Korean J Women Health Nurs.  2012 Mar;18(1):49-61. 10.4069/kjwhn.2012.18.1.49.

Experiences of the Use of External Breast Prosthesis among Breast Cancer Survivors in Korea

Affiliations
  • 1Department of Nursing, Korea Nazarene University, Cheonan, Korea.
  • 2Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.
  • 3Red Cross College of Nursing, Chung-Ang University, Seoul, Korea. goodcare@cau.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the experiences of the use of external breast prostheses among breast cancer survivors in Korea.
METHODS
A qualitative descriptive study was conducted, using focus groups. Data were collected from breast cancer survivors who were patients of C women's hospital in Seoul, Korea. Data were analyzed using content analysis in order to identify significant themes.
RESULTS
Participants included forty breast cancer survivors who had mastectomy as a surgical treatment. Four themes emerged from the collected data were: 1) concern over the high price of external breast prosthesis, 2) irregular use of external breast prosthesis, 3) unsatisfied with mastectomy bra, and 4) wanting to hide or not to talk about using breast prosthesis openly.
CONCLUSION
Since most participants reported irregular use and negative experiences related to external breast prosthesis or mastectomy bra use, healthcare workers should allow more time for proper fitting and counseling and consulting with breast cancer survivors. In addition, health care providers as well as family and friends should keep in mind that cancer survivors need support that can help them cope by using positive reframing. Furthermore, improvements in the coverage of costs and services are needed for these women. This would be helpful for breast prosthesis users.

Keyword

Breast neoplasms; Breast prosthesis; Mastectomy

MeSH Terms

Breast
Breast Neoplasms
Counseling
Delivery of Health Care
Female
Focus Groups
Friends
Health Personnel
Humans
Korea
Mastectomy
Phosphatidylethanolamines
Prostheses and Implants
Survivors
Phosphatidylethanolamines

Reference

1. Baron R.H. Surgical management of breast cancer. Seminars in Oncology Nursing. 2007. 23:10–19.
Article
2. Baucom D.H., Porter L.S., Kirby J.S., Gremore T.M., Wiesenthal N., Aldridge W., et al. A couple-based intervention for female breast cancer. Psychooncology. 2009. 18:276–283.
Article
3. Choi H.S., Lee K.M. A study on the development of mastectomy bras and breast prosthesis. Journal of the Korean Society of Costumes. 2001. 51:5–18.
4. Crumpton G. Alabama passes post-mastectomy fitter licensure legislation. Business News. 2010. 11. Retrieved December 20, 2011. from http://www.oandpbusinessnews.com.
5. Gallagher P., Buckmaster A., O'Carroll S., Kiernan G., Geraghty J. Experiences in the provision, fitting and supply of external breast prostheses: Findings from a national survey. European Journal of Cancer Care. 2009. 18:556–568.
Article
6. Gallagher P., Buckmaster A., O'Carroll S., Kiernan G., Geraghty J. External breast prostheses in post-mastectomy care: Women's qualitative accounts. European Journal of Cancer Care. 2010. 19:61–71.
Article
7. Gho S.A., Steele J.R., Munro B.J. Is bra discomfort a barrier to exercise for breast cancer patients? Support Care Cancer. 2010. 18:735–741.
Article
8. Glaus S.W., Carlson G.W. Long-term role of external breast prostheses after total mastectomy. Breast Journal. 2009. 15:385–393.
Article
9. Hawkins Y., Ussher J., Gilbert E., Perz J., Sandoval M., Sundquist K. Changes in sexuality and intimacy after the diagnosis and treatment of cancer. Cancer Nursing. 2009. 32:271–280.
Article
10. Healey I.R. External breast prostheses: Misinformation and false beliefs. MedGenMed: Medscape General Medicine. 2003. 5:36.
11. Kim J.H. The experience on life of women with mastectomy. 2004. Seoul: Hanyang University;Unpublished doctoral dissertation.
12. Kim Y.L. The complexity of body image in post-mastectomy women and social support. Korean Journal of Social Psychology. 2010. 24:129–147.
13. Lee D.H. Beauty to breast cancer survivors: Gwacheon 'Re-Mamma' project. Money Today. 2011. 12. Retrieved January 20, 2012: from http://www.mt.co.kr.
14. Lee I.J. A study on psychosocial needs of breast cancer patients. 2002. Seoul: Ewha Womans University;Unpublished master's thesis.
15. Lee Y.S. Psychosocial experience in post-mastectomy women. Korean Journal of Social Welfare. 2007. 59:99–124.
16. Lincoln Y.S., Guba E.G. Naturalistic inquiry. 1985. Beverly Hills, CA: Sage.
17. Livingston P.M., White V., Roberts S., Pritchard E., Gibbs A., Hill D.J. Access to breast prostheses via a government-funded service in Victoria, Australia. Experience of women and service providers. Evaluation Review. 2003. 27:563–568.
18. Livingston P.M., White V.M., Roberts S.B., Pritchard E., Hayman J., Gibbs A., et al. Women's satisfaction with their breast prosthesis: What determines a quality prosthesis? Evaluation Review. 2005. 29:65–83.
19. Losken A., Fishman I., Denson D.D., Moyer H.R., Carlson G.W. An objective evaluation of breast symmetry and shape differences using 3-dimensional images. Annals of Plastic Surgery. 2005. 55:571–575.
Article
20. Mahon S.M., Casey M. Patient education for women being fitted for breast prostheses. Clinical Journal of Oncology Nursing. 2003. 7:194–199.
Article
21. McGhee D.E., Steele J.R. Optimising breast support in female patients through correct bra fit. A cross-sectional study. Journal of Science and Medicine in Sport. 2010. 13:568–572.
Article
22. Breast Cancer: Treatment. National Cancer Information Center. 2010. Retrieved November 23, 2010, Accessed November 23, 2010. from http://www.cancer.go.kr/.
23. Roberts S., Livingston P., White V., Gibbs A. External breast prosthesis use: Experiences and views of women with breast cancer, breast care nurses, and prosthesis fitters. Cancer Nursing. 2003. 26:179–186.
24. Rostkowska E., Bak M., Samborski W. Body posture in women after mastectomyand its changes as a result of rehabilitation. Advances in Medical Sciences. 2006. 51:287–297.
25. Rowland J.H., Meyerowitz B.E., Crespi C.M., Leedham B., Desmond K., Belin T.R., et al. Addressing intimacy and partner communication after breast cancer: A randomized controlled group intervention. Breast Cancer Research and Treatment. 2009. 118:99–111.
Article
26. Scott J.L., Halford W.K., Ward B.G. United we stand? The effect of a couple-coping intervention on adjustment to early stage breast or gynecological cancer. Journal of Consulting and Clinical Psychology. 2004. 72:1122–1135.
27. Talley A., Molix L., Schlegel R.J., Bettencourt A. The influence of breast cancer survivors' perceived partner social support and need satisfaction on depressive symptoms: A longitudinal analysis. Psychology and Health. 2010. 25:433–449.
Article
28. The Korea Central Cancer Registry. National cancer registration & statistics 2009. 2012. Seoul: National Cancer Center & Ministry of Health & Welfare.
29. Breast cancer: The advantage of early detection. World Health Organization. 2011. Retrieved October 4, 2011. from http://www.who.int/kobe_centre/mediacentre/en.
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