Analysis of Family Centered Care Needs in Treatment of Breast Cancer Patients Post Mastectomy
DOI:
https://doi.org/10.31674/mjn.2026.v17i04.007Abstract
Background: Breast cancer is the most common type of cancer among women in Indonesia. The impact of treatment and mastectomy is felt not only by the patients but also by their families as caregivers. Objectives: This study aims to identify the needs for Family Centered Care (FCC) among post-mastectomy patients after returning home. Methods: It was a mixed-method design with a sequential explanatory strategy that was used, involving members of a cancer support community. The quantitative phase involved 62 respondents who completed the FCC questionnaire. Results: The results showed that the highest needs were in the social and affection dimensions (mean = 18.65, SD = 1.839). To gain a deeper understanding of the reasons behind these findings and the contextual experiences of patients, a qualitative phase was conducted using narrative analysis with 11 participants. The qualitative phase yielded five main themes: (1) emotional experiences after mastectomy, (2) unmet basic needs, (3) the most helpful forms of family support, (4) challenges encountered during home-based care, and (5) expectations for improving health services. Conclusion: These findings highlight the importance of social and emotional support in the recovery process, alongside other essential needs. The study concludes that social and affection needs are the highest priority for breast cancer patients after mastectomy during home care; therefore, the implementation of comprehensive Family Centered Care oriented toward collaboration among nurses, patients, and families is essential to support optimal recovery.
Keywords:
Breast Cancer; , Caregiver;, Family Centered Care;, MastectomyDownloads
References
Azcárate‐Cenoz, N., Alfaro‐Díaz, C., Naef, R., Verweij, L., & Esandi, N. (2025). A nurse‐led family support intervention for families living with cancer: An experience‐based co‐design study. Journal of Advanced Nursing, 1-19. https://doi.org/10.1111/jan.70073
Bechthold, A. C., Azuero, A., Puga, F., Ejem, D. B., Kent, E. E., Ornstein, K. A., ... & Odom, J. N. (2023). What is most important to family caregivers when helping patients make treatment-related decisions: findings from a national survey. Cancers, 15(19), 4792. https://doi.org/10.3390/cancers15194792
Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs-principles and practices. Health Services Research, 48(6pt2), 2134-2156. https://doi.org/10.1111/1475-6773.12117
Friedman, M. M., Bowden, V. R., & Jones, E. G. (2010). Family nursing: Research, theory, and practice (5th ed.). Pearson Education.
Given, B. A., Sherwood, P., & Given, C. W. (2011). Support for caregivers of cancer patients: transition after active treatment. Cancer Epidemiology, Biomarkers & Prevention, 20(10), 2015-2021. https://doi.org/10.1158/1055-9965.EPI-11-0611
Grimm, P. (2010). Social desirability bias. Wiley International Encyclopedia of Marketing. https://doi.org/10.1002/9781444316568.wiem02057
Hayre-Kwan, S., Quinn, B., Chu, T., Orr, P., & Snoke, J. (2021). Nursing and Maslow’s hierarchy: A health care pyramid approach to safety and security during a global pandemic. Nurse Leader, 19(6), 590-595. https://doi.org/10.1016/j.mnl.2021.08.013
Herawati, T., Krisnatuti, D., Pujihasvuty, R., & Latifah, E. W. (2020). Faktor-faktor yang memengaruhi pelaksanaan fungsi keluarga di Indonesia [Factors that influence the implementation of family functions in Indonesia]. Jurnal Ilmu Keluarga Dan Konsumen, 13(3), 213-227. https://doi.org/10.24156/jikk.2020.13.3.213
Ibrahim, Y., Rahma, S., & Liputo, G. P. (2025). Hubungan Pendekatan Multikultural Keluarga terhadap Tingkat Kecemasan Pasien Ca Mamae yang Menjalani Kemoterapi [The relationship between a multicultural family approach and the level of anxiety in Ca Mamae patients undergoing chemotherapy]. Indonesian Journal of Nursing and Health Sciences, 6(1), 89–100. https://doi.org/10.37287/ijnhs.v6i1.5687
International Agency for Research on Cancer. (2022a). Data visualization tools for exploring the global cancer burden in 2022. https://gco.iarc.fr/today/en
