"If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer

Abstract Introduction: Radiotherapy is a common treatment for breast cancer. However, previous studies have shown that women who present for radiotherapy fear its use and associated side effects. The aims of this study were to develop further understanding of breast cancer patients' fears of ra...

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Main Authors: Halkett, Georgia, Kristjanson, Linda, Lobb, Elizabeth
Format: Journal Article
Published: Wiley InterScience 2008
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/46163
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author Halkett, Georgia
Kristjanson, Linda
Lobb, Elizabeth
author_facet Halkett, Georgia
Kristjanson, Linda
Lobb, Elizabeth
author_sort Halkett, Georgia
building Curtin Institutional Repository
collection Online Access
description Abstract Introduction: Radiotherapy is a common treatment for breast cancer. However, previous studies have shown that women who present for radiotherapy fear its use and associated side effects. The aims of this study were to develop further understanding of breast cancer patients' fears of radiotherapy, ascertain how patients deal with these fears and determine the best time in the treatment planning trajectory for health professionals to address these concerns. Methods: Semi-structured interviews were conducted with early breast cancer patients at four time points during their experiences of radiotherapy. Grounded theory was used to analyse the data. Symbolic interactionism informed data interpretation. Results: Thirty-four participants were interviewed. The two main themes that emerged prior to treatment commencement were fears about receiving radiotherapy and ways of coping with the fear of radiotherapy. Sub-themes that emerged as components of the theme fears about receiving radiotherapy were: fearing the unknown, getting burnt, damaging internal parts and anticipating tiredness. Patients were able to cope with their fears by trying not to worry about their fears and by seeking information. Many patients found that their fears about radiotherapy were much worse than their actual experiences of receiving treatment and the side effects they experienced. Discussion/conclusion: In discussing radiotherapy with patients, health professionals have a window of opportunity at the planning appointment, prior to the commencement of radiotherapy, to assess patients' understanding and concerns about radiotherapy, listen to their fears, address meanings they assign to radiotherapy and provide reassurance about radiotherapy and the management of side effects.
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spelling curtin-20.500.11937-461632018-12-14T00:50:56Z "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer Halkett, Georgia Kristjanson, Linda Lobb, Elizabeth breast cancer grounded theory oncology radiotherapy patient perspective Abstract Introduction: Radiotherapy is a common treatment for breast cancer. However, previous studies have shown that women who present for radiotherapy fear its use and associated side effects. The aims of this study were to develop further understanding of breast cancer patients' fears of radiotherapy, ascertain how patients deal with these fears and determine the best time in the treatment planning trajectory for health professionals to address these concerns. Methods: Semi-structured interviews were conducted with early breast cancer patients at four time points during their experiences of radiotherapy. Grounded theory was used to analyse the data. Symbolic interactionism informed data interpretation. Results: Thirty-four participants were interviewed. The two main themes that emerged prior to treatment commencement were fears about receiving radiotherapy and ways of coping with the fear of radiotherapy. Sub-themes that emerged as components of the theme fears about receiving radiotherapy were: fearing the unknown, getting burnt, damaging internal parts and anticipating tiredness. Patients were able to cope with their fears by trying not to worry about their fears and by seeking information. Many patients found that their fears about radiotherapy were much worse than their actual experiences of receiving treatment and the side effects they experienced. Discussion/conclusion: In discussing radiotherapy with patients, health professionals have a window of opportunity at the planning appointment, prior to the commencement of radiotherapy, to assess patients' understanding and concerns about radiotherapy, listen to their fears, address meanings they assign to radiotherapy and provide reassurance about radiotherapy and the management of side effects. 2008 Journal Article http://hdl.handle.net/20.500.11937/46163 10.1002/pon.1298 Wiley InterScience restricted
spellingShingle breast cancer
grounded theory
oncology
radiotherapy
patient perspective
Halkett, Georgia
Kristjanson, Linda
Lobb, Elizabeth
"If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title_full "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title_fullStr "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title_full_unstemmed "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title_short "If we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
title_sort "if we get too close to your bones they'll go brittle": women's initial fears about radiotherapy for early breast cancer
topic breast cancer
grounded theory
oncology
radiotherapy
patient perspective
url http://hdl.handle.net/20.500.11937/46163