The lived experience of surviving breast cancer.
OBJECTIVE
To explore women's perspectives of the experience of surviving breast cancer.


METHODS
Descriptive, phenomenologic.


METHODS
A community in the Southwestern United States.


METHODS
Eight women, ages 34-70 (mean = 54.6 years), who had completed breast cancer therapy. Average time since completion of therapy was 7.6 years (range = 2-15 years).


METHODS
Open-ended, audiotaped interviews were transcribed and analyzed using Colaizzi's method.


METHODS
Woman's description of the experience of surviving breast cancer.


RESULTS
Nine theme categories were identified from the data: a future of uncertainty, abandonment, sanctuaries along the way, self-transcendence, finding resolution to the financial cost of cancer, mediating expectations of others, survivors' lifelines, circle of influences, and the journey. The themes were developed into an essential structure. The essential structure of the experience of surviving breast cancer is one of facing the unknown and experiencing many losses. At the same time, this journey evolves into one of growth and enlightenment, providing the woman with many unexpected and new opportunities. In searching for the meaning of the journey (which changes over time), one grows and finds comfort and challenge in the midst of uncertainty. The journey affects not only the women themselves but also those around them.


CONCLUSIONS
Surviving breast cancer evokes many feelings and concerns for the women and those around them. By identifying, acknowledging, and addressing these feelings and concerns, women can find meaning in their journey, which provides comfort and self-growth while facing the unknown future. This journey continues and changes over time, as does the meaning of the journey.


CONCLUSIONS
An awareness and description of current issues and feelings surrounding survivors of breast cancer can assist the multidisciplinary healthcare team in caring for and supporting women and their families and friends during this experience.
Pelusi
J
J
Cancer Program, Maryvale Samaritan Hospital, Phoenix, AZ, USA.
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000191:economics / Q000523:psychology*; D017281:Cost of Illness; D004532:Ego; D005190:Family / Q000523:psychology; D005239:Fear; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012944:Social Support; D015206:Southwestern United States; D013637:Tape Recording