Silesian Piasts University of Medicine in Wrocław, Department of Gastrointestinal and General Surgery, Wrocław, Poland.
Psychooncology. 2013 Jul;22(7):1653-7. doi: 10.1002/pon.3197. Epub 2012 Oct 9.
The present study assessed the degree to which undergoing a mastectomy without reconstructive surgery negatively impacts the patient's psychological state. We focus on body image and self-esteem as well as the influence of mastectomy on patient sex lives and partnership relations.
The participants were 60 women, either married or in a relationship, who had had a mastectomy because of breast cancer and no subsequent reconstructive surgery. A marital happiness questionnaire was used to evaluate the research problem.
Surgery negatively impacted partnership relations for 33% of participants. In particular, 31% reported deterioration in attractiveness; 31%, a feeling of malaise; and 30%, that their partners perceived them as less attractive. Moreover, 80% in the youngest group reported that they covered their body during intimate contact, whereas 58% in the oldest age group reported the same behaviour. Deterioration in satisfaction with sex life and in the pleasure of sexual intercourse was indicated by 71% and 77%, respectively. Correspondingly, 71% also noticed a decrease in sexual activity, with 76% of participants aged 50-65 years reporting such a decline. The oldest women were also less satisfied with their sexual intercourse.
Breast excision due to cancer negatively impacted the quality of sexual life for 71% of participants. Partnership relations after surgery remained unchanged for 67% of them. There was significant impact of surgery on the perception of one's own body.
本研究评估了乳腺癌患者不进行乳房重建手术对其心理状态的负面影响程度。我们重点关注身体形象和自尊，以及乳房切除术对患者性生活和伴侣关系的影响。
参与者为 60 名已婚或有伴侣的女性，因乳腺癌接受了乳房切除术，但未进行后续重建手术。使用婚姻幸福问卷评估研究问题。
手术对 33%的参与者的伴侣关系产生了负面影响。具体来说，31%的人报告说吸引力下降；31%的人感到不适；30%的人认为伴侣认为他们的吸引力降低。此外，最年轻组的 80%在亲密接触时会遮盖身体，而最年长组的 58%则有同样的行为。71%的人报告说性生活满意度下降，77%的人报告说性交快感下降。相应地，71%的人也注意到性活动减少，50-65 岁的参与者中有 76%报告性活动减少。最年长的女性对性生活也不满意。
癌症导致的乳房切除对 71%的参与者的性生活质量产生了负面影响。手术对 67%的参与者的伴侣关系没有影响。手术对自身身体的感知有重大影响。
