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乳腺癌患者重建手术后的女性体验初步研究。

A preliminary study into women's experiences of undergoing reconstructive surgery after breast cancer.

机构信息

Department of Nursing, Umeå University, SE-901 87 Umeå, Sweden.

出版信息

Eur J Oncol Nurs. 2012 Jul;16(3):220-6. doi: 10.1016/j.ejon.2011.05.005. Epub 2011 Jul 20.

Abstract

UNLABELLED

Breast cancer is the most common type of cancer among women. In Sweden, about 40% of women diagnosed with breast cancer undergo a mastectomy; breast reconstruction (BR) may be an option for these women. However, the experience of undergoing reconstructive surgery appears to be only very scarcely researched, despite its importance in clinical nursing.

AIM

The purpose of this study was to explore women's experiences of undergoing breast reconstructive surgery after mastectomy due to breast cancer.

METHODS

Six women participated in narrative interviews about their experiences of reconstructive surgery, and the interview data were analysed using thematic narrative analysis.

RESULTS

All six women were unprepared for the strenuous experience of undergoing a BR. They described the process as difficult and painful, entailing several operations and an unexpectedly long recovery period. They were also unprepared for how arduous it would be, both physically and emotionally. However, getting a BR had been important to all the women. The BR process was captured in four themes: (1) uninformed care; (2) arduous experiences; (3) body alterations; and (4) moving on.

CONCLUSIONS

Obtaining adequate information and being involved in the decision-making process along the pathway of a BR could help the women to prepare physically and emotionally for the strenuous experiences related to reconstructive surgery.

摘要

背景

乳腺癌是女性中最常见的癌症类型。在瑞典,约有 40%的乳腺癌女性患者接受了乳房切除术;对于这些女性来说,乳房重建(BR)可能是一种选择。然而,尽管它在临床护理中很重要,但对接受重建手术的体验的研究似乎非常少。

目的

本研究旨在探讨女性在因乳腺癌接受乳房切除术(mastectomy)后进行乳房重建手术的体验。

方法

六名女性参与了关于她们接受乳房重建手术体验的叙事性访谈,使用主题叙事分析对访谈数据进行了分析。

结果

所有六名女性对接受 BR 的艰苦体验都毫无准备。她们描述这个过程既困难又痛苦,需要进行多次手术,而且恢复时间出乎意料地长。她们还对重建手术在身体和情感上的困难程度没有准备。然而,对于所有女性来说,进行 BR 非常重要。BR 过程可以概括为四个主题:(1)信息不足的护理;(2)艰苦的体验;(3)身体变化;(4)继续前进。

结论

在 BR 路径上获得足够的信息并参与决策过程可以帮助女性在身体和情感上为与重建手术相关的艰苦体验做好准备。

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