The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
“Struggling to Accept the New Breast as Part of My Body”–The Challenge of Immediate Breast Reconstruction in Women With Breast Cancer
Open accessAbstract
BACKGROUND: Women have difficulties in making decisions and experiences an unexpectedly long recovery period after immediate breast reconstruction. There are still many limitations in understanding the overall changes in life experienced by women with breast cancer before and after immediate breast reconstruction. OBJECTIVE: This study aimed to explore the challenges experienced by women with breast cancer undergoing immediate breast reconstruction and how they coped with these problems. METHODS: Strauss and Corbin's grounded theory design was used. In-depth face-to-face individual interviews were undertaken with 11 women with breast cancer from 4 hospitals in Korea. Data collection and analysis were conducted simultaneously, using the constant comparative method. RESULTS: The core category was "struggling to accept the new breast as part of my body." "Decision making regarding immediate breast reconstruction" was the initial step, followed by "facing the changed breasts after surgery." The challenge of "living with the new breasts" slowly merged into "making up my mind to accept my breasts with gratitude." CONCLUSION: Women with breast cancer undergoing immediate breast reconstruction struggled to accept the new breast as part of their body, and some reached a measure of closure and acceptance with gratitude. IMPLICATION FOR PRACTICE: Nurses can apply findings by recognizing the experiences, perceptions, and needs of women; providing patients with sufficient information on the whole process; and offering continuous supportive care to facilitate the coping process. In addition, nurses should consider a variety of approaches that help women to integrate their changed bodies into their self-concept and self-image and restore a sense of normality.
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“According to a recent study, 20% of breast cancer patients following mastectomy still struggle to accept their diagnosis [12].”
From Effectiveness of Acceptance and Commitment Therapy (ACT) on disease acceptance for breast cancer patients: Study protocol of a randomized controlled trial (2024) · cites this paper as [12]
Citations
Cites
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Strauss, A. L. 1.-1. (1997) · Cited by 650
Breast Reconstruction after Surgery for Breast Cancer
Cordeiro, P. G. (2008) · New England Journal of Medicine · doi:10.1056/nejmct0802899 · Cited by 398
Quality-of-Life Outcomes between Mastectomy Alone and Breast Reconstruction
Eltahir, Y., Werners, L. L. C. H., Dreise, M. M., van Emmichoven, I. A. Z., Jansen, L., Werker, P. M. N., & de Bock, G. H. (2013) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e31829586a7 · Cited by 328
Fang, S., Shu, B., & Chang, Y. (2012) · Breast Cancer Research and Treatment · doi:10.1007/s10549-012-2349-1 · Cited by 137
‘Use what God has given me’: Difference and disparity in breast reconstruction
Rubin, L. R., Chávez, J., Alderman, A. K., & Pusic, A. L. (2013) · Psychology and Health · doi:10.1080/08870446.2013.782404 · Cited by 127
The short‐term psychological impact of complications after breast reconstruction
Gopie, J. P., Timman, R., Hilhorst, M. T., Hofer, S. O. P., Mureau, M. A. M., & Tibben, A. (2011) · Psycho-Oncology · doi:10.1002/pon.2089 · Cited by 108
Philosophical Roots of Classical Grounded Theory: Its Foundations in Symbolic Interactionism
Aldiabat, K. M., & Navenec, C.-L. L. (2014) · The Qualitative Report · doi:10.46743/2160-3715/2011.1121 · Cited by 107
Revisiting Symbolic Interactionism as a Theoretical Framework Beyond the Grounded Theory Tradition
Handberg, C., Thorne, S. E., Midtgaard, J., Nielsen, C. V., & Lomborg, K. E. (2014) · Qualitative Health Research · doi:10.1177/1049732314554231 · Cited by 96
Teo, I., Reece, G. P., Christie, I. C., Guindani, M., Markey, M. K., Heinberg, L. J., Crosby, M. A., & Fingeret, M. C. (2015) · Psycho-Oncology · doi:10.1002/pon.3952 · Cited by 87
Research works printed but not linked: 1
- Health Insurance Review & Assessment Service (HIRA), HIRA
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Song, W., Shari, N. I., Song, J., Zhang, R., Mansor, N. S., Leong Bin Abdullah, M. F. I., & Zhang, Z. (2024) · PLoS ONE · doi:10.1371/journal.pone.0312669 · Cited by 9
Hircock, C., Kim, P., Achunair, A., Behroozian, T., Gallo, L., Dunn, E., & Thoma, A. (2025) · Plastic Surgery · doi:10.1177/22925503241311255 · Cited by 2
Ewart, L. (2024) · Journal of Perioperative Practice · doi:10.1177/17504589241238847 · Cited by 1
Breast cancer survivors’ perceptual map of breast reconstruction appearance outcomes
Wang, H., Gonzalez, X. T., Renta-López, G. A., Bordes, M. C., Hout, M. C., Choi, S., Reece, G. P., & Markey, M. K. (2025) · Journal of medical imaging · doi:10.1117/1.jmi.12.5.051802
Metadata
- Authors
- Han, J., Jin, J., Kim, S., Lee, D. W., & Kim, S.
- Affiliations
- Korea National University of Transportation (KR)
- Corresponding author
- Kim, Sanghee
- Kim, Sue
- Venue
- Cancer Nursing
- Published
- 2022-01-13
- Volume
- 45
- Issue
- 4
- Pages
- 262-270
- ISSN
- 0162-220X (ISSN-L)
- 1538-9804
- OpenAlex
- W4206517301
- Cited by
- 4
- References
- 28
- Citations by year
- 2025: 2 · 2024: 2
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- green
- journals.lww.com
- Licence
- cc-by-nc-nd
- Locations
- Cancer Nursing (publishedVersion)
- PubMed (publishedVersion)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- immediate breast reconstruction, breast cancer, body acceptance, coping, decision-making, self-concept, self-image, gratitude, nursing support, women's experiences
- MeSH terms
- Adaptation, Psychological, Breast Neoplasms, Female, Humans, Mammaplasty, Republic of Korea, Grounded Theory
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