Author Affiliations: Department of Nursing, Afe Babalola University of Ado-Ekiti, Ekiti-Sate, Nigeria (Dr. Ogunkorode); College of Nursing, Ewing Health Sciences, University of Saskatchewan, Saskatoon, Canada (Holtslander, Ferguson, and Anonson); Department of Nursing Education, School of Therapeutic Sciences, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa (Dr Maree); Department of Family Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Canada (Dr Ramsden).
Cancer Nurs. 2021;44(3):E163-E169. doi: 10.1097/NCC.0000000000000789.
The World Health Organization records indicate that breast cancer is the most common cancer in women both in developed and developing regions of the world. In developed countries, breast cancer is the second cause of cancer-related deaths, whereas in developing countries, breast cancer is the leading cause of cancer-related mortality in women. The empirical literature on Nigeria indicates that women present with advanced stages of the illness.
To explore the health-seeking behaviors of Southwestern Nigerian women with advanced breast cancer from the time they noticed a breast abnormality to their eventual presentation at the hospital for the management of the illness.
Thirty women with advanced stages of breast cancer in a large tertiary, referral, teaching, and university-affiliated Southwestern Nigeria Hospital were purposively selected for study participation. Participants completed a demographic information form and an in-depth face-to-face, one-on-one, semistructured interview guided by open-ended questions. Data analysis was inductive.
Findings revealed that women sought divine interventions for the management of breast cancer. Prayer and spirituality were associated with high levels of optimism among the study participants.
Nurses should provide information and counseling to women and the general public on the etiology and appropriate management of breast abnormalities and include the importance of a spiritual dimension of care.
Findings indicate the need to introduce a spiritual dimension to the care of women with advanced breast cancer. Findings also indicate the need for a comprehensive population-based breast health education.
世界卫生组织的记录表明，乳腺癌是全世界发达国家和发展中国家女性最常见的癌症。在发达国家，乳腺癌是癌症相关死亡的第二大原因，而在发展中国家，乳腺癌是女性癌症相关死亡的主要原因。关于尼日利亚的实证文献表明，女性就诊时已处于疾病晚期。
探讨从发现乳房异常到最终因该病就诊于医院的这段时间，西南尼日利亚晚期乳腺癌女性的就医行为。
在尼日利亚西南部一家大型三级转诊教学和大学附属教学医院， purposively 选择了 30 名患有晚期乳腺癌的女性参加研究。参与者完成了一份人口统计学信息表，并完成了由开放性问题引导的深入的面对面、一对一、半结构式访谈。数据分析采用归纳法。
研究结果表明，女性寻求神的干预来治疗乳腺癌。祈祷和灵性与研究参与者的高度乐观情绪有关。
护士应向女性和公众提供关于乳房异常的病因和适当管理的信息和咨询，并包括护理的精神层面的重要性。
研究结果表明，需要在晚期乳腺癌女性的护理中引入精神层面。研究结果还表明，需要开展全面的基于人群的乳房健康教育。
