Older patients’ experience of living with cognitive impairment related to hormone therapy for breast cancer: A qualitative study

Yasuko Tenda, Mika Miyashita, Akimitsu Yamada, Chikako Shimizu, Kanako Nakayama, Naoko Honma, Naruto Taira, Masataka Sawaki

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Patients with breast cancer may develop cognitive impairment as a result of hormone therapy and aging. This study aimed to describe older patients’ experience of cognitive impairment related to hormone therapy for breast cancer. Methods: A qualitative and descriptive design was used. Semi-structured interviews were conducted with 11 patients asking about their experience in daily life related to their cognitive impairment. Study participants were evaluated by cancer-specific geriatric assessment. Inductive content analysis was conducted using the interview records. Results: Three themes emerged from the patients’ narrative data: recognizing of cognitive impairments, impacts on mental health, and coping with cognitive impairments. Recognizing of cognitive function consisted of two categories: perception of cognitive changes and acknowledging their cognitive function status through interacting with others. Impacts on mental health consisted of six categories: decreased motivation for social activities, upset by perception of cognitive decline, concerns about impacts of cognitive impairment on treatment of breast cancer, concerns about the care burden of their family, concerns about progression of cognitive impairments, and feeling secure that their cognitive impairment is not unusual. Coping with cognitive impairments consisted of two categories: coping with problems related to cognitive impairment and trying to maintain and improve cognitive function. Conclusion: Oncology nurses should assess cognitive function and complete a comprehensive evaluation of older patients receiving hormone therapy for breast cancer. An evaluation of cognitive function would enable a tailored approach to education and support to enhance coping ability in the longer term.

Original languageEnglish
Article number102115
JournalEuropean Journal of Oncology Nursing
Volume57
DOIs
Publication statusPublished - Apr 2022
Externally publishedYes

Keywords

  • Breast cancer
  • Cognitive impairment
  • Comprehensive geriatric assessment
  • Hormone therapy
  • Older women

ASJC Scopus subject areas

  • Oncology(nursing)

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