An interpretive description of chemotherapy-induced premature menopause among Latinas with breast cancer.

نویسنده

  • Maryellen D Brisbois
چکیده

PURPOSE/OBJECTIVES To describe the experience of chemotherapy-induced premature menopause (CIPM) among Latinas, explore how CIPM was assimilated into the breast cancer experience, and relate measured acculturation levels to the CIPM experience. RESEARCH APPROACH Interpretive descriptive method from a feminist inquiry lens. SETTING Telephone interviews with participants from 12 states in the United States. PARTICIPANTS 20 Latinas who experienced CIPM after treatment for breast cancer. METHODOLOGIC APPROACH In-depth interviews and the Brief Acculturation Scale for Hispanics were used to elicit data, with interpreter assistance as needed. FINDINGS One overarching theme, Bigger Than Menopause, and three subthemes, Experiencing Menopause, Ever-Changing Landscape, and Working Through the Experience, were found. PARTICIPANTS' ability to assimilate CIPM into the breast cancer experience was affected by the magnitude of physiologic and psychosocial effects, access to health care, information and support, sense of control, and acculturation level. CONCLUSIONS The CIPM experience for Latinas with breast cancer is multifaceted, with less acculturated Latinas facing multiple barriers in accessing health care, treatment, information, and support. INTERPRETATION PARTICIPANTS described CIPM as part of a larger context that included physiologic and psychosocial effects and affected participants' ability to assimilate CIPM into the breast cancer experience. The impact of low acculturation and barriers experienced were elucidated as factors associated with assimilating CIPM into the breast cancer experience.

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عنوان ژورنال:
  • Oncology nursing forum

دوره 41 5  شماره 

صفحات  -

تاریخ انتشار 2014