Roberts Susan, Livingston Patricia, White Victoria, Gibbs Anne
Centre for Behavioural Research in Cancer, Cancer Control Research Institute, Cancer Council Victoria, 1 Rathdowne Street, Carlton, Victoria 3053, Australia.
Cancer Nurs. 2003 Jun;26(3):179-86. doi: 10.1097/00002820-200306000-00002.
After mastectomy, the provision of an appropriate breast prosthesis can help to improve body image and quality of life and reduce associated emotional distress. Although up to 90% of women use an external breast prosthesis after mastectomy, little is known about their experiences and satisfaction with breast prosthesis use. Focus groups were conducted with women who had been fitted with an external breast prosthesis, breast care nurses, and prosthesis fitters to explore women's experiences of prosthesis use. Qualitative thematic content analysis of focus group transcripts indicated that whereas women's initial reaction to the prosthesis generally was negative, this improved over time. Provision of adequate information and support, characteristics of the fitter and the fitting experience, and relationships with breast care nurses and prosthesis fitters were important to women's acceptance and satisfaction with their prosthesis. The study results highlighted the key role that breast care nurses play and the underestimation of the prosthesis fitter's role. Common themes concerning the impact of prosthesis use included body image, appearance, and feminine identity. These findings have important implications for professionals involved in the delivery of breast prostheses services.
乳房切除术后，提供合适的乳房假体有助于改善身体形象和生活质量，并减轻相关的情绪困扰。尽管高达90%的女性在乳房切除术后使用外部乳房假体，但对于她们使用乳房假体的体验和满意度却知之甚少。我们对已佩戴外部乳房假体的女性、乳房护理护士和假体装配师进行了焦点小组访谈，以探讨女性使用假体的体验。对焦点小组访谈记录进行定性主题内容分析表明，尽管女性最初对假体的反应通常是负面的，但随着时间的推移这种情况有所改善。提供充分的信息和支持、装配师的特点和装配体验，以及与乳房护理护士和假体装配师的关系，对于女性接受和满意其假体至关重要。研究结果突出了乳房护理护士所起的关键作用以及对假体装配师作用的低估。关于使用假体影响的常见主题包括身体形象、外观和女性身份认同。这些发现对参与提供乳房假体服务的专业人员具有重要意义。
