Patient‐centred communication for women with breast cancer: Relation to body image perception

• Published in: Journal of clinical nursing Vol. 29; no. 23-24; pp. 4674 - 4684
• Main Authors: Ghaffari, Fariba, Ghahramanian, Akram, Zamanzadeh, Vahid, Onyeka, Tonia C., Davoodi, Arefeh, Mazaheri, Effat, Asghari‐Jafarabadi, Mohammad
• Format: Journal Article
• Language: English
• Published: Oxford Wiley Subscription Services, Inc 01.12.2020
• Subjects: body image; Breast cancer; Communication; Nurses; Nursing; Patient-centered care; Patients; patient‐centred communication; postlumpectomy; postmastectomy; Questionnaires; Self image; Surgery; Womens health
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.15508

Aims and objectives This study aimed to determine the predictive values of patient‐centred communication (PCC) and patient's characteristics on the body image (BI) perception in postmastectomy patients. Background Patient‐centred communication has been touted as a means of addressing BI issues, especially for postmastectomy patients. Design and Methods This predictive correlational study was conducted on 275 surgically treated breast cancer patients admitted to the Oncology Departments of two hospitals in Tabriz, Iran. These patients were selected using a convenience sampling method. The Body Image after Breast Cancer Questionnaire (BIBCQ) and patient‐centred communication questionnaire (PCCQ) were used for collecting the data. Descriptive and inferential statistics were applied to the data. Reporting was in accordance with the STROBE guideline. Results A multivariable model significantly predicted BI perception in participants using surgery type and time elapsed following surgery. Participants’ limitations were significantly affected by surgery type and participants’ perception of the nurses’ PCC skills. Arm concern was significantly affected by surgery type and nurses’ PCC skills. Conclusion Patient‐centred skills in nurse–patient communication are critical for resolving BI difficulties such as arm concerns and limitations regarding the disease and its treatment. Relevance to clinical practice Patient‐centred communication skills can be taught nurses in the clinical setting to help alleviate patients’ BI problems.