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[乳房切除术后女性的生活质量]

[Quality of life in women after mastectomy].

作者信息

Chwałczyńska Agnieszka, Woźniewski Marek, Rozek-Mróz Krystyna, Malicka Iwona

机构信息

Zakładu Fizjoterapii i Biomechaniki Klinicznej Wydziału Fizjoterapii, Akademii Wychowania Fizycznego we Wrocławiu.

出版信息

Wiad Lek. 2004;57(5-6):212-6.

Abstract

The aim of the study was evaluation of quality of life of women after radical mastectomy. It was assumed that cancer of the breast, treatment and results could cause the decrease of quality of life. 107 women aged from 40 to 75 years after radical mastectomy were examined. Questionnaire made by G. Hansen at Norwegian University of Sport and Physical Education was used in all women. Questionnaire consists of 4 parts and contains 87 questions concerning general and medical data, quality of life and physical activity. Examined women had not any problems in daily activity. Most of them (about 70%) had difficulty in physical effort, particularly using upper extremities. 60% of women did not work, but they had a hobby (about 70%). Housework and daily activity were less efficient in 80% women after radical mastectomy. We observed a change in psychical status of examined women. They had some problems with concentration, irritation, irritability and sleep. These problems did not influence the family relationships and contacts with other people. Instead we noticed change in self-rating of women after radical mastectomy. Removal of breast--attribute of femininity--changed sexuality, consciousness of femininity and appearance of an image. We observed "half woman complex" in examined women. Women evaluated status of their body and quality of life from 3 to 5 in 7-gradual scale.

摘要

该研究的目的是评估根治性乳房切除术后女性的生活质量。假定乳腺癌、治疗及结果可能导致生活质量下降。对107名年龄在40至75岁之间的根治性乳房切除术后女性进行了检查。所有女性均使用了挪威体育与运动大学的G. 汉森编制的问卷。问卷由4部分组成,包含87个有关一般和医疗数据、生活质量及身体活动的问题。接受检查的女性在日常活动中没有任何问题。她们中的大多数人(约70%)在体力活动方面有困难,尤其是在上肢使用方面。60%的女性没有工作,但她们有一项爱好(约70%)。80%的根治性乳房切除术后女性做家务和日常活动的效率较低。我们观察到接受检查女性的心理状态发生了变化。她们在注意力集中、烦躁、易怒和睡眠方面存在一些问题。这些问题并未影响家庭关系及与其他人的交往。相反,我们注意到根治性乳房切除术后女性的自我评价发生了变化。乳房的切除——女性特质的一种体现——改变了性行为、女性意识及形象外观。我们在接受检查的女性中观察到了“半女人情结”。女性在7级量表中对自己身体状况和生活质量的评价为3至5分。

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