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Breast Cancer

, Volume 23, Issue 4, pp 654–661

First Online: 02 June 2015Received: 20 March 2015Accepted: 24 May 2015DOI: 10.1007-s12282-015-0620-0

Cite this article as: Czerw, A., Religioni, U. & Deptała, A. Breast Cancer 2016 23: 654. doi:10.1007-s12282-015-0620-0

Abstract

IntroductionBreast cancer is the most common malignant neoplasm in women. Over the past 40 years, the number of patients diagnosed with breast cancer quadrupled. Breast cancer is one of the most frequent causes of death in women aged 65 and more in Poland.

PurposeThe purpose of the study was to evaluate coping strategies, pain management, disease acceptance and adjustment to cancer in patients diagnosed with breast cancer and to assess the effect of socioeconomic variables on the above mentioned issues.

MethodsThe study included 193 patients diagnosed with breast cancer during outpatient chemotherapy classical chemotherapy, hormone therapy, molecularly targeted therapies at the Center of Oncology, Maria Skłodowska-Curie Institute in Warsaw. We applied the Paper and Pencil Interview PAPI technique. The questionnaire interview consisted of demographic questions socioeconomic variables and the following four psychometric tests: BPCQ Beliefs about Pain Control Questionnaire, measuring the influence of factors affecting pain management in patients, CSQ Coping Strategies Questionnaire, designed to evaluate pain coping strategies, AIS Acceptance of Illness Scale questionnaire, measuring disease acceptance, and the mini-MAC Mental Adjustment to Cancer scale.

ResultsThe results of BPCQ show that breast cancer patients mostly believe that doctors control pain; the mean result for the group was 17.09 and test values were differentiated by education and professional status. The top average score in the pain coping strategies questionnaire was recorded in the positive coping self-statement subscale mean score = 21.81, whereas the lowest, in the catastrophizing subscale mean score = 10.60. Here, education and income proved most significant in accounting for the differences recorded. The mean score on the AIS was 28.45, and the key factor differentiating the results was income. As far as the mini-MAC is concerned, we reported the highest score in the fighting spirit subscale 23.43. The average results in the scale were slightly differentiated by socioeconomic variables.

ConclusionsBreast cancer patients mostly believe that those who control pain are doctors. Amongst the strategies of coping with pain, the top average score was recorded in the positive coping self-statement subscale. We found out that the level of disease acceptance depends on respondent’s income. The higher the income, the greater the acceptance of illness.

KeywordsBreast cancer Pain evaluation Acceptance of illness Quality of life  Download fulltext PDF



Autor: Aleksandra Czerw - Urszula Religioni - Andrzej Deptała

Fuente: https://link.springer.com/







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