Słowik Agnieszka J, Jabłoński Marcin Jacek, Michałowska-Kaczmarczyk Anna M, Jach Robert
Oddział Kliniczny Onkologii UJ CM.
Institute of Psychology, Faculty of Philosophy, University of Philosophy and Education Ignatianum in Krakow.
Psychiatr Pol. 2017 Oct 29;51(5):871-888. doi: 10.12740/PP/OnlineFirst/63787. Epub 2016 Oct 8.
Both because of the large number of women undergoing surgery and a high cure rates, psychological rehabilitation of the consequences of breast cancer and side effects of their treatment is a major challenge of modern psychooncology. Aim. The study analyzed the quality of life in women with breast cancer, with particular emphasis on indicators of sexual satisfaction, future perspectives and body image, depending on the method of surgery.
The study included 42 women aged 35-70 years, 3 months after surgery due to early breast cancer, treated with adjuvant chemotherapy. The following research tools were used in the study: two EORTC questionnaires: QLQ-C30, BR23, and sexual function questionnaire: PL-FSFI.
There was no significant difference in the overall quality of life, depending on the type of surgery. The greatest local complaints were reported by patients after breast conserving surgery (BCT) with axillary lymphadenectomy. A higher level of cognitive functioning but a greater severity of systemic side effects was found in women undergoing mastectomy compared to BCT-patients. Women who underwent surgery of the right breast reported increased problems in sexual functioning (p = 0.034). Multiple regression analysis showed a positive correlation of the emotional functioning variable with the assessment of future perspectives (p = 0.01) and body image (p = 0.007).
The type of surgical technique does not affect the overall quality of life and sexual satisfaction. Problems with memory and attention do not correlate directly with the side effects, and as such require an independent diagnostics. Women undergoing treatment of the dominant-side breast should be the candidates for sexology consultation. There is a risk of disturbances in the body image and in the assessment of future perspectives in patients with emotional disorders observed within 3 months after surgery.
鉴于接受手术的女性数量众多且治愈率高，乳腺癌后果及其治疗副作用的心理康复是现代心理肿瘤学的一项重大挑战。目标。本研究分析了乳腺癌女性的生活质量，特别强调了性满意度、未来前景和身体形象指标，具体取决于手术方式。
该研究纳入了42名年龄在35至70岁之间、因早期乳腺癌手术后3个月且接受辅助化疗的女性。本研究使用了以下研究工具：两份欧洲癌症研究与治疗组织（EORTC）问卷：QLQ-C30、BR23，以及性功能问卷：PL-FSFI。
总体生活质量方面，取决于手术类型并无显著差异。保乳手术（BCT）加腋窝淋巴结清扫术后的患者报告的局部不适最为严重。与接受保乳手术的患者相比，接受乳房切除术的女性认知功能水平较高，但全身副作用更严重。接受右乳手术的女性报告性功能方面的问题增多（p = 0.034）。多元回归分析显示情绪功能变量与未来前景评估（p = 0.01）和身体形象评估（p = 0.007）呈正相关。
手术技术类型不会影响总体生活质量和性满意度。记忆和注意力问题与副作用没有直接关联，因此需要进行独立诊断。接受患侧乳房治疗的女性应成为性学咨询的对象。术后3个月内观察到的情绪障碍患者存在身体形象紊乱和未来前景评估受干扰的风险。
