Email this article 
Déterminants de l’expérience des soins de soutien vécue par des femmes atteintes d’un cancer du sein habitant en milieu rural en Colombie-Britannique
Abstract
Contexte : Pour donner aux femmes atteintes d’un cancer du sein la possibilité de participer à leurs soins, il faut mieux comprendre l’interaction entre les facteurs contextuels et les facteurs de médiation. La présente recherche explore les déterminants de l’expérience des soins de soutien vécue par les femmes atteintes d’un cancer du sein qui habitent les régions rurales de la Colombie-Britannique.
Méthodologie : L’étude utilise un devis quantitatif descriptif transversal. L’enquête, qui comprenait des questions sur les caractéristiques démographiques, la santé, l’aide à la décision et l’expérience des soins de soutien, a été administrée à 100 participantes.
Résultats : Les scores globaux les plus élevés (les plus positifs) étaient associés à une combinaison de différents facteurs, c’est-à-dire l’âge (moins de 40 ans), le niveau de scolarité (premier cycle universitaire) et le temps écoulé depuis le diagnostic (3 à 5 ans). La combinaison linéaire du niveau de scolarité et des problèmes de santé après le traitement produit des scores de traitement médical plus élevés (R2=23 %).
Conclusion : Le besoin croissant de soins de soutien psychosocial et affectif en période de survivance est évident. Les résultats soulignent le potentiel avantageux des outils d’aide à la prise de décisions éclairées pour appuyer les soins de soins, et mettent en lumière le besoin d’améliorer les soins de soutien offerts aux femmes qui luttent contre le cancer du sein.
Recommandation : Les soins de soutien jouent un rôle essentiel dans l’expérience des personnes atteintes de cancer pendant leur passage dans le système de santé. Le fait d’augmenter le nombre de centres offrant des soins de soutien, particulièrement en milieu rural, pourrait améliorer les résultats rapportés par les patients, de même que leur expérience, et accélérer l’accès aux soins.
Mots-clés : oncologie, cancer, sein, femmes, adulte, patient, soins de santé, soins de soutien, navigation, survivance, résultats rapportés
Full Text:
PDFReferences
Altherr, A., Bolliger, C., Kaufmann, M., Dyntar, D., Scheinemann, K., Michel, G., Mader, L., & Roser, K. (2023). Education, employment, and financial outcomes in adolescent and young adult cancer survivors – A systematic review. Current oncology (Toronto, Ont.), 30(10), 8720–8762. https://doi.org/10.3390/curroncol30100631
BC Cancer Registry (2022). Statistics by cancer type – breast. Cancer surveillance and outcomes. BC Cancer Provincial Health Services Authority.
BC Cancer Registry (2022). Cancer surveillance and outcomes, data and analytics, BC Cancer. Number of prevalent cancer cases for 1, 5, 10 and 20-year limited duration, British Columbia, by Cancer Type and Sex, 2021 Index Year. https://bccandataanalytics.shinyapps.io/PrevalenceCounts/
Brenner, D. R., Gillis, J., Demers, A. A., Ellison, L. F., Billette, J. M., Zhang, S. X., ... & Turner, D. (2024). Projected estimates of cancer in Canada in 2024. CMAJ, 196(18), E615–E623. https://doi.org/10.1503/cmaj.240095
Canadian Cancer Society. (2024). Canadian Cancer Statistics 2024. https://cancer.ca/en/research/cancer-statistics
Canadian Cancer Statistics Advisory Committee. (2023). Canadian Cancer Statistics 2023. Canadian Cancer Society. https://cancer.ca/en/research/cancer-statistics
D’Souza, M. S., & Leslie, P. (2022). Cultural considerations at the beginning of life (the perinatal period). The Health Care Professional’s Guide to Cultural Competence-E-Book, 287.