International Agency for Research on Cancer. (2022b). Global Cancer Observatory. https://gco.iarc.who.int/media/globocan/factsheets/populations/900-world-fact-sheet.pdf
Jimenez, A. (2025, February 24). Maslow’s Hierarchy of Needs in Healthcare Settings. ChiroMed. https://chiromed.com/maslows-hierarchy-of-needs-in-healthcare-settings/
Kartika, A. W., Wiarsih, W., & Permatasari, H. (2015). Pengalaman keluarga dalam merawat penderita sakit kronis [Family experiences in caring for patients with chronic illness]. Jurnal Keperawatan Indonesia, 18(1), 51-58. https://jki.ui.ac.id/index.php/jki/article/download/398/pdf_196/1101
Ke, Q., Timmins, F., Furlong, E., & Stokes, D. (2024). Unmet care needs of women who have undergone breast cancer surgery: A scoping review. Journal of Advanced Nursing, 80(5), 1732-1749. https://doi.org/10.1111/jan.15953
Kertapati, Y. (2019). Tugas Kesehatan Keluarga dan Tingkat Kemandirian Keluarga di Wilayah Pesisir Kota Surabaya [Family health tasks and family independence levels in coastal areas of Surabaya city]. Journal of Medical Surgical Nursing, 14(1), 1–10. https://doi.org/10.30643/jiksht.v14i1.47
Longacre, M. L., & Roche, L. (2024). Patient and family caregiver perceptions of telehealth in oncology in the US: a scoping review. Discover Medicine, 1(1), 138. https://doi.org/10.1007/s44337-024-00126-3
Mnisi, D., Sumbane, G. O., Mothiba, T. M., & Mokhwelepa, L. W. (2026). Redefining Self After Mastectomy: Exploring the Psychological and Emotional Adaptation of Women During the Post Mastectomy Period at Mankweng Tertiary Hospital in Limpopo Province, South Africa. Women, 6(1), 5. https://doi.org/10.3390/women6010005
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Lippincott Williams & Wilkins.
Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A., & Ostendorf, W. R. (2025). Fundamentals of Nursing-E-Book: Fundamentals of Nursing-E-Book. Elsevier health sciences.
Rafiei, S., Heidarpoor, P., Souri, S., Nejatifar, Z., & Amerzadeh, M. (2025). The preferences of breast cancer patients regarding a digital social care platform. BMC Women's Health, 25(1), 240. https://doi.org/10.1186/s12905-025-03792-2
Rutten, J. E., Backhaus, R., Verbeek, H., de Vries, E., Hamers, J. P., & Sion, K. Y. (2025). Improving relationship-centered care through evaluation meetings with the resident-family-caregiver triad in nursing homes: a qualitative study. BMC Health Services Research, 25(1), 296. https://doi.org/10.1186/s12913-025-12425-1
Schoonenboom, J., & Johnson, R. B. (2017). How to construct a mixed methods research design. KZfSS Kölner Zeitschrift für Soziologie und Sozialpsychologie, 69(Suppl 2), 107-131. https://doi.org/10.1007/s11577-017-0454-1
Stapley, E., Vainieri, I., Li, E., Merrick, H., Jeffery, M., Foreman, S., ... & Cortina, M. (2021). A scoping review of the factors that influence families’ ability or capacity to provide young people with emotional support over the transition to adulthood. Frontiers in Psychology, 12, 732899. https://doi.org/10.3389/fpsyg.2021.732899
Sun, X., Xu, L., & Sheng, L. (2024). Family hardiness among primary caregivers of breast cancer patients in Hunan Province: a cross-sectional study exploring the relationship with attachment and caregiver preparedness. Frontiers in Public Health, 12, 1367029. https://doi.org/10.3389/fpubh.2024.1367029
Woldring, J. M., Paans, W., Gans, R. O., van der Werf, H. M., & Luttik, M. L. (2025). Families’ opinions about their involvement in care during hospitalization: a mixed-methods study. BMC Nursing, 24(1), 25. https://doi.org/10.1186/s12912-024-02664-8
Zahedi, H., Sahebihagh, M. H., Mirghafourvand, M., Peters, K., & Hosseinzadeh, M. (2025). Preparedness for caregiving among caregivers of breast cancer patients and its association with health literacy and caregiving competence. Scientific Reports, 15(1), 14179. https://doi.org/10.1038/s41598-025-97437-x
Zhang, Y., Tang, R., Wang, D., Li, X., Bi, L., Shi, M., & Han, J. (2025). Family-centered online positive psychological intervention for breast cancer patients and family caregivers: a single-arm pre-post study of feasibility and preliminary effects. BMC Psychology, 13(1), 1-13. https://doi.org/10.1186/s40359-025-02632-0
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