Shrestha K
Nepal Medical College, Jorpati, Kathmandu, Nepal.
Nepal Med Coll J. 2012 Jun;14(2):153-6.
Breast cancer is one of the leading causes of death in women. Cancer epidemiologists have stated that breast cancer is the most common cancer in women in developed countries, Nepal is not an exception. Breast cancer is the second most common cancer in women of Nepal after cervical cancer. A Qualitative phenomenological study was done to explore the psychological impact of women with mastectomy after diagnosis of breast cancer. In-depth study was done with ten women age ranging from 36 to 50 years. Ten women were interviewed which was recorded, and verbatim were transcribed before taking next interview. The interviews were analyzed in three stages as stated by Miles and Hubermans. Findings revealed that respondents expressed the fear of death, emotional impact of the loss of breast disfigurement, loss of femininity, fear of recurrence of disease, and concern about their family. Breast cancer and mastectomy have impact on women psychosocial state. They develop stress due to loss of body part, loss of femininity, fear of recurrence of disease, fear of cost and prolong treatment protocol.
乳腺癌是女性主要死因之一。癌症流行病学家指出，乳腺癌是发达国家女性中最常见的癌症，尼泊尔也不例外。乳腺癌是尼泊尔女性中仅次于宫颈癌的第二大常见癌症。一项质性现象学研究旨在探讨乳腺癌诊断后接受乳房切除术的女性的心理影响。对10名年龄在36至50岁之间的女性进行了深入研究。对这10名女性进行了访谈并录音，在进行下一次访谈之前逐字转录。访谈按照迈尔斯和休伯曼所述分三个阶段进行分析。研究结果显示，受访者表达了对死亡的恐惧、乳房缺失导致的毁容的情感影响、女性特质的丧失、疾病复发的恐惧以及对家人的担忧。乳腺癌和乳房切除术对女性的心理社会状态有影响。她们因身体部位的丧失、女性特质的丧失、疾病复发的恐惧、费用担忧和漫长的治疗方案而产生压力。
