A qualitative study of self-advocacy experience in patients with breast cancer
Objective To investigate the real experience of self-advocacy in patients with breast cancer.Methods A total of 20 patients with breast cancer were interviewed in semi-structured form through phenomenological method,and the data were analyzed by Colaizzi 7-step analysis method.Result There were extracted 4 themes and 11 sub-themes:Weak awareness of self-advocacy(little desire to report own symptoms and excessive dependence on doc-tors),multiple factors affected on self-advocacy motivation(evasion,lack of confidence,severe disease stigma,and fear of damaging the doctor-patient relationship),and challenges in the process of self-advocacy(lack of medical pos-itive attitude,unsupportive family members,and fear of increasing financial burden),and positive experience of self-advocacy(increased confidence to overcome illness and ability to cope with illness).Conclusion Breast cancer patients have weak awareness of self-advocacy,poor motivation,and face with various challenges in the process of self-advo-cacy,and some patients actively experience self-advocacy.Medical staff should pay more attention to breast cancer patients with weak self-advocacy awareness and poor motivation,give them more help and encouragement,and es-tablish a"patient-centered"service concept to create a good atmosphere to promote patients'self-advocacy.
breast cancerself-advocacypatient-centeredqualitative study