IntroductionBreast cancer is the second most common cancer type in the world and the most common cancer type in women. The number of newly diagnosed breast cancers in 2012 was 1.67 million, and breast cancer makes up 25% of all types of cancer in women (1). According to the data of the World Health Organization (WHO), the number of women who died of breast cancer worldwide in 2011 was 508 000. Breast cancer incidence increases as life expectancy increases, and urbanization and western lifestyles are adopted more and more in today's ever-developing world. It frequently occurs in both developed and less developed countries (2).As breast cancer incidence increases in most parts of the world, there are major disparities between poor and rich countries in this regard (3). Patients in undeveloped and less developed countries are diagnosed later compared with patients in developed countries. Diagnosis at a late stage decreases treatment options and increases mortality (4).Diagnosis in an advanced stage could occur because of patient-related as well as healthcare system-related reasons. Reasons such as lack of knowledge on symptoms, risk factors, and screening methods of breast cancer, cultural taboos regarding cancer treatment centers, and fear of hospitals are amongst reasons for patient-related latency. Although there is less information regarding healthcare system-related reasons, physicians' lack of knowledge on diagnosis and treatment and obstacles patients experience in reaching a physician or a hospital are considered amongst these reasons (5, 6).The negative effects of breast cancer on women's health are multidimensional. Problems that arise based on cancer treatment, problems about family and occupational life, and uncertainties toward life in the future influence the individual's physical and psychologic health negatively. Therefore, making emotional and social support attempts during the duration of the disease is of vital importance (7).
Materials and Methods:The study included 200 patients with breast cancer who were treated at the chemotherapy unit during 2013 and 2014.Results: The mean age of the patients was 51.16±1.10 years and 60% of the women were graduates of elemantary school. The majority of patients (69.5%) noticed breast mass as the first symptom and 56.5% were diagnosed at later stages. Thirty-four percent of the patients delayed their visit to a health care centers after realizing the first symptom. No statistically significant relationship was determined between women's education level, residential area, age, the first symptom noticed, stages of tumor, and patients and system-related delay (p>0.05). In terms of family history of breast cancer, there was a significant difference between patient-related and system-related delays (p<0.05). The family support score (24.8±4.6) was higher than those of friends and husbands (23.8±5.5, 21.3±6.4, respectively). The husband support score was statistically different in terms of intimacy between women and their husbands after disease (p<0.001).
Conclusi...