{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:37:07Z","timestamp":1770752227062,"version":"3.50.0"},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"\n Objectives:<\/jats:title>\n This study aimed to explore breast cancer (BC) survivors\u2019 health-related problems and lived experiences.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n The current study employed a convergent mixed-methods design. It enrolled 115 patients and collected data using validated questionnaires to assess their health problems. Qualitative data were gathered through in-depth interviews.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The mean age of survivors was 49.35 \u00b1 8.66 years. Problems reported in the descending order were fatigue, sexual dysfunction (decreased libido, painful sexual intercourse and vaginal dryness) and lymphoedema with shoulder stiffness, respectively. Qualitative analysis revealed themes related to post-diagnosis reactions, spirituality, misconceptions, disturbed body image, economic impact and need for help in household chores.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n A substantial number of BC survivors had multiple health problems. Our study emphasises the importance of holistic survivorship care, involving nurses in post-treatment support and addressing societal discrimination and psychosocial concerns to enhance their quality of life.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/ijpc_31_2025","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T05:20:36Z","timestamp":1752470436000},"page":"33-40","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Health-related Problems and Lived Experiences of Breast Cancer Survivors: A Mixed-Methods Study"],"prefix":"10.25259","volume":"32","author":[{"given":"Maninderdeep","family":"Kaur","sequence":"first","affiliation":[{"name":"Department of Nursing, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Budhi Singh","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Dahiya","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukhpal","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Nursing, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhilesh","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushmita","family":"Ghoshal","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandigarh, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"10.25259\/IJPC_31_2025\/ref-3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3322\/caac.20107","article-title":"Global cancer statistics","volume":"61","author":"Jemal","year":"2011","journal-title":"CA Cancer J Clin"},{"key":"10.25259\/IJPC_31_2025\/ref-4","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1200\/GO.20.00122","article-title":"Cancer Statistics, 2020: Report from national cancer registry programme, India","volume":"6","author":"Mathur","year":"2020","journal-title":"JCO Glob Oncol"},{"key":"10.25259\/IJPC_31_2025\/ref-5","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1200\/GO.20.00033","article-title":"Overview of breast cancer and implications of overtreatment of early-stage breast cancer: An indian perspective","volume":"6","author":"Bhattacharyya","year":"2020","journal-title":"JCO Glob Oncol"},{"key":"10.25259\/IJPC_31_2025\/ref-6","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1089\/jwh.2021.0131","article-title":"Body image after mastectomy scale: A new measure of body image behaviors and beliefs in women following mastectomy","volume":"31","author":"Weingarden","year":"2022","journal-title":"J Womens Health (Larchmt)"},{"key":"10.25259\/IJPC_31_2025\/ref-7","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1186\/s12888-020-02760-4","article-title":"Psychological and physical effects of breast cancer diagnosis and treatment on young ghanaian women: A qualitative study","volume":"20","author":"Iddrisu","year":"2020","journal-title":"BMC Psychiatry"},{"key":"10.25259\/IJPC_31_2025\/ref-8","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1016\/j.jtho.2017.01.021","article-title":"Radiation therapy for invasive breast cancer increases the risk of second primary lung cancer: A nationwide population-based cohort analysis","volume":"12","author":"Huang","year":"2017","journal-title":"J Thorac Oncol"},{"key":"10.25259\/IJPC_31_2025\/ref-9","doi-asserted-by":"publisher","first-page":"13","DOI":"10.4103\/0973-1075.197954","article-title":"Body image and sexuality in women survivors of breast cancer in India: Qualitative findings","volume":"23","author":"Barthakur","year":"2017","journal-title":"Indian J Palliat Care"},{"key":"10.25259\/IJPC_31_2025\/ref-10","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.breast.2018.07.003","article-title":"Survivorship issues as determinants of quality of life after breast cancer treatment: Report from a limited resource setting","volume":"41","author":"Kaur","year":"2018","journal-title":"Breast"},{"key":"10.25259\/IJPC_31_2025\/ref-11","doi-asserted-by":"publisher","first-page":"177","DOI":"10.4103\/ijmr.IJMR_2679_20","article-title":"Breast cancer survivorship in India","volume":"154","author":"D'Souza","year":"2021","journal-title":"Indian J Med Res"},{"key":"10.25259\/IJPC_31_2025\/ref-12","doi-asserted-by":"publisher","first-page":"2134","DOI":"10.1111\/1475-6773.12117","article-title":"Achieving integration in mixed methods designs-principles and practices","volume":"48","author":"Fetters","year":"2013","journal-title":"Health Serv Res"},{"key":"10.25259\/IJPC_31_2025\/ref-13","doi-asserted-by":"publisher","first-page":"100662","DOI":"10.1016\/j.oor.2024.100662","article-title":"How to choose a sampling technique and determine sample size for research: A simplified guide for researchers","volume":"12","author":"Ahmed","year":"2024","journal-title":"Oral Oncol Rep"},{"key":"10.25259\/IJPC_31_2025\/ref-14","doi-asserted-by":"publisher","first-page":"292","DOI":"10.5172\/conu.14.3.292","article-title":"Application of Colaizzi's Method: Interpretation of an auditable decision trail by a novice researcher","volume":"14","author":"Sanders","year":"2003","journal-title":"Contemp