D’Souza, M. S., & Mirza, N. A. (2022). Towards equitable health care access: community participatory research exploring unmet health care needs of homeless individuals. Canadian Journal of Nursing Research, 54(4), 451–463. https://doi.org/10.1177/08445621211032136
D’Souza, M. S., O’Mahony, J., & Karkada, S. N. (2021). Effectiveness and meaningfulness of breast cancer survivorship and peer support for improving the quality of life of immigrant women: A mixed methods systematic review protocol. Clinical Epidemiology and Global Health, 10(2), 100678. https://doi.org/10.1016/j.cegh.2020.100678
D’Souza, M. S., O’Mahony, J., & Achoba, A. (2022). Exploring foot care conditions for people experiencing homelessness: A community participatory approach. Journal of Primary Care & Community Health, 13, 21501319211065247. https://doi.org/10.1177/21501319211065247
D’Souza, M., Mirza, N. A., & Nairy Karkada, S. (2021). Development of a foot care model to determine the risk of foot problems among homeless adults in Canada. Health & Social Care in the Community, 29(5), e214–e223. https://doi.org/10.1111/hsc.13271. Epub ahead of print. PMID: 33491824
Deshwal, P., & Bhuyan, P. (2018). Cancer patient service experience and satisfaction. International Journal of Healthcare Management, 11(2), 88–95. https://doi.org/10.1080/20479700.2016.1238601
Devine, K. A., Christen, S., Mulder, R. L., Brown, M. C., Ingerski, L. M., Mader, L., Potter, E. J., Sleurs, C., Viola, A. S., Waern, S., Constine, L. S., Hudson, M. M., Kremer, L. C. M., Skinner, R., Michel, G., Gilleland Marchak, J., Schulte, F. S. M., & International Guidelines Harmonization Group Psychological Late Effects Group (2022). Recommendations for the surveillance of education and employment outcomes in survivors of childhood, adolescent, and young adult cancer: A report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Cancer, 128(13), 2405–2419. https://doi.org/10.1002/cncr.34215
Dibble, K. E., Baumgartner, R. N., Boone, S. D., Baumgartner, K. B., & Connor, A. E. (2023). Treatment-related side effects among Hispanic and non-Hispanic white long-term breast cancer survivors by tamoxifen use and duration. Breast Cancer Research and Treatment, 199(1), 155– 172. https://doi.org/10.1007/s10549-023-06900-8
D’Souza, M. S., Fehr, F. C., Smith, M. L., & Marshall, M. C. (2023). Mediators of psychosocial well-being for immigrant women living with breast cancer in Canada: A critical ethnography. Journal of Psychosocial Oncology Research and Practice, 5(4), 00. https://doi.org/10.1097/or9.0000000000000119
D’Souza, M. S., Latif, E., McCarthy, A., & Karkada, S. N. (2022). Experiences and perspectives of ethnocultural breast cancer survivors in the interior region of British Columbia: A descriptive cross-sectional approach. Clinical Epidemiology and Global Health, 16, 101095. https://doi.org/10.1016/j.cegh.2022.101095
Echeverri, M., Anderson, D., Nápoles, A. M., Haas, J. M., Johnson, M. E., & Serrano, F. S. A. (2018). Cancer health literacy and willingness to participate in cancer research and donate bio-specimens. International Journal of Environmental Research and Public Health, 15(10), 2091. https://doi.org/10.3390/ijerph15102091
Etindele Sosso, F. A., Kreidlmayer, M., Pearson, D., & Bendaoud, I. (2022). Towards a socioeconomic model of sleep health among the Canadian population: A systematic review of the relationship between age, income, employment, education, social class, socioeconomic status and sleep disparities. European Journal of Investigation in Health, Psychology and Education, 12(8), 1143–1167. https://doi.org/10.3390/ejihpe12080080
HealthLink BC (2021). Search results: Breast cancer. https://www.healthlinkbc.ca/illnesses-conditions/cancer/breast-cancer
Hemingway, B., Arvey, S. R., Rechis, R., Squiers, L., Eargle, E., & Treiman, K. (2015). Self-efficacy through survivorship: Results from the LIVESTRONG Cancer Navigation Study. https://doi.org/10.1200/jco.2015.33.15_suppl.9577
Herbert, S. L., Wöckel, A., Kreienberg, R., Kühn, T., Flock, F., Felberbaum, R., ... & BRENDA Study Group. (2021). To which extent do breast cancer survivors feel well informed about disease and treatment five years after diagnosis? Breast Cancer Research and Treatment, 185, 677–684. https://doi.org/10.1007/s10549-020-05974-y
Htay, M. N. N., Donnelly, M., Schliemann, D., Loh, S. Y., Dahlui, M., Ibrahim Tamin, N. S. B., Somasundaram, S., & Su, T. T. (2020). Translation and validation of the Breast Cancer Awareness Measurement Tool in Malaysia (B-CAM-M). Asian Pacific Journal of Cancer Prevention: APJCP, 21(1), 217–223. https://doi.org/10.31557/APJCP.2020.21.1.217
Hwee, J., & Bougie, E. (2021). Do cancer incidence and mortality rates differ among ethnicities in Canada? Health Reports, 32(8), 3–17.
