手术治疗(乳房切除术与保乳治疗)与乳腺癌患者的身体接纳、展现女性特质以及与伴侣建立亲密关系之间的关系。

The relationship between surgical treatment (mastectomy vs. breast conserving treatment) and body acceptance, manifesting femininity and experiencing an intimate relation with a partner in breast cancer patients.

作者信息

Jabłoński Marcin J, Streb Joanna, Mirucka Beata, Słowik Agnieszka J, Jach Robert

机构信息

Instytut Psychologii Wydziału Filozoficznego Akademii Ignatianum w Krakowie.

Klinika Onkologii Uniwersytet Jagielloński Collegium Medicum.

出版信息

Psychiatr Pol. 2018 Oct 27;52(5):859-872. doi: 10.12740/PP/91916.

Abstract

OBJECTIVES

The aim of the study was to verify the following hypotheses: (1) Do women who have undergone surgical treatment for breast cancer differ from healthy women in the way they experience their body (body self)?; (2) Does the surgical technique (mastectomy vs. breast conserving treatment) differentiate the group in terms of experiencing their body after the surgery?; (3) Do demographic variables, BMI, breast size and the evaluation of the scar differentiate the group in terms of experiencing their body self after the surgery?

METHODS

In order to gain some insight into how women experience their body after breast surgery, the Body Self Questionnaire designed in 2005 by Beata Mirucka was used. The analysis included data from 50 women who completed surveys. This data were compared to the control group. Data were analyzed using IBM SPSS Statistics package, version 24, with a one-way analysis of variance (ANOVA).

RESULTS

Statistically significant differences were obtained between the entire group of women after breast surgery (mastectomy and BCT, jointly) and the control group of healthy women in three aspects of the Body Self Questionnaire: body acceptance, manifesting femininity and experiencing an intimate relation with a partner.

CONCLUSIONS

Surgical treatment of breast cancer is significantly associated with the way patients experience their body, which is expressed in three dimensions of the body self in treated women.

摘要

目的

本研究的目的是验证以下假设:(1)接受过乳腺癌手术治疗的女性在身体体验(身体自我)方式上是否与健康女性不同?(2)手术技术(乳房切除术与保乳治疗)在术后身体体验方面是否会使两组产生差异?(3)人口统计学变量、体重指数、乳房大小和疤痕评估在术后身体自我体验方面是否会使两组产生差异?

方法

为了深入了解女性在乳房手术后如何体验自己的身体,使用了贝娅塔·米鲁卡于2005年设计的身体自我问卷。分析纳入了50名完成调查的女性的数据,并将这些数据与对照组进行比较。使用IBM SPSS Statistics 24版软件包进行数据分析,采用单因素方差分析(ANOVA)。

结果

在身体自我问卷的三个方面,即身体接纳、展现女性气质以及与伴侣的亲密关系体验方面,乳腺癌手术后的整个女性群体(乳房切除术和保乳治疗联合)与健康女性对照组之间存在统计学上的显著差异。

结论

乳腺癌的手术治疗与患者体验身体的方式显著相关,这在接受治疗的女性身体自我的三个维度中有所体现。

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