Afrontamiento de la mastectomía preventiva en mujeres con riesgo de cáncer de mama hereditario

  1. Itziar Arteche Marín 1
  2. Celia Olivares Gallego 1
  3. Eva García Carpintero Blas 2
  4. Esperanza Vélez Vélez 2
  1. 1 Grado en Enfermería. Hospital Universitario Fundación Jiménez Díaz. Madrid (España)
  2. 2 Doctora en Enfermería. Profesora. Escuela de Enfermería Fundación Jiménez Díaz. Universidad Autónoma de Madrid (España)
Aldizkaria:
Metas de enfermería

ISSN: 1138-7262

Argitalpen urtea: 2022

Alea: 25

Zenbakia: 1

Orrialdeak: 7

Mota: Artikulua

DOI: 10.35667/METASENF.2022.25.1003081859 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Metas de enfermería

Garapen Iraunkorreko Helburuak

Laburpena

Objective: to explore the experiences and coping strategies of women undergoing prophylactic mastectomy when faced with the risk of hereditary breast cancer. Method: a descriptive qualitative study with phenomenological approach conducted with convenience sampling and complemented by snowball sampling. In-depth semistructured interviews were conducted with women at risk of hereditary breast cancer who had undergone prophylactic mastectomy. There was data analysis according to the Miles and Huberman’s model. Results: the study included nine women; 55.6% were between 40 and 50 years old and had been diagnosed before they were 40 and presented BRCA2 mutation. Women demanded higher knowledge about hereditary breast cancer and the surgery, particularly regarding estimated pain and interference in daily life activities. They also expressed concern and distress when receiving the news, because they had to undergo surgery while healthy. The most usual coping strategies were support by relatives and friends, sports, and nipple tattooing. They highlighted the importance of humanized care and active communication by specialists, as well as the importance of resources such as associations, image banks, or psychological therapy to enable coping. Conclusions: prophylactic mastectomy generates a high impact on women. For an improvement in coping, it is necessary to provide humanized care, to convey truthful and quality information, to offer care based on their needs encouraging autonomy, and to provide emotional support.

