Using narrative research to understand the quality of life of older women with breast cancer

Oncol Nurs Forum. 2004 Nov 16;31(6):1153-9. doi: 10.1188/04.ONF.1153-1159.

Abstract

Purpose/objectives: To elucidate some of the issues that affect the quality of life of older women (70 years of age and older) diagnosed with breast cancer.

Design: Descriptive design

Setting: A National Cancer Institute-designated site in the southeastern United States.

Sample: 12 women who were at least 70 years of age undergoing treatment (radiation, hormonal, or chemotherapy) for breast cancer.

Methods: Two to three interview encounters per participant, each lasting approximately one hour.

Findings: Eight major themes emerged: Importance of God, Positive Attitude, No Alteration in Lifestyle, Physician Trust, Caregiver to Others, Importance of Health, Importance of Family, and Alteration in Lifestyle.

Conclusions: The eight major themes are similar in terminology but varied in individual meanings.

Implications for nursing: Nurses must determine whether older women with a diagnosis of breast cancer are also primary caregivers to other individuals. As the story-gatherers for the healthcare team, nurses can use the data derived from interviews to document patients' health histories and provide a therapeutic process of coping with illness.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Biomedical Research / methods
  • Breast Neoplasms / psychology*
  • Female
  • Humans
  • Interviews as Topic
  • Narration*
  • Quality of Life*