ARTICLE IN PRESS
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Enferm Clin. 2020;xxx(xx):xxx---xxx
www.elsevier.es/enfermeriaclinica
ORIGINAL ARTICLE
Experiences of young mastectomised Colombian
women: An ethnographic study
Celmira Laza-Vásquez
a,*
, María Elena Rodríguez-Vélez
b
, Jasleidy Lasso Conde
a
,
Alix Yaneth Perdomo-Romero
a
, Roland Pastells-Peiró
b,c
, Montserrat Gea-Sánchez
b,c
a
Grupo de Investigación «Salud y Grupos Vulnerables», Programa de Enfermería, Universidad Surcolombiana, Neiva,
Departamento del Huila, Colombia
b
Grupo de Estudios Sociedad, Salud, Educación y Cultura (GESEC), Facultad de Enfermería y Fisioterapia, Universitat de Lleida,
Lleida, Spain
c
Grup de Recerca en Cures de la Salut (GRECS), Institut de Recerca Biomèdica de Lleida, Lleida, Spain
Received 13 May 2019; accepted 24 September 2019
KEYWORDS
Breast neoplasms;
Mammaplasty;
Qualitative research;
Nursing
Abstract
Objective: To explore the experiences of a group of young women in relation to the reconstruc-
tion of their breasts after mastectomy.
Method: Focused ethnography, performed in the League against Cancer- Huila Section (Colom-
bia). Through casual sampling oriented by criteria, semi-structured interviews were conducted
with eight young women (diagnosed at 45 years or earlier) with breast cancer (reconstructed
or not reconstructed after mastectomy) until saturation of discourse. Data collection was car-
ried out between August-November 2017, after the endorsement of the Ethics Committee and
the consent of the participants. Data was analysed using the thematic analysis technique after
being anonymised.
Results: Three issues emerged in the women’s discourses: 1) The social stigma of being a
young woman with breast cancer; 2) Learning to live with a body transformed by disease and
treatment; and 3) Surviving, which is the most important thing.
Conclusions: Being a young woman, and suffering from breast cancer implies a diversity of
changes that permanently alter the lives of women and their bodies. Women prioritise survival
in order to take care of others over breast reconstruction. At a healthcare level, the cultural
and gender perspective must be incorporated to design individualised nursing interventions that
contribute to better care.
© 2020 Elsevier Espa˜ na, S.L.U. All rights reserved.
DOI of original article: https://doi.org/10.1016/j.enfcli.2019.09.015
Please cite this article as: Laza-Vásquez C, Rodríguez-Vélez ME, Lasso Conde J, Perdomo-Romero AY, Pastells-Peiró R,
Gea-Sánchez M. Experiencias de mujeres jóvenes colombianas mastectomizadas: un estudio etnográfico. Enferm Clin. 2019.
https://doi.org/10.1016/j.enfcli.2019.09.015
*
Corresponding author.
E-mail address: celmira.laza@usco.edu.co (C. Laza-Vásquez).
2445-1479/© 2020 Elsevier Espa˜ na, S.L.U. All rights reserved.
ENFCLE-1105; No. of Pages 7