Erreferentzia bibliografikoak

  • Organización Mundial de la Salud (OMS). Cáncer de mama: prevención y control [internet]. Ginebra: OMS; 2020. [citado 7 ene 2022]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/breast-cancer
  • Alaofi RK, Mohammed ON, Al-HAjeili M. Prophylactic mastectomy for the prevention of breast cancer: Review of the literatura. Avicenna J Med. Jul-Sep 2018; 8(3):67-77. Doi: http://doi.org/10.4103/ajm.AJM_21_18
  • Glassey R, Ives A, Saunders C, Musiello T. Decision making, psychological wellbeing and psychosocial outcomes for high risk women who choose to undergo bilateral prophylactic mastectomy-A review of the literature. Breast2016 Aug; 28:130-5. Doi: http://doi.org/10.1016/j.breast.2016.05.012
  • Franceschini G, Di Leone, Terribile D, Sánchez MA, Masetti R. Bilateral prophylactic mastectomy in BRCA mutation carriers: what surgeons need to know. Ann Ital Chi. 2019; 90:1-2.
  • Sun YS, Zhao Z, Yang ZN, Xu F, Lu HJ, Zhu ZY, et al. Risk Factors and Preventions of Breast Cancer. Int J Biol Sci. 2017; 13(11):1387-97. Doi: http://doi.org/ 10.7150/ijbs.21635
  • Renzulli M, Zanotti S, Clemente A, Mineo G, Tovoli F, Reginelli A, et al. Hereditary breast cancer: screening and risk reducing surgery. Gland surg. 2019; 8(3):142-9. Doi: http://doi.org/10.21037/gs.2019.04.04
  • Milena A, López A, Cardona JA. Factores de riesgo para el cáncer de mama. Rev Cubana Obstet Ginecol. 2019; 45(2):e370.
  • Amundadottir LT, Thorvaldsson S, Gudbjartsson DF, Sulem P, Kristjansson K, Arnason S, et al. Cancer as a Complex Phenotype: Pattern of Cancer Distribution within and beyond the Nuclear Family. PLoS Med. 2004; 1(3):e65. Doi: http://doi.org/10.1371/journal.pmed.0010065
  • Schover LR. A lesser evil: prophylactic mastectomy for women at high risk for breast cancer. J Clin Oncol. 2008 Aug 20; 26(24):3918-9. Doi: http://doi.org/10.1200/JCO.2008.17.4227
  • Villacorta Martín A, Villacorta Martín D. Cuidados de Enfermería en la mujer con mastectomía profiláctica tras el alta hospitalaria. ICUE. 2017; 2(1).
  • Cantero P, Triñanes Y. Mastectomía reductora de riesgo de cáncer de mama en mujeres portadoras de mutación en BRCA1/BRCA2 frente a otras opciones preventivas. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2017.
  • Glassey R, O'Connor M, Ives A, Saunders C, Hardcastle S, ConFAb K. Influences on decision-making for young women undergoing bilateral prophylactic mastectomy. Patient Educ Couns. 2018 Feb; 101(2):318-23. Doi: http://doi.org/10.1016/j.pec.2017.08.008
  • Cejudo J, García-Maroto S, López-Delgado ML. Efectos de un programa de inteligencia emocional en la ansiedad y el autoconcepto en mujeres con cáncer de mama. Terapia psicológica. 2017; 35(3):239-46.
  • Arbulú-La Torre X. Factores asociados a depresión en pacientes con cáncer de mama. Rev Fac Med Hum. 2019; 19(1):74-9.
  • Belber-Gómez M, Valencia-Agudo F, De la Viuda-Suárez E. Análisis de la experiencia subjetiva en mujeres con cáncer de mama. Duazary 2018; 15(1): 71-85.
  • McCarthy C, Hamill JB, Myra K, Qi J, Wilkins E, Pusic AL. Impact of Bilateral Prophylactic Mastectomy and Immediate Reconstruction on Health-Related Quality of Life in Women at High Risk for Breast Carcinoma: Results of the Mastectomy Reconstruction Outcomes Consortium Study. Ann Surg Oncol. 2017 Sep; 24(9):2502-8. Doi: http://doi.org/10.1245/s104 34-017-5915-2
  • Mudarra García N. Prevención del trastorno de la imagen corporal por la intervención enfermera sobre paciente y familia previa a cirugía de cáncer de mama y colon [tesis doctoral]. Madrid: Universidad Complutense de Madrid; 2019.
  • Carbine N, Lostumbo L, Wallace J Ko H. Risk-reducing mastectomy for the prevention of primary breast cancer. Syst Rev de la base de datos Cochrane. 5 de abril de 2018; 4 (4):CD002748. Doi: http://doi.org/ 10.1002/14651858.CD002748.pub4
  • Barbera N, Inciarte A. Fenomenología y hermenéutica: dos perspectivas para estudiar las ciencias sociales y humanas. Multiciencias, 2012; 12(2):199-205.
  • Marín-Crespo Blanco C, Salamanca Castro AB. El muestreo en la investigación cualitativa. Nure Inv. 2007; (27).
  • Mendoza A. La identificación de habilidades y estrategias de escritura de estudiantes de posgrado no hispanohablantes a través de entrevistas semiestructuradas. RLA. 2018; 56(1):85-113.
  • Rodríguez Sabiote C, Lorenzo Quiles O, Herrera Torres L. Teoría y práctica del análisis de datos cualitativos. Proceso general y criterios de calidad. SOCIOTAM. 2005; 15(2):133-54.
  • Amezcua M, Gálvez Toro A. Los modos de análisis en investigación cualitativa en salud: Perspectiva crítica y reflexiones en voz alta. Rev Esp Salud Pública. 2002; 76(5):423-36.
  • Protección de Datos Personales y garantía de los derechos digitales. Ley Orgánica 3/2018 de 5 de diciembre. Boletín Oficial del Estado (BOE), núm. 294, de 6 de diciembre de 2018.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Heal Care. 2007; 19(6):349-57. Doi: http://doi.org/ 10.1093/intqhc/mzm042
  • Keller K, Meisel C, Grübling N, Petzold A, Wimberger P, Kast K. Patient-Reported Satisfaction after Prophylactic Operations of the Breast. Breast Care (Basel). 2019; 14(4):217-23. Doi: http://doi.org/10.1 159/000496398
  • Glassey R, O’Connor M, Ives A, Saunders C, Hardcastle SJ. Influences on decision-making for young women undergoing bilateral prophylactic mastectomy. Patient Educ Couns. 2017; 101(2):318-23. Doi: https://www.doi.org/10.1016/j.pec.2017.08.008
  • Padamsee TJ, Wills CE, Yee LI, Paskett ED. Decision making for breast cancer prevention among women at elevated risk. Breast Cancer Res. 2017; 19(1):34. Doi: http://doi.org/10.1186/s13058-017-0826-5
  • Adesina MA, Olajire TI. Physical and Psychological Complications of Mastectomy: The Role of Physioterapy. World News of Natural Sciences. 2020; 29(3): 212-24.
  • McQuirter M, Castiglia LL, Loiselle CG, Wong N. Decision-making process of women carrying a BRCA1 or BRCA2 mutation who have chosen prophylactic mastectomy. Oncol Nurs forum. 2010; 37(3):313-20. Doi: http://doi.org/10.1188/10.ONF.313-320
  • Glassey R, Ives A, Saunders C, Musiello T. Decision making, psychological wellbeing and psychosocial outcomes for high risk women who choose to undergo bilateral prophylactic mastectomy-A review of the literature. Breast. 2016; 28:130-5. Doi: http://doi.org/10.1016/j.breast.2016.05.012
  • Smallman A, Crittenden T, MiinYip J, Dean NR. Does nipple-areolar tattooing matter in breast reconstruction? A cohort study using the BREAST-Q. JPRAS Open. 2018; 16:61-8. Doi: http://doi.org/10.1016/j.jpra.2018.01.003
  • McGaughey A. Body image after bilateral prophylactic mastectomy: an integrative literature review. J Midwifery Womens Health. 2006; 51(6):e45-9. Doi: http://doi.org/10.1016/j.jmwh.2006.07.002
  • Glassey R, O'Connor M, Ives A, Saunders C, Confab K, OSullivan S, et al. Heightened perception of breast cancer risk in young women at risk of familial breast cancer. Fam Cancer. 2018 Jan; 17(1):15-22. Doi: http://doi.org/10.1007/s10689-017-0001-2
Datuen iturria: Dialnet