Taze Sabriye Sibel, Kanan Nevin
Department of Internal Medicine, Division of Endocrinology and Metabolism, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey.
Department of Surgical Nursing, Haliç University Faculty of Nursing, İstanbul, Turkey.
Florence Nightingale J Nurs. 2020 Jul 3;28(2):174-183. doi: 10.5152/FNJN.2020.19012. eCollection 2020 Jun.
This study was carried out to determine the experiences women go through after breast cancer surgery.
The research was planned by using qualitative method of phenomenological type The sampling of this study consisted of 20 women with breast cancer who had undergone mastectomy in the general surgery clinic of a university hospital between January 2013 and December 2013. In sampling selection, purposeful sampling method was adopted. Women who were literate, able to communicate, willing to participate in the research, and those who had undergone mastectomy between six months and five years ago with no history of psychiatric illnesses were selected in sampling. Face-to-face interview technique was used to gather research data. The interview data were deciphered by the researcher and content analysis was done by using the N-Vivo7 program.
Women participating in the study had an average age of 41.1±7.3 years, 90% (n=18) were married, 55% (n=11) were primary school graduates, they all have children, 80% (n=16) had their first child between 20 and 30 years of age, they all breastfeed their children (n=20) breastfed their children, 90% (n=18) had their first menstruation between 