QUALITY-OF-LIFE AND BREAST-CANCER SURVIVORS - PSYCHOSOCIAL AND TREATMENT ISSUES

PURPOSE: This study aas conducted to determine the relationship betwee n social support, extent of breast cancer surgery, length of time sinc e surgery, geographic location, and overall quality of life (QOL) in b reast cancer survivors, Additionally, the motivational factors for sur vivors to volunteer in a community rehabilitation program were assesse d. DESCRIPTIONS OF STUDY: A convenience sample of 134 survivors who ha d undergone mastectomies were invited to participate, Study packets in cluding an information letter, a demographic sheet, and Ferrans and Po wers Quality of Life-Cancer Version questionnaire were mailed. The ret urn of completed forms was considered consent. RESULTS: The sample (N = 100) consisted mostly of married women (75%) who had surgery a mean of 14 years previously. Findings indicated that there is no correlatio n between marital status and the number or type of support persons and overall QOL. Interestingly, unmarried women were found to have a bett er perceived QOL than married women, although the difference was not s tatistically significant. There was no significant difference between extent of surgery, length of time since surgery, and geographic locati on with overall QOL. Thematic analysis of motivation to volunteer reve aled an under-lying theme of helping with sharing knowledge/providing information and giving emotional support for all age groups. Other the mes were personal gain; giving back to the program, others, and God; a nd assisting others in avoiding a negative experience. CLINICAL IMPLIC ATIONS: Quality of life is a dynamic, multifaceted process through whi ch perceptions, viewpoints, and behaviors change as a result of the va rious experiences throughout the survival period. These findings demon strate that social support plays a vital role in promoting overall QOL in breast cancer survivors. The development of supportive behaviors b y healthcare providers and Reach for Recovery volunteers is essential in providing this social support for breast cancer survivors. Growth i n understanding and relieving the psychological stress that new cancer survivors endure is an area that warrants particular attention. Addit ionally, these participants indicated their need and willingness to sh are their experiences. Support is needed to provide survivors with the opportunity to function as volunteers. Program developers and evaluat ors must work together to ensure this support on a consistent basis.