Patient education and “self-relationship” after breast cancer
Type de matériel :
40
Objective and methods: Prevention programs recommend regular physical activity and a balanced diet after cancer treatment. Based on a qualitative research using a medical philosophy approach, this article aims to better understand people’s experience after an educational therapy program. At the end of treatment for localized breast cancer, interviews were conducted to analyze the experience of 23 women aged 30 to 84 years, half of whom had followed such a program. Results: Women’s narratives differed according to their participation in the program. Those who did not attend had no specific physical activity or diet. They made no link between lifestyle and cancer. Conversely, women who attented the program were aware of prevention recommendations. They acknowledged the link between lifestyle and cancer. Two groups stand out.The first group believes in this link. Among these women, a first sub-group was able to change their lifestyle easily. They developed a “performing” self-relationship. In the other subgroup, the practice is difficult and the relationship is marked by “self-responsability” and even guilt.The second group does not believe in the link. Practice may or may not follow the recommendations. It depends on people’s preferences. The self-relationship is “self-expression”. Conclusion: Patient education after cancer can lead to both positive and negative experiences. We need to analyze this in relation to the programs’ characteristics.
Réseaux sociaux