?nan, F. ?., Yedigün, T., & Er, ?. (2023, May). Exploring the unmet supportive care needs of breast cancer survivors experiencing psychological distress: Qualitative study. In Seminars in Oncology Nursing (p. 151449). WB Saunders. https://doi.org/10.1016/j.soncn.2023.151449
Jablotschkin, M., Binkowski, L., Markovits Hoopii, R., & Weis, J. (2022). Benefits and challenges of cancer peer support groups: A systematic review of qualitative studies. European Journal of Cancer Care, 31(6), e13700. https://doi.org/10.1111/ecc.13700
Jackson, E. B., Simmons, C. E., & Chia, S. K. (2023). Current challenges and disparities in the delivery of equitable breast cancer care in Canada. Current Oncology, 30(8), 7263–7274. https://doi.org/10.3390/curroncol30080527
Lachenbruch, P. A. (1991). [Review of Sample size determination in health studies: A practical manual., by S. K. Lwanga & S. Lemeshow]. Journal of the American Statistical Association, 86(416), 1149–1149. https://doi.org/10.2307/2290547
Lluch, C., O’Mahony, J., D’Souza, M., & Hawa, R. (2023). Health literacy of healthcare providers and mental health needs of immigrant perinatal women in British Columbia: A critical ethnography. Issues in Mental Health Nursing, 44(8), 746–757. https://doi.org/10.1080/01612840.2023.2227267
Liu, N., Li, P., Wang, J., Chen, D. D., Sun, W. J., Guo, P. P., ... & Zhang, W. (2020). Psychometric properties of the Breast Cancer Awareness Measurement among Chinese women: A cross-sectional study. BMJ open, 10(3), e035911.
Mayo Clinic. (2023). Cancer survivors: late effects of cancer treatment. https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20045524
Mertz, B. G., Dunn-Henriksen, A. K., Kroman, N., Johansen, C., Andersen, K. G., Andersson, M., ... & Envold Bidstrup, P. (2017). The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: A randomized pilot study. Acta Oncologica, 56(12), 1682–1689. https://doi.org/10.1080/0284186x.2017.1358462
Okati-Aliabad, H., Kargar, S., Ansari-Moghadam, A., & Mohammadi, M. (2022). The supportive care needs of breast cancer patients and its related factors: A cross-sectional study. Journal of Kermanshah University of Medical Sciences, 26(1). https://doi.org/10.5812/jkums-121880
Racine, L., D’Souza, M. S., & Tinampay, C. (2023). Effectiveness of breast cancer screening interventions in improving screening rates and preventive activities in Muslim refugee and immigrant women: A systematic review and meta-analysis. Journal of Nursing Scholarship, 55(1), 329–344. https://doi.org/10.1111/jnu.12818
Ramirez, A. G., Choi, B. Y., Munoz, E., Perez, A., Gallion, K. J., Moreno, P. I., & Penedo, F. J. (2020). Assessing the effect of patient navigator assistance for psychosocial support services on health-related quality of life in a randomized clinical trial in Latino breast, prostate, and colorectal cancer survivors. Cancer, 126(5), 1112–1123. https://doi.org/10.1002/cncr.32626
Sherman, D., & Fessele, K. L. (2019). Financial support models: a case for use of financial navigators in the oncology setting. Clin J Oncol Nurs, 23(5), 14–18. https://doi.org/10.1188/19.cjon.s2.14-18
Signorello, L. B., Hargreaves, M. K., & Blot, W. J. (2010). The Southern Community Cohort Study: Investigating health disparities. Journal of Health Care for the Poor and Underserved, 21(1 Suppl), 26–37. https://doi.org/10.1353/hpu.0.0245
Smith, L., Bryan, S., De, P., Rahal, R., Shaw, A., & Turner, D. (2018). Canadian cancer statistics. Canadian cancer statistics advisory committee.
Smith, M. J. (2023). An evaluation of access and policy initiatives for breast cancer screening in Ontario. Canadian Health Policy. https://doi.org/10.54194/qpbg4764
Trevillion, K., Singh-Carlson, S., Wong, F., & Sherriff, C. (2015). An evaluation report of the nurse navigator services for the breast cancer support program. Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie, 25(4), 409–414. https://doi.org/10.5737/23688076254409414
Wittal, D. M. (2018). Bridging the gap from the oncology setting to community care through a cross-Canada environmental scan. Canadian Oncology Nursing Journal, 28(1), 38. https://doi.org/10.5737/236880762813845
Refbacks
- There are currently no refbacks.
