School of Nursing and Midwifery, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Eur J Cancer Care (Engl). 2011 Nov;20(6):785-94. doi: 10.1111/j.1365-2354.2011.01282.x. Epub 2011 Aug 25.
A number of treatments for breast cancer induce menopause. This study's aim was to explore women's perceptions and beliefs about menopausal symptoms and their management following breast cancer, and to compare younger and older women's experiences. Data were collected via semi-structured focus groups from women who had undergone treatment for breast cancer, and who were currently experiencing menopausal symptoms. Data were interpreted by way of simple inductive thematic analysis. The women experienced a range of menopausal symptoms that they were not prepared for and found difficult to manage. The central themes related to their lack of knowledge of how to manage menopausal symptoms, and the distress and helplessness that arose from this. Women who were diagnosed prior to 40 years of age reported additional menopausal issues than women who were older at diagnosis. The women in this study expressed a thirst for information related to menopause after breast cancer. The women identified that their needs with regard to menopause after breast cancer were not being met, either through their own lack of knowledge or via conflicting or absent support and management. The importance of enabling women to deal with menopausal symptoms was a central theme to emerge from the data.
许多治疗乳腺癌的方法会导致绝经。本研究旨在探讨女性对乳腺癌治疗后绝经症状及其管理的看法和信念,并比较年轻和年长女性的经历。通过对接受过乳腺癌治疗且目前出现绝经症状的女性进行半结构化焦点小组收集数据。通过简单的归纳主题分析来解释数据。这些女性经历了一系列她们没有准备好的绝经症状,并且发现很难管理。相关的主要主题是她们缺乏管理绝经症状的知识,以及由此产生的痛苦和无助。在 40 岁之前被诊断为乳腺癌的女性比在诊断时年龄较大的女性报告了更多的绝经问题。本研究中的女性表达了对乳腺癌后绝经相关信息的渴望。女性发现,她们的乳腺癌后绝经需求没有得到满足,要么是因为她们自己缺乏知识,要么是因为支持和管理存在冲突或缺失。使女性能够应对绝经症状的重要性是数据中出现的一个核心主题。