Hopkins Courtney, Murphy Angela, Haythorne Rebecca, Cezar da Cruz Daniel
School of Health, Leeds Beckett University, Leeds, UK.
Br J Occup Ther. 2024 Jun;87(6):383-391. doi: 10.1177/03080226231225103. Epub 2024 Jan 9.
The number of women surviving after breast cancer is increasing, along with the length of time they are living with the after-effects of treatment. Although the treatment's effects are known to impact occupational participation, little is known about how breast cancer could affect occupational identity. This study aims to illuminate the lived experience of women long-term after breast cancer treatment through an occupational perspective in order to explore how they perceive their occupational identity.
A qualitative study with semi-structured interviews was conducted with six women, who had all received a diagnosis of breast cancer and treatment for longer than a year. Reflexive Thematic Analysis was used to analyse the data.
Three intertwined themes describe the participants' experience. (1) 'Disruptions in daily life and Environmental support', (2) 'Be able to do' and identity, and (3) 'Doing what matters and is possible'. Findings revealed that the occupational identities of the participants were maintained. Cancer treatment effects appear to impact occupational competence that corresponded to participants' occupational identities, suggesting difficulties in the order of occupational adaptation.
Our findings contribute to understanding the challenges to occupational participation related to the occupational identity of women following breast cancer and treatment.
乳腺癌幸存者的数量在不断增加,她们带着治疗后遗症生活的时间也在延长。尽管已知治疗效果会影响职业参与,但对于乳腺癌如何影响职业认同却知之甚少。本研究旨在从职业角度阐明乳腺癌治疗后长期生存女性的生活经历,以探讨她们如何看待自己的职业认同。
对六名女性进行了半结构式访谈的定性研究,这些女性均被诊断患有乳腺癌且接受治疗超过一年。采用反思性主题分析法对数据进行分析。
三个相互交织的主题描述了参与者的经历。(1)“日常生活中的干扰与环境支持”,(2)“能够做”与认同,以及(3)“做重要且可行的事”。结果显示参与者的职业认同得以维持。癌症治疗效果似乎影响了与参与者职业认同相对应的职业能力,表明在职业适应顺序方面存在困难。
我们的研究结果有助于理解与乳腺癌及治疗后女性职业认同相关的职业参与挑战。