Postmastectomy Information Needs and Information-seeking Motives for Women with Breast Cancer

Document Type : Original Article

Authors

1 Department of Information Sciences and Knowledge Studies, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran

2 Department of Anesthesiology, Imam-Hossein General Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Information Sciences and Knowledge Studies, Faculty of Management, Tehran University, Tehran, Iran

Abstract

Background: Health information-seeking behavior is a key concept in the empowerment of women with breast cancer after mastectomy for self-care management. Thus, a real understanding of their information needs and their information-seeking behavior may open up new opportunities for their postsurgery cares. The current research was conducted to identify the information needs and information-seeking motives of women with breast cancer after mastectomy. Materials and Methods: This is an applied qualitative research. Samples included 17 women with breast cancer after mastectomy selected from two hospitals of Shahid Mohammadi and Persian Gulf and Omid Central Chemotherapy in Bandar Abbas. Data were collected using semi-structured interview on winter 2014 and analyzed using qualitative content analysis method. Results: Three basic contents were extracted including information needs related to mental health, physical health related to disease and personal daily activities along with their subcategories, and representing common experience and perception of mastectomized women seeking for health information. Furthermore, hope, self-esteem, return to life, and available social support resources were expressed as the main information-seeking motives. Conclusion: Considering research findings, mastectomized women need to receive information in wide range of health and thus pursue purposeful behavior. Hence, it is necessary that required actions and measures are taken by health-care authorities, especially institutions responsible for women health, to support and meet information needs of the patients considering their information-seeking motives.

Keywords

1.
Enayatrad M, Salehiniya H. An investigation of changing patterns in breast cancer incidence trends among Iranian women. J Sabzevar Univ Med Sci 2015;22:27-35.  Back to cited text no. 1
    
2.
Najafi M, Ebrahimi M, Kaviani A, Hashemi E, Montazeri A. Breast conserving surgery versus mastectomy: Cancer practice by general surgeons in Iran. BMC Cancer 2005;5:35.  Back to cited text no. 2
[PUBMED]    
3.
Gumus M, Ustaalioglu BO, Garip M, Kiziltan E, Bilici A, Seker M, et al. Factors that affect patients' decision-making about mastectomy or breast conserving surgery, and the psychological effect of this choice on breast cancer patients. Breast Care (Basel) 2010;5:164-8.  Back to cited text no. 3
[PUBMED]    
4.
McLachlan K. Information and support needs of young women with breast cancer: Younger women can experience greater disruption to their daily lives and have more unmet practical needs, such as childcare, than older women and they can be at higher risk of psychological distress, says Kathleen McLachlan. Cancer Nurs Pract 2009;8:21-4.  Back to cited text no. 4
    
5.
Miyashita M, Ohno S, Kataoka A, Tokunaga E, Masuda N, Shien T, et al. Unmet information needs and quality of life in young breast cancer survivors in Japan. Cancer Nurs 2015;38:E1-11.  Back to cited text no. 5
    
6.
Recio-Saucedo A, Gerty S, Foster C, Eccles D, Cutress RI. Information requirements of young women with breast cancer treated with mastectomy or breast conserving surgery: A systematic review. Breast 2016;25:1-3.  Back to cited text no. 6
[PUBMED]    
7.
Lincoln YS, Guba EG. Naturalistic Inquiry. Newbury Park, London, New Delhi: Sage Publications Inc.; 1985.  Back to cited text no. 7
    
8.
Wolf L. The information needs of women who have undergone breast reconstruction. Part I: Decision-making and sources of information. Eur J Oncol Nurs 2004;8:211-23.  Back to cited text no. 8
[PUBMED]    
9.
Beaver K, Twomey M, Witham G, Foy S, Luker KA. Meeting the information needs of women with breast cancer: Piloting a nurse-led intervention. Eur J Oncol Nurs 2006;10:378-90.  Back to cited text no. 9
[PUBMED]    
10.
Ahmed I, Harvey A, Amsellem M. Patient informational needs about breast reconstruction post-mastectomy. J Clin Oncol 2012;30:27 Suppl 88.  Back to cited text no. 10
    
