{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:00:27Z","timestamp":1791558027286,"version":"4.3.4"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore the impact of the coronavirus disease 2019 pandemic on the health\u2010related quality of life (HRQoL) of breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We utilized a qualitative descriptive approach to facilitate interviews among 25 participants, all of whom are survivors of breast cancer and have received treatment in Hong Kong within the preceding 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Content analysis was performed to understand how patients' HRQoL views and experiences changed during coronavirus disease 2019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results included six themes delineating the impact of the coronavirus disease 2019 pandemic: (i) survivor sensitivities in pandemic times, (ii) coping and conditioning in pandemic times, (iii) transforming work and home dynamics in pandemic times, (iv) cognitive resilience and adaptation to the COVID\u201019 protective measures, (v) social resilience in pandemic times and (vi) healthcare adaptation and coping in pandemic times.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides insights into the experiences and challenges of breast cancer survivors during the coronavirus disease 2019 pandemic. Some survivors had new physical and psychological symptoms, including fear and anxiety, isolation, pain, lymphoedema and burnout, which potentially have long\u2010term impact upon HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the profession and\/or patient care<\/jats:title>\n                    <jats:p>This study highlights the unique challenges faced by breast cancer survivors during the coronavirus disease 2019 pandemic, including accessing healthcare services and the impact of social isolation. Healthcare providers should consider the holistic needs of breast cancer survivors in the provision of health care and develop supportive interventions, including telehealth services and online support groups, to address these challenges and improve their HRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Surgery aimed at treating breast cancer or reducing its risk generally influences the appearance of breast areas and donor sites. The continuing effects of these changes on body image and HRQoL are well\u2010reported, although studies have ineffectively examined the initial experiences of women regarding their postoperative appearance, particularly during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting method<\/jats:title>\n                    <jats:p>The checklist of consolidated criteria for reporting qualitative research (COREQ) was utilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or public contribution<\/jats:title>\n                    <jats:p>A small selection on breast cancer survivors contributed to the design of this study, in particular the content of the semi\u2010structured interviews.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15909","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T07:08:59Z","timestamp":1698649739000},"page":"1531-1544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Navigating changes: A qualitative study exploring the health\u2010related quality of life of breast cancer survivors during the coronavirus disease 2019 pandemic"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6988-214X","authenticated-orcid":false,"given":"Ka\u2010Huen","family":"Yip","sequence":"first","affiliation":[{"name":"School of Health Sciences, Caritas Institute of Higher Education  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2353-5433","authenticated-orcid":false,"given":"Yuk\u2010Chiu","family":"Yip","sequence":"additional","affiliation":[{"name":"Hong Kong Institute of Paramedicine  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai\u2010King","family":"Tsui","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Caritas Institute of Higher Education  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Sze Angela","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Surgery North District Hospital  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuen\u2010Han","family":"Mo","sequence":"additional","affiliation":[{"name":"Department of Social Work Hong Kong Shue Yan University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2974-3919","authenticated-orcid":false,"given":"Graeme Drummond","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Caritas Institute of Higher Education  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0000000000000712"},{"key":"e_1_2_13_3_1","unstructured":"American Cancer Society. (2022).Survivorship: During and after treatment.https:\/\/www.cancer.org\/treatment\/survivorship\u2010during\u2010and\u2010after\u2010treatment.html"},{"issue":"23","key":"e_1_2_13_4_1","first-page":"2316","article-title":"Assessment of quality of cancer\u2010related follow\u2010up care from the cancer survivor's perspective","volume":"36","author":"Arora N. K.","year":"2018","journal-title":"Journal of Clinical Oncology"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000264823.57743.5f"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0959\u20108049(20)30563\u20103"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12330"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549\u2010020\u201006008\u20103"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005544\u20104"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2021.09.001"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.14744\/SEMB.2020.23326"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.580225"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clon.2020.03.006"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2020.04.006"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40487\u2010020\u201000124\u20102"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dav023"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006101\u20103"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.585897"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2158244014522633"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010020\u201000869\u20109"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.06.049"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00349"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2019.10.003"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912\u2010020\u201000934\u20107"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21397"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(09)70288\u20108"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.REO.0000000000000233"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2020.1830169"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2009.11.008"},{"key":"e_1_2_13_31_1","volume-title":"Content analysis: An introduction to its methodology","author":"Krippendorff K.","year":"2018"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.7326\/M20\u20101133"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(20)30096\u20106"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103632"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13012"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.2196\/24722"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2009.07.005"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.08.037"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21565"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010020\u201009301\u20104"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102407\u20108\u2010330"},{"issue":"8","key":"e_1_2_13_42_1","first-page":"643","article-title":"Colaizzi's descriptive phenomenological method","volume":"28","author":"Morrow R.","year":"2015","journal-title":"The Psychologist"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2021.1226"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010020\u201000884\u2010w"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2018.11.024"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520000383"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.senol.2020.04.002"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2020.151028"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11523\u2010020\u201000721\u20101"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2020.151074"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/pa.2417"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135\u2010017\u20100574\u20108"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_200141"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2005.03592.x"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2020.151075"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33976"},{"key":"e_1_2_13_58_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010018\u20100920\u20100"},{"key":"e_1_2_13_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(20)30149\u20102"},{"key":"e_1_2_13_60_1","unstructured":"World Health Organization. (2022).WHO coronavirus (COVID\u201019) dashboard.https:\/\/covid19.who.int\/"},{"key":"e_1_2_13_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2011.05815.x"},{"key":"e_1_2_13_62_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12963\u2010016\u20100091\u20103"},{"key":"e_1_2_13_63_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005604\u20109"},{"key":"e_1_2_13_64_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12082288"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.15909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T02:09:42Z","timestamp":1710382182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.15909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":63,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/jan.15909"],"URL":"https:\/\/doi.org\/10.1111\/jan.15909","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.15909\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.15909\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,30]]},"assertion":[{"value":"2023-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}