Experiences and challenges in implant based breast reconstruction decision making among young breast cancer patients: A qualitative study.

OBJECTIVES

To explore the in-depth experiences, psychological conflicts, and coping strategies of young breast cancer patients regarding the Implant-Based Breast Reconstruction (IBBR) decision-making process.

METHODS

This study used a descriptive design and qualitative approach. Participants were recruited using purposive sampling. Data were collected using individual face-to-face semi-structured interviews and analyzed using Graneheim and Lundman's inductive content analysis.

RESULTS

Fifteen patients aged 18 to 40 years were interviewed. Four themes were identified. Participants viewed reconstruction as essential for restoring bodily integrity and social identity. The decision-making process was complicated by safety concerns about implants, family opposition prioritizing survival over quality of life, and financial burden. Patients actively sought information through AI tools and social media but encountered misleading content that sometimes amplified risk perceptions. Changes in intimate relationships and peer support networks further shaped their decisions.

CONCLUSIONS

Decision-making for IBBR among young patients is a complex psychosocial adaptation process. Healthcare professionals should address their specific vocational and emotional needs by providing multi-dimensional support strategies, including family shared decision-making guidance and digital health information navigation.

PRACTICE IMPLICATIONS: Healthcare providers should develop age-specific decision support interventions for young breast cancer patients considering IBBR. This includes facilitating family involvement in shared decision-making, providing guidance on evaluating digital health information from artificial intelligence (AI) tools and social media, and establishing peer support networks to address relationship concerns and emotional needs.