Nutritional Experiences and Perceptions of Breast Cancer Patients Receiving Chemotherapy: A Qualitative Study
Yıl 2024,
Cilt: 7 Sayı: 2, 358 - 368, 30.08.2024
Sema Koçan
,
Canan Altınsoy
,
Yağmur Demirel Özbek
Öz
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.
Etik Beyan
In order to carry out the study, from the ethics committee of the medical faculty in Recep Tayyip Erdogan University (Date: 07/05/2021, Number: E-40465587-050.01.04-123) written permission was obtained. The principles of the Declaration of Helsinki conducted the research.
Teşekkür
We thank the patients who participated in the study.
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
Kemoterapi Alan Meme Kanseri Hastalarının Beslenmeye İlişkin Deneyim Ve Algıları: Nitel Bir Çalışma
Yıl 2024,
Cilt: 7 Sayı: 2, 358 - 368, 30.08.2024
Sema Koçan
,
Canan Altınsoy
,
Yağmur Demirel Özbek
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.
Etik Beyan
-Çalışmanın yürütülebilmesi için Recep Tayyip Erdoğan Üniversitesi Tıp Fakültesi Girişimsel olmayan araştırmalar Etik kurulundan etik izin alınmıştır (Tarih: 07.05.2021 ve Karar no: E-40465587-050.01.04-123).
Teşekkür
Çalışmaya katılan hastalara teşekkür ederiz.
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