Original Research Article
Year: 2020 | Month: February | Volume: 7 | Issue: 2 | Pages: 425-433
Influences of Cognitive Representations of Cancer on Emotional Responses in Breast Cancer Women
Deeplata M. Mendhe1, A.Mudey2, Seema Singh3
1Associate Professor, HOD of Community Health Nursing, SRMM College of Nursing, Sawangi Wardha, Maharashtra, India 442004,
2Professor & Dean, PSM Department, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed University) Sawangi Wardha, Maharashtra, India 442004,
3Professor and Principal, SRMMCON, Sawangi Meghe, Wardha India 442004,
Corresponding Author: Deeplata M. Mendhe
ABSTRACT
Background: Breast cancer is a common cancer for women both in the United States and in India. Cancer is an important public health problem with 8 to 9 lakh cases occurring every year. At any point of time, it is estimated that there are nearly 25 lakh cases in the country. Every year about 4 lakh deaths occur due to cancer. Most common cancers in women are cancer of uterine, cervix, breast and oral cavity. A diagnosis of breast cancer regardless of the stage can be stressful, impacting on multiple spheres of life, disrupting physical status, emotional and spiritual well-being and personal relationships for the patient and family. For patients diagnosed in the early stages, they experience the stress of coming to terms with the diagnosis, the experience of complex and usually long treatments, and the side effects of the different treatment modalities. Aims- The main aim of the study is to gain an in-depth understanding of the cognitive representations of the disease stress and the coping mechanisms used by breast cancer women. Objective of the study:- 1 To examine the emotional responses of breast cancer among women suffering from breast cancer.2. To examine the factors associated with cognitive representations of illness, including age, education, marital status, and residential area, diagnosed with breast cancer.
Methods and Material: Research design: Descriptive study. Setting of the study: Setting is the Acharya Vinoba Bhave Rural Hospital (AVBRH) Sawangi Meghe, Wardha. Sample size: 250 Sampling technique: Convenient sampling
Results: Majority of samples It reveals that 167(66.8% )of the study participants lived in the urban area, 94(34..6%) were in the age group of 41-50 years, 77(30.8 %) had education up to secondary level, and 133(53.2% ) were employed, 111(44.4%) had private job holders, the family income of 97 (38.8% ) had more than Rs.30000/-. The age of menarche of 210( 84% ) study participants between 13 to 15 years, 197( 78.8%) were married and 100 (40%) had their age of marriage more than 30 years. Among the study participants 78 (31.2%) had 2 children, 211(84.4% ) gave history of regular breast feeding and 127(50.8%) lived in joint families. 228 (91.2%) of the study participants reported no health insurance. There is no history of breast cancer among 244 (97.6%) family members of the study participants. The diagnosis of Ca Breast was done for 185(74%) participants in less than one years, Currents stage of cancer of 188( 75.2% ) was stage II. Among them only chemotherapy was given to 128( 51.2%) . Association of positive emotional status with demographic variables of the study participants. It shows that positive emotional status is significantly associated with residence, age, education, employment status, occupation, monthly family income, age at menarche, marital status, age of marriage, number of children, type of family health insurance status, duration of cancer, current status of cancer and treatment given to the participant as p=0.05 for all of them. This indicates that positive emotional status is influenced by almost all demographic characteristics of the study participants. Association of negative emotional status with demographic variables of the study participants. It shows that negative emotional status is significantly associated with age, education, occupation, marital status, age of marriage, number of children, and current status of cancer as p=0.05 for all of them.
Keywords: Influences, cognitive representations, emotional response, breast cancer
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