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乳房切除术后乳腺癌女性的身体意象:一项定性研究。

Body Image of Women with Breast Cancer After Mastectomy: A Qualitative Research.

作者信息

Koçan Sema, Gürsoy Ayla

机构信息

Vocational School of Health Services, Recep Tayyip Erdogan University, Rize, Turkey.

Karadeniz Technical University, School of Health Sciences, Trabzon, Turkey.

出版信息

J Breast Health. 2016 Oct 1;12(4):145-150. doi: 10.5152/tjbh.2016.2913. eCollection 2016 Oct.

Abstract

OBJECTIVE

To gain a holistic and deep understanding about how mastectomy effects the body image of women who have breast cancer.

MATERIALS AND METHODS

The sample of this qualitative descriptive study consisted of twenty patients who underwent mastectomy procedures. Semi-structured interviews were conducted during the second week after mastectomy. Each interview was transcribed verbatim, and a thematic analysis was performed.

RESULTS

After the mastectomy, the findings related to the women's body image and their experiences were specified as four main themes and seven sub-themes. The main themes were: meaning of the breast, mastectomy and me, my body image and body image changes, and social life. Most of the participants in this study stated that the breast meant femininity, beauty, and motherhood. It was found that the meaning of mastectomy varied according to individuals. Women used quite negative statements about their appearances. The participants also said that they felt that half themselves was missing, as individuals and women. The women stated that they preferred clothes that hid their lack of breast. Some of the participants mentioned that relations with their husbands were not like before, and they abstained from social interaction.

CONCLUSION

Our findings suggest that mastectomy as a surgical treatment for breast cancer may negatively affect a woman's body image and her self-image.

摘要

目的

全面深入地了解乳房切除术如何影响乳腺癌女性的身体形象。

材料与方法

本定性描述性研究的样本包括20名接受乳房切除手术的患者。在乳房切除术后第二周进行半结构化访谈。每次访谈都逐字转录,并进行了主题分析。

结果

乳房切除术后,与女性身体形象及其经历相关的结果被明确为四个主要主题和七个子主题。主要主题为:乳房的意义、乳房切除术与我、我的身体形象及身体形象变化、以及社交生活。本研究中的大多数参与者表示,乳房意味着女性气质、美丽和母性。研究发现,乳房切除术的意义因人而异。女性对自己的外表使用了相当负面的表述。参与者还表示,作为个体和女性,她们觉得自己缺失了一半。这些女性表示,她们更喜欢能遮住胸部缺失部位的衣服。一些参与者提到,她们与丈夫的关系不如从前,并且避免社交互动。

结论

我们的研究结果表明,乳房切除术作为一种乳腺癌手术治疗方法,可能会对女性的身体形象和自我形象产生负面影响。

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