Coping is a challenge for breast cancer survivors and may result in a poor quality of life (QOL). The primary purpose of this mixed method study was to examine the effects of acculturation, optimism, and breast cancer concerns on coping styles and to determine the effect coping styles have on the QOL of Mexican American breast cancer survivors. A 1-group ex post facto, descriptive, correlational design with path analysis was used to determine the direct, indirect, and total effects of the causal antecedents on coping and QOL. Ninety-two subjects participated through a nonprobability, convenience sampling method. Qualitative non-structured interviews were used to gather additional data on Mexican American women's experiences living with breast cancer. Participants' responses were recorded verbatim and subjected to content analysis and thematic coding. Path analysis revealed that even after 9 years of cancer survivorship, women who had lower acculturation and were less optimistic about the future had ongoing physical and psychological concerns about breast cancer and used passive coping styles. Although less optimism was associated with diminished QOL, neither active nor passive coping styles were associated with QOL for survivors. Familismo or the importance of family participation was a major theme in addressing ongoing physical and psychological needs of Mexican American breast cancer survivors 9 years after treatment. Qualitative narrative analysis revealed the major domain of Surviving the Fight, with subthemes of Adapting My Lifestyle, Maintaining Hope, and Remaining Vigilant. Qualitative data confirmed the quantitative model variables as personal characteristics of acculturation and optimism strongly influencing QOL. Nurses in a variety of healthcare settings can use these findings to identify Mexican American breast cancer survivors at risk for reduced QOL and design culturally appropriate interprofessional care plans to coordinate their healthcare needs.
|Commitee:||Dee, Vivien, Doyle, John A.|
|School:||Azusa Pacific University|
|School Location:||United States -- California|
|Source:||DAI-B 74/05(E), Dissertation Abstracts International|
|Subjects:||Nursing, Hispanic American studies, Oncology|
|Keywords:||Acculturation, Breast cancer, Cancer survivors, Coping, Mexican-Americans, Optimism, Quality of life|
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