Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of <scp>self‐esteem</scp>

Jang, Yunhee; Seong, Mihyeon; Sok, Sohyune R.

doi:10.1111/jocn.16621

Cited by 5 publications

References 30 publications

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Exercise interventions for self-perceived body image, self-esteem and self-efficacy in women diagnosed with breast cancer: a systematic review with meta-analysis and meta-regressions

Casuso-Holgado,

Martinez-Calderon,

Martínez-Miranda

et al. 2024

Support Care Cancer

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Purpose To synthesise the effectiveness of exercise interventions on self-perceived body image, self-esteem and self-efficacy in women diagnosed with breast cancer who are undergoing or have completed primary adjuvant treatments. Methods A systematic review was conducted with meta-analysis and meta-regressions. Five electronic databases were searched from inception to June 2023, and hand searches were performed to explore the reference lists of similar systematic reviews. The established selection criteria were randomised clinical trials that evaluated any type of physical exercise intervention with self-perceived body image, self-esteem and self-efficacy as outcomes. No restrictions were imposed with respect to the control group. Main characteristics were extracted for each study. Meta-analyses, meta-regressions and sensitivity analyses were performed. The certainty of evidence for each outcome was graded using the GRADE approach. The risk of bias was evaluated using the RoB2 Cochrane tool. Results Twenty studies, comprising 19 different samples (n = 2030), were included. In general, meta-analysis indicated that physical exercise interventions were not superior to controls for improving self-esteem and body image in women diagnosed with breast cancer. However, subgroup meta-analysis showed a significant difference in self-esteem improvement for resistance exercise (SMD = 0.31; 95% CI = 0.07, 0.55; p = 0.01; I2 = 0%) and supervised exercise (SMD = 0.25; 95% CI = 0.08, 0.42; p = 0.0004; I2 = 0%) compared with controls. Self-efficacy results were scarce and controversial. In addition, serious concerns were mainly detected in terms of the risk of bias and indirectness of the evidence, which caused the certainty of evidence to be very low for all outcomes. Conclusion Supervised exercise and resistance training appear to be effective exercise modalities for improving self-esteem in women diagnosed with breast cancer. In contrast, exercise interventions are not significantly associated with improvements in body image, while results on self-efficacy are controversial. However, due to the study’s limitations, further research is needed.

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Exercise interventions for self-perceived body image, self-esteem and self-efficacy in women diagnosed with breast cancer: a systematic review with meta-analysis and meta-regressions

Casuso-Holgado,

Martinez-Calderon,

Martínez-Miranda

et al. 2024

Support Care Cancer

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Multi-stage optimization strategy based on contextual analysis to create M-health components for case management model in breast cancer transitional care: the CMBM study as an example

Chengang,

Liping,

Shujin

et al. 2024

BMC Nurs

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Background None of the early M-Health applications are designed for case management care services. This study aims to describe the process of developing a M-health component for the case management model in breast cancer transitional care and to highlight methods for solving the common obstacles faced during the application of M-health nursing service. Methods We followed a four-step process: (a) Forming a cross-functional interdisciplinary development team containing two sub-teams, one for content development and the other for software development. (b) Applying self-management theory as the theoretical framework to develop the M-health application, using contextual analysis to gain a comprehensive understanding of the case management needs of oncology nursing specialists and the supportive care needs of out-of-hospital breast cancer patients. We validated the preliminary concepts of the framework and functionality of the M-health application through multiple interdisciplinary team discussions. (c) Adopting a multi-stage optimization strategy consisting of three progressive stages: screening, refining, and confirmation to develop and continually improve the WeChat mini-programs. (d) Following the user-centered principle throughout the development process and involving oncology nursing specialists and breast cancer patients at every stage. Results Through a continuous, iterative development process and rigorous testing, we have developed patient-end and nurse-end program for breast cancer case management. The patient-end program contains four functional modules: “Information”, “Interaction”, “Management”, and “My”, while the nurse-end program includes three functional modules: “Consultation”, “Management”, and “My”. The patient-end program scored 78.75 on the System Usability Scale and showed a 100% task passing rate, indicating that the programs were easy to use. Conclusions Based on the contextual analysis, multi-stage optimization strategy, and interdisciplinary team work, a WeChat mini-program has been developed tailored to the requirements of the nurses and patients. This approach leverages the expertise of professionals from multiple disciplines to create effective and evidence-based solutions that can improve patient outcomes and quality of care.

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Exploring the posttreatment care experiences and unmet needs of breast cancer survivors: a descriptive phenomenological study

Xu,

Zhang,

Liao

et al. 2024

Preprint

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Background Addressing the unmet needs of breast cancer survivors’ post-treatment are crucial for enhancing their quality of life and promoting their overall health outcomes. This study aims to explore the unmet needs of post-treatment breast cancer survivors within social ecosystems. It provides a patient perspective for the development of a supportive framework that healthcare providers can use to assess and manage these unmet needs. Methods Utilizing a qualitative descriptive design, this study conducted semi-structured interviews with twenty breast cancer survivors. Colaizzi’s 7-step method was employed for data analysis. Results The study identified three themes and nine subthemes: (1) microsystem—normalization and self-growth (management of somatic symptoms and function, maintenance of body image, femininity, and sexuality, and adoption of healthy behaviors); (2) mesosystem—acceptance and respect in the family and workplace (internal to the mesosystem—strengthening family resilience; external to the mesosystem—provision of return-to-work assistance); (3) macrosystem—expansion of the support system (diverse treatment facility support, accessible integration of communities, health and payment policy favoritism, destigmatization of cancer). Conclusion This study offers new insights into the perspectives of breast cancer survivors regarding unmet needs after completing active treatment. It recommends that the interdisciplinary team offers person-centered, integrated, and coordinated supportive care that addresses the individualized and complex needs of post-treatment breast cancer survivors and their caregivers. Future research should focus on developing survivorship care plan models that prioritize personalized support for individuals recovering from breast cancer treatment.

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Influence of body image on quality of life in breast cancer patients undergoing breast reconstruction: Mediating of self‐esteem

Cited by 5 publications

References 30 publications

Exercise interventions for self-perceived body image, self-esteem and self-efficacy in women diagnosed with breast cancer: a systematic review with meta-analysis and meta-regressions

Exercise interventions for self-perceived body image, self-esteem and self-efficacy in women diagnosed with breast cancer: a systematic review with meta-analysis and meta-regressions

Multi-stage optimization strategy based on contextual analysis to create M-health components for case management model in breast cancer transitional care: the CMBM study as an example

Exploring the posttreatment care experiences and unmet needs of breast cancer survivors: a descriptive phenomenological study

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