Development of the Nursing Program for Rehabilitation of Woman Diagnosed with Breast Cancer

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1 Development of the Nursing Program for Rehabilitation of Woman Diagnosed with Breast Cancer Naomi Morota Newman M Key Words woman diagnosed with breast cancer, rehabilitation nursing care program, the reconstruction of selfhood, cancer survivorship, Margaret Newman s theory of fealth. Newman M 6 This study aimed to develop the nursing intervention program that assists patients with breast cancer during the process in which they discover a new self-image and attitude towards life, and to evaluate the usefulness of the program through practical application. The nursing program for the rehabilitation of patients with breast cancer was designed on the basis of the concept of cancer survivorship, with integration of conventional care according to a critical path approach as well as individual care and interviews based on M. Newman s health theory. After implementation, the program was evaluated using a longitudinal, descriptive and qualitative research design. The contents of interviews with participants and a self-reflection journal kept by the researcher were qualitatively analyzed. As a result of program s implementation, the participants underwent the process which involved the following: recognition of the state they were in; discovery of the meaning of the cancer experience; significant transformation of awareness and behaviours such as changes in lifestyle, work and value, and extended human relationships; and establishment of new selfhood and attitude towards life. It was suggested that the program is useful as a method of care that accelerates the process of reconstruction of selfhood in breast cancer patients. Received : November 30, 2009 Accepted : February 26, Vol.3, No1, pp.16-23, 2010

2 Development of the Breast Cancer Nursing Program Margaret Newman Newman Newman Margaret Newman Health as Expanding Consciousness, 1994 Newman Newman Newman 2 Yokohama Journal of Nursing Vol.3, No1, pp.16-23,

3 Newman 4 3 B Newman Newman Newman 5 18 Vol.3, No1, pp.16-23, 2010

4 Development of the Breast Cancer Nursing Program Yokohama Journal of Nursing Vol.3, No1, pp.16-23,

5 AA A A A A A Newman A 10 1 A A 2 4 A 20 Vol.3, No1, pp.16-23, 2010

6 Development of the Breast Cancer Nursing Program 4 A A A 10 A A A 1 A A A 3 A A A A A Yokohama Journal of Nursing Vol.3, No1, pp.16-23,

7 Newman Vol.3, No1, pp.16-23, 2010

8 Development of the Breast Cancer Nursing Program 6 1 Newman, , Susan L : Cancer Survivorship-A Personal, Professional, and American Perspective-, : 6-7, 2001 Newman MA : 2 Newman MA 1 Quality Nursing : , : 28-41, , Quality Nursing 3 7 : , 1997., : , , Quality Nursing. 3 6 : , Endo E, Nitta N, Inayosi M,et al : Pattern recognition as a caring partnership with families with cancer, Journal of Advanced Nursing : , , 14 1 : 25-35, Margaret Newman, 19 2 : 59-67, , : 30-36, 2004 Yokohama Journal of Nursing Vol.3, No1, pp.16-23,

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