Nurse"},{"key":"10.25259\/IJPC_31_2025\/ref-15","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1089\/jwh.2006.0255","article-title":"Symptom experience and quality of life of women following breast cancer treatment","volume":"16","author":"Janz","year":"2007","journal-title":"J Womens Health (Larchmt)"},{"key":"10.25259\/IJPC_31_2025\/ref-16","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ejon.2013.10.005","article-title":"Perceived symptoms and the supportive care needs of breast cancer survivors six months to five years post-treatment period","volume":"18","author":"Cheng","year":"2014","journal-title":"Eur J Oncol Nurs"},{"key":"10.25259\/IJPC_31_2025\/ref-17","doi-asserted-by":"publisher","first-page":"289","DOI":"10.4103\/2347-5625.189818","article-title":"Problems of breast cancer survivors living in an urban area of Nepal","volume":"3","author":"Sapkota","year":"2016","journal-title":"Asia Pac J Oncol Nurs"},{"key":"10.25259\/IJPC_31_2025\/ref-18","doi-asserted-by":"publisher","first-page":"1786","DOI":"10.1002\/cncr.11742","article-title":"Cancer-related fatigue: evolving concepts in evaluation and treatment","volume":"98","author":"Stasi","year":"2003","journal-title":"Cancer"},{"key":"10.25259\/IJPC_31_2025\/ref-19","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1080\/23809000.2016.1191948","article-title":"The etiology and management of radiotherapy-induced fatigue","volume":"1","author":"Hsiao","year":"2016","journal-title":"Expert Rev Qual Life Cancer Care"},{"key":"10.25259\/IJPC_31_2025\/ref-20","first-page":"S81","article-title":"Sexuality and breast cancer: Prime time for young patients","volume":"5","author":"Pinto","year":"2013","journal-title":"J Thorac Dis"},{"key":"10.25259\/IJPC_31_2025\/ref-21","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1097\/NCC.0000000000000592","article-title":"Sexual problems of patients with breast cancer after treatment: A systematic review","volume":"42","author":"Chang","year":"2019","journal-title":"Cancer Nurs"},{"key":"10.25259\/IJPC_31_2025\/ref-22","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1002\/pon.3819","article-title":"Sexual functioning in breast cancer survivors experiencing body image disturbance","volume":"25","author":"Boquiren","year":"2016","journal-title":"Psychooncology"},{"key":"10.25259\/IJPC_31_2025\/ref-23","doi-asserted-by":"publisher","first-page":"1959","DOI":"10.1245\/s10434-009-0452-2","article-title":"The risk of developing arm lymphedema among breast cancer survivors: A meta-analysis of treatment factors","volume":"16","author":"Tsai","year":"2009","journal-title":"Ann Surg Oncol"},{"key":"10.25259\/IJPC_31_2025\/ref-24","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1002\/jso.21435","article-title":"Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: A prospective cohort study","volume":"101","author":"Yang","year":"2010","journal-title":"J Surg Oncol"},{"key":"10.25259\/IJPC_31_2025\/ref-25","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1007\/s11764-010-0118-x","article-title":"Upper extremity impairments in women with or without lymphedema following breast cancer treatment","volume":"4","author":"Smoot","year":"2010","journal-title":"J Cancer Surviv"},{"key":"10.25259\/IJPC_31_2025\/ref-26","doi-asserted-by":"publisher","first-page":"1709","DOI":"10.3390\/cancers12071709","article-title":"Lifestyle intervention on body weight and physical activity in patients with breast cancer can reduce the risk of death in obese women: The EMILI study","volume":"12","author":"Cortesi","year":"2020","journal-title":"Cancers (Basel)"},{"key":"10.25259\/IJPC_31_2025\/ref-27","doi-asserted-by":"publisher","first-page":"3000","DOI":"10.3390\/cancers12103000","article-title":"Perceived cognitive impairment in breast cancer survivors and its relationships with psychological factors","volume":"12","author":"Boscher","year":"2020","journal-title":"Cancers (Basel)"},{"key":"10.25259\/IJPC_31_2025\/ref-28","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1186\/s13058-018-1062-3","article-title":"Inflammation markers and cognitive performance in breast cancer survivors 20 years after completion of chemotherapy: A cohort study","volume":"20","author":"Van der Willik","year":"2018","journal-title":"Breast Cancer Res"},{"key":"10.25259\/IJPC_31_2025\/ref-29","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1177\/101053950701900309","article-title":"Perceived barriers to self-management in malaysian women with breast cancer","volume":"19","author":"Loh","year":"2007","journal-title":"Asia Pac J Public Health"},{"key":"10.25259\/IJPC_31_2025\/ref-30","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1002\/pon.750","article-title":"Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian Cancer Survivors","volume":"13","author":"Ashing-Giwa","year":"2004","journal-title":"Psychooncology"},{"key":"10.25259\/IJPC_31_2025\/ref-31","doi-asserted-by":"publisher","first-page":"9","DOI":"10.21767\/2049-5471.100024","article-title":"Exploring the lived experience of breast cancer diagnosis and treatment amongst Gujarati speaking Indian Women","volume":"12","author":"Patel-Kerai","year":"2015","journal-title":"Divers Equal Health Care"}],"container-title":["Indian Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jpalliativecare.com\/health-related-problems-and-lived-experiences-of-breast-cancer-survivors-a-mixed-methods-study\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpalliativecare.com\/health-related-problems-and-lived-experiences-of-breast-cancer-survivors-a-mixed-methods-study\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T12:43:36Z","timestamp":1770727416000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpalliativecare.com\/health-related-problems-and-lived-experiences-of-breast-cancer-survivors-a-mixed-methods-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,14]]},"references-count":29,"alternative-id":["10.25259\/IJPC_31_2025"],"URL":"https:\/\/doi.org\/10.25259\/ijpc_31_2025","relation":{},"ISSN":["1998-3735","0973-1075"],"issn-type":[{"value":"1998-3735","type":"electronic"},{"value":"0973-1075","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,14]]},"article-number":"33"}}