11.
Kahouei M, Samadi F, Gazerani M, Mozafari Z. The prioritization of information needs related to health among women who had undergone surgery in obstetrics and gynecology department in hospitals of Semnan, Iran, 2012-2013. Iran J Obst Gynecol Infertil 2013;16:8-15.  Back to cited text no. 11
    
12.
Pauwels EE, Charlier C, De Bourdeaudhuij I, Lechner L, Van Hoof E. Care needs after primary breast cancer treatment. Survivors' associated sociodemographic and medical characteristics. Psychooncology 2013;22:125-32.  Back to cited text no. 12
[PUBMED]    
13.
Shim M, Kelly B, Hornik R. Cancer information scanning and seeking behavior is associated with knowledge, lifestyle choices, and screening. J Health Commun 2006;11 Suppl 1:157-72.  Back to cited text no. 13
[PUBMED]    
14.
Lambert SD, Loiselle CG. Health information seeking behavior. Qual Health Res 2007;17:1006-19.  Back to cited text no. 14
[PUBMED]    
15.
Jung M. Determinants of health information-seeking behavior: Implications for post-treatment cancer patients. Asian Pac J Cancer Prev 2014;15:6499-504.  Back to cited text no. 15
[PUBMED]    
16.
O'Leary KA, Estabrooks CA, Olson K, Cumming C. Information acquisition for women facing surgical treatment for breast cancer: Influencing factors and selected outcomes. Patient Educ Couns 2007;69:5-19.  Back to cited text no. 16
    
17.
Leydon GM, Boulton M, Moynihan C, Jones A, Mossman J, Boudioni M, et al. Cancer patients' information needs and information seeking behaviour: In depth interview study. BMJ 2000;320:909-13.  Back to cited text no. 17
[PUBMED]    
18.
Kim S, Ko YH, Jun EY. The impact of breast cancer on mother-child relationships in Korea. Psychooncology 2012;21:640-6.  Back to cited text no. 18
[PUBMED]    
19.
Pope C, van Royen P, Baker R. Qualitative methods in research on healthcare quality. Qual Saf Health Care 2002;11:148-52.  Back to cited text no. 19
[PUBMED]    
20.
Women and Family Socio Cultural Council. Policies and Strategies of Women's Health Promotion. Tehran: Supreme Council of Cultural Revoloution; 2006. Available from: http://www.zn.farhangoelm.ir. [Last accessed on 2015 Aug 04].  Back to cited text no. 20
    
21.
Moradzade F. Hormozgan, a deprived province. Jamejamonline 2015. Available from: http://www.jamejamonline.ir/newspreview/1952453675513710130. [Last accessed on 2015 Dec 21].  Back to cited text no. 21
    
22.
Rees CE, Bath PA. The information needs and source preferences of women with breast cancer and their family members: A review of the literature published between 1988 and 1998. J Adv Nurs 2000;31:833-41.  Back to cited text no. 22
[PUBMED]    
23.
Shea-Budgell MA, Kostaras X, Myhill KP, Hagen NA. Information needs and sources of information for patients during cancer follow-up. Curr Oncol 2014;21:165-73.  Back to cited text no. 23
[PUBMED]    
24.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62:107-15.  Back to cited text no. 24
    
25.
Brashers DE, Goldsmith DJ, Hsieh E. Information seeking and avoiding in health contexts. Hum Commun Res 2002;28:258-71.  Back to cited text no. 25
    
26.
Czaja R, Manfredi C, Price J. The determinants and consequences of information seeking among cancer patients. J Health Commun 2003;8:529-62.  Back to cited text no. 26
[PUBMED]    
27.
Giese-Davis J, Bliss-Isberg C, Carson K, Star P, Donaghy J, Cordova MJ, et al. The effect of peer counseling on quality of life following diagnosis of breast cancer: An observational study. Psychooncology 2006;15:1014-22.  Back to cited text no. 27
[PUBMED