Mount Sinai.
Ohio State University.
Oncol Nurs Forum. 2022 Mar 1;49(2):158-166. doi: 10.1188/22.ONF.158-166.
To investigate how breast cancer survivors with comorbid diabetes mellitus (diabetes) conceptualize their illnesses.
PARTICIPANTS & SETTING: 19 community-dwelling, English- or Spanish-speaking women with diabetes in New York, New York, who received chemotherapy or hormone therapy for stage I-IIIA breast cancer in the past five years.
Semistructured interviews were administered by trained research staff, and were audio recorded and transcribed. Three coders reviewed transcripts through an iterative coding process. An interpretive descriptive approach was used to identify themes.
Major themes included an inverse relationship between illness control and concern, variation in perceived illness permanence, and differences in illness consequences. Women with a greater perceived control over breast cancer viewed their diabetes as a larger concern; others felt that their breast cancer could not be controlled but diabetes could.
Understanding how breast cancer survivors view diabetes and cancer may explain the variation in survivors' self-management behaviors, and how it may influence their attitudes and behaviors in the context of cancer treatment.
调查患有合并症糖尿病（糖尿病）的乳腺癌幸存者如何概念化他们的疾病。
19 名居住在纽约的、讲英语或西班牙语的患有糖尿病的女性，她们在过去五年中因 I 期-IIIA 期乳腺癌接受了化疗或激素治疗。
由经过培训的研究人员进行半结构化访谈，并进行音频记录和转录。三名编码员通过迭代编码过程审查转录本。采用解释性描述方法来确定主题。
主要主题包括疾病控制和担忧之间的反比关系、感知疾病持久性的变化以及疾病后果的差异。那些认为对乳腺癌有更大控制感的女性认为她们的糖尿病是更大的担忧；其他人则认为她们的乳腺癌无法控制，但糖尿病可以。
了解乳腺癌幸存者如何看待糖尿病和癌症可以解释幸存者自我管理行为的变化，以及它如何在癌症治疗的背景下影响他们的态度和行为。
