ArticleInternational journal of nursing studies advances2026
Living beyond survival: Experiences of self-management among long-term breast cancer survivors - A qualitative study.
Article in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Over the long term, breast cancer is associated with multiple symptoms and comorbidities that often cluster and intensify one another. Long-term breast cancer survivors face the challenge of transitioning from treatment-focused care to a non-treatment-oriented life. Objective: To explore long-term breast cancer survivors' experiences of managing cancer-related symptoms and provide insights to inform survivorship care. Design: A qualitative descriptive study. Methods: A purposive sampling approach was used to recruit long-term breast cancer survivors from a tertiary hospital in Guangzhou, China. Semi-structured interviews were conducted between June and July 2025, audio-recorded and transcribed verbatim. Data were analyzed using thematic analysis, with NVivo 12 software employed for data management. Results: Eighteen female breast cancer survivors participated. Three themes emerged: (1) The persistent shadow - manifestations and burden of long-term symptoms; (2) Navigating the new normal: self-management strategies and adaptations; and (3) Enablers and obstacles in the self-management journey. Conclusion: Long-term breast cancer survivors face ongoing symptom burdens and employ diverse self-management strategies, yet their understanding of self-management varies, and effective self-management should address psychological well-being alongside physical health. Tailored education and technological tools may help overcome barriers, particularly among older survivors with lower health literacy.
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