Rezaei Maedeh, Elyasi Forouzan, Janbabai Ghasem, Moosazadeh Mahmood, Hamzehgardeshi Zeinab
Student Research Committee, Nasibeh Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, IR Iran; Department of Reproductive Health and Midwifery, Mazandaran University of Medical Sciences, Sari, IR Iran.
Psychiatry and Behavioral Research Center, Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran.
Iran Red Crescent Med J. 2016 Aug 10;18(10):e39465. doi: 10.5812/ircmj.39465. eCollection 2016 Oct.
Many psycho-socioeconomic and other types factors associated with cancer, the treatment process, and changes in patients' physical appearance and sexual function influence the body image of women with breast cancer. The purpose of this study was to determine which factors influence the body image of women with breast cancer.
A narrative literature review was conducted. Electronic databases, including Google Scholar, SID, Magiran, IranDoc, Barekat, Web of Science, Science Direct, Cochrane Library, ProQuest, Scopus, and PubMed, including Medline, were searched to retrieve articles published from 1993 to 2016 using the keywords breast cancer, treatment, body image, and related factors. The quality of selected studies was appraised using a checklist adapted from Samadaee-Gelehkolaee (2016).
Of 690 articles retrieved in the search, 190 articles were selected for full text appraisal. Finally, 44 articles were selected for data analysis. The results were classified under three headings: bio-psycho-socioeconomic factors, factors associated with the disease and treatment processes, and physical appearance and sexual function.
The findings of this review showed that many factors can influence the body image of women suffering from breast cancer. These factors were predictors of patients' inter-personal and intra-personal relationships with their partners and others who influenced various other aspects of their lives, possibly leading to many life's issues. These factors must be identified and considered to make the most appropriate decisions for patients. The strength of this study lies in the exploration of factors influencing the body image of women with breast cancer which earlier studies did not consider. Moreover, the authors believe that this research has addressed nearly all the factors that are real concerns in the body image of women with breast cancer.
许多与癌症、治疗过程以及患者身体外观和性功能变化相关的心理社会经济因素及其他类型的因素会影响乳腺癌女性的身体意象。本研究的目的是确定哪些因素会影响乳腺癌女性的身体意象。
进行了一项叙述性文献综述。检索了包括谷歌学术、SID、Magiran、IranDoc、Barekat、科学网、Science Direct、考克兰图书馆、ProQuest、Scopus和PubMed（包括Medline）在内的电子数据库，以检索1993年至2016年发表的文章，使用的关键词为乳腺癌、治疗、身体意象及相关因素。使用从Samadaee-Gelehkolaee（2016年）改编的清单对所选研究的质量进行评估。
在检索到的690篇文章中，190篇文章被选作全文评估。最后，44篇文章被选作数据分析。结果分为三个标题类别：生物心理社会经济因素、与疾病和治疗过程相关的因素以及身体外观和性功能。
本综述的结果表明，许多因素会影响乳腺癌女性的身体意象。这些因素是患者与其伴侣及其他影响其生活其他各个方面的人之间人际关系和个人内心关系的预测因素，可能导致许多生活问题。必须识别并考虑这些因素，以便为患者做出最合适的决策。本研究的优势在于探索了早期研究未考虑的影响乳腺癌女性身体意象的因素。此外，作者认为本研究几乎涵盖了乳腺癌女性身体意象方面真正令人担忧的所有因素。
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