
Moustakas C. (1994). Phenomenological research methods. London: Sage Publications Inc., p. 28.
Mullee A, O'Donoghue A, Dhuibhir P, O'Donoghue N, Burke D, McSharry V, et al. (2021). Diet and nutrition advice after a solid tumor diagnosis. JCO Oncology Practice, 17, 982-991. https://doi.org/10.1200/OP.20.00685
Nies YH, Ali AM, Abdullah N, Islahudin F, Shah NM. (2018). A qualitative study among breast cancer patients on chemotherapy: experiences and side-effects. Patient Preference and Adherence, 12, 1955-1964. https://doi.org/10.2147/PPA.S168638
Naja F, Fadel RA, Alameddine M, Aridi Y, Zarif A, Hariri D, et al. (2015). Complementary and alternative medicine use and its association with quality of life among Lebanese breast cancer patients: a cross-sectional study. BMC Complementary and Alternative Medicine, 15, 1-10. https://doi.org/10.1186/s12906-015-0969-9
Norouznia S, Aydoğdu N, Somalı I. (2020). A qualitative study on the problems and needs of patients wıth breast cancer diagnosed with chemotherapy. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23, 127-134. https://doi.org/10.17049/ataunihem.621439
Paepke D, Wiedeck C, Hapfelmeier A, Karmazin K, Kiechle M, Brambs C. (2020). Prevalence and predictors for non-use of complementary medicine among breast and gynecological cancer patients. Breast Care, 15, 380-385. https://doi.org/10.1159/000502942
Shea-Budgell MA, Kostaras X, Myhill KP, Hagen NA. (2014). Information needs and sources of information for patients during cancer follow-up. Current Oncology, 21, 165-173. https://doi.org/10.3747/co.21.1932
Smith JA, Jarman M, Osborn M. (1999). Doing interpretative phenomenological analysis. Murray M, Chamberlain K, editors. Qualitative health psychology: Theories and methods. London: SAGE Publications Ltd., p. 218-241.
Smith JA, Osborn M. (2004). Interpretative phenomenological analysis. Breakwell GM, editor. Doing social psychology research. Leicester: British Psychological Society, p. 229-254.
Sullivan ES, Rice N, Kingston E, Kelly A, Reynolds JV, Feighan J, et al. (2021). A national survey of oncology survivors examining nutrition attitudes, problems and behaviours, and access to dietetic care throughout the cancer journey. Clinical Nutrition ESPEN, 41, 331-339. https://doi.org/10.1016/j.clnesp.2020.10.023
Tautz E, Momm F, Hasenburg A, Guethlin C. (2012). Use of complementary and alternative medicine in breast cancer patients and their experiences: a cross-sectional study. European Journal of Cancer, 48, 3133-3139. https://doi.org/10.1016/j.ejca.2012.04.021
Vagenas D, DiSipio T, Battistutta D, Demark-Wahnefried W, Rye S, Bashford J, et al. (2015). Weight and weight change following breast cancer: evidence from a prospective, population-based, breast cancer cohort study. BMC Cancer, 15, 1-9. https://doi.org/10.1186/s12885-015-1026-2
Wampaalu PB, Eriksson LE, Naamala A, Nabirye RC, Wettergren L. (2016). Experiences of patients undergoing chemotherapy-a qualitative study of adults attending Uganda Cancer Institute. African Health Sciences, 16, 744-749. https://doi.org/10.4314/ahs.v16i3.14
Wochna Loerzel V, Clochesy JM, Geddie PI. (2020). Using serious games to increase prevention and self-management of chemotherapy-induced nausea and vomiting in older adults with cancer. Oncology Nursing Forum, 47, 567-576. https://doi.org/10.1188/20.ONF.567-576
Yüksel P, Yıldırım S. (2015). Theoretical frameworks, methods, and procedures for conducting phenomenological studies in educational settings. Turkish Online Journal of Qualitative Inquiry, 6, 1-20. https://doi.org/10.17569/tojqi.59813
Zainordin NH, Abd Talib R, Shahril MR, Sulaiman SA, Karim N. (2020). Dietary changes and its impact on quality of life among Malay breast and gynaecological cancer survivors in Malaysia. Asian Pacific Journal of Cancer Prevention, 21, 3689-3696. https://doi.org/10.31557/APJCP.2020.21.12.3689

Ayrıntılar

Birincil Dil

İngilizce

Konular

Cerrahi Hastalıklar Hemşireliği

Bölüm

Araştırma Makalesi

Yazarlar

Sema Koçan ^*
0000-0002-9049-3798
Türkiye

Canan Altınsoy
0000-0002-1188-0475
Türkiye

Yağmur Demirel Özbek
0000-0003-3877-3183
Türkiye

Erken Görünüm Tarihi

4 Haziran 2024

Yayımlanma Tarihi

30 Ağustos 2024

Gönderilme Tarihi

19 Eylül 2023

Kabul Tarihi

14 Aralık 2023

Yayımlandığı Sayı

Yıl 2024 Cilt: 7 Sayı: 2

DOI

https://doi.org/10.38108/ouhcd.1362771

IZ

https://izlik.org/JA99EW44BU

APA

Koçan, S., Altınsoy, C., & Demirel Özbek, Y. (2024). Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 7(2), 358-368. https://doi.org/10.38108/ouhcd.1362771

AMA

1.Koçan S, Altınsoy C, Demirel Özbek Y. Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study. Ordu University J Nurs Stud. 2024;7(2):358-368. doi:10.38108/ouhcd.1362771

Chicago

Koçan, Sema, Canan Altınsoy, ve Yağmur Demirel Özbek. 2024. “Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7 (2): 358-68. https://doi.org/10.38108/ouhcd.1362771.

EndNote

Koçan S, Altınsoy C, Demirel Özbek Y (01 Ağustos 2024) Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7 2 358–368.

IEEE

[1]S. Koçan, C. Altınsoy, ve Y. Demirel Özbek, “Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study”, Ordu University J Nurs Stud, c. 7, sy 2, ss. 358–368, Ağu. 2024, doi: 10.38108/ouhcd.1362771.

ISNAD

Koçan, Sema - Altınsoy, Canan - Demirel Özbek, Yağmur. “Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7/2 (01 Ağustos 2024): 358-368. https://doi.org/10.38108/ouhcd.1362771.

JAMA

1.Koçan S, Altınsoy C, Demirel Özbek Y. Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study. Ordu University J Nurs Stud. 2024;7:358–368.

MLA

Koçan, Sema, vd. “Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, c. 7, sy 2, Ağustos 2024, ss. 358-6, doi:10.38108/ouhcd.1362771.

Vancouver

1.Sema Koçan, Canan Altınsoy, Yağmur Demirel Özbek. Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study. Ordu University J Nurs Stud. 01 Ağustos 2024;7(2):358-6. doi:10.38108/ouhcd.1362771

Kemoterapi Alan Meme Kanseri Hastalarının Beslenmeye İlişkin Deneyim Ve Algıları: Nitel Bir Çalışma

Öz

Anahtar Kelimeler

Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Erken Görünüm Tarihi

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster