Naruto Taira
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Breast and Thyroid Surgery,
   Position   Professor
Article types 原著
Language English
Peer review Peer reviewed
Title Older patients' experience of living with cognitive impairment related to hormone therapy for breast cancer: A qualitative study.
Journal Formal name:European journal of oncology nursing : the official journal of European Oncology Nursing Society
Abbreviation:Eur J Oncol Nurs
ISSN code:15322122/14623889
Domestic / ForeginForegin
Publisher ELSEVIER
Volume, Issue, Page 57
Author and coauthor Tenda Yasuko, Miyashita Mika, Yamada Akimitsu, Shimizu Chikako, Nakayama Kanako, Honma Naoko, Taira Naruto, Sawaki Masataka
Publication date 2022/04
Summary PURPOSE:Patients with breast cancer may develop cognitive impairment as a result of hormone therapy and aging. This study aimed to describe older patients' experience of cognitive impairment related to hormone therapy for breast cancer.METHODS:A qualitative and descriptive design was used. Semi-structured interviews were conducted with 11 patients asking about their experience in daily life related to their cognitive impairment. Study participants were evaluated by cancer-specific geriatric assessment. Inductive content analysis was conducted using the interview records.RESULTS:Three themes emerged from the patients' narrative data: recognizing of cognitive impairments, impacts on mental health, and coping with cognitive impairments. Recognizing of cognitive function consisted of two categories: perception of cognitive changes and acknowledging their cognitive function status through interacting with others. Impacts on mental health consisted of six categories: decreased motivation for social activities, upset by perception of cognitive decline, concerns about impacts of cognitive impairment on treatment of breast cancer, concerns about the care burden of their family, concerns about progression of cognitive impairments, and feeling secure that their cognitive impairment is not unusual. Coping with cognitive impairments consisted of two categories: coping with problems related to cognitive impairment and trying to maintain and improve cognitive function.CONCLUSION:Oncology nurses should assess cognitive function and complete a comprehensive evaluation of older patients receiving hormone therapy for breast cancer. An evaluation of cognitive function would enable a tailored approach to education and support to enhance coping ability in the longer term.
DOI 10.1016/j.ejon.2022.102115
PMID 35247744