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乳腺癌术后女性的生活质量。临床与社会研究。

QUALITY OF LIFE IN WOMEN AFTER MASTECTOMY. CLINICAL AND SOCIAL STUDY.

机构信息

COLLEGIUM MEDICUM, JAN KOCHANOWSKI UNIVERSITY, KIELCE, POLAND; DEPARTMENT OF REHABILITATION, MILITARY INSTITUTE OF MEDICINE, WARSAW, POLAND.

COLLEGIUM MEDICUM, JAN KOCHANOWSKI UNIVERSITY, KIELCE, POLAND.

出版信息

Wiad Lek. 2021;74(3 cz 1):429-435.

Abstract

OBJECTIVE

The aim: To assess the quality of life in women after mastectomy.

PATIENTS AND METHODS

Materials and methods: The study included 25 women after mastectomy. The patients were aged 31 to over 50 years and were members of a breast cancer support group at the Holy Cross Cancer Centre in Kielce. During group meetings, the patients underwent rehabilitation and worked with psychologists and social workers.

RESULTS

Results: Most women after mastectomy who underwent breast reconstruction or wore breast prostheses reported a better quality of life. Mastectomy affects ipsilateral upper limb function and causes difficulty with activities of daily living, such as cleaning, cooking, brushing hair, bathing, and dressing.

CONCLUSION

Conclusions: 1. All women who rated their health as poor experienced such negative emotions as sadness, low mood, dejection. 2. Mastectomy affects ipsilateral upper limb function. 3. Breast reconstruction after mastectomy improves patient-rated quality of life. 4. Pain in the ipsilateral upper limb is considerably more common in women with a limited range of motion. 5. All women who participated in breast cancer support group meetings found support there and the time they spent together resulted in an improved quality of life.

摘要

目的

评估乳房切除术后女性的生活质量。

患者和方法

材料和方法:本研究纳入了 25 名乳房切除术后的女性。患者年龄在 31 岁至 50 岁以上,均为位于凯尔采的圣十字癌症中心乳腺癌支持小组的成员。在小组会议期间,患者接受康复治疗,并与心理学家和社会工作者一起工作。

结果

结果:大多数接受乳房重建或佩戴乳房假体的乳房切除术患者报告生活质量更好。乳房切除术会影响同侧上肢功能,并导致日常生活活动困难,如清洁、烹饪、梳头、洗澡和穿衣。

结论

  1. 所有自评健康状况不佳的女性都经历了悲伤、情绪低落、沮丧等负面情绪。2. 乳房切除术会影响同侧上肢功能。3. 乳房切除术后的重建改善了患者自评的生活质量。4. 运动范围受限的女性中,同侧上肢疼痛更为常见。5. 所有参加乳腺癌支持小组会议的女性都在那里获得了支持,她们在一起度过的时间提高了生活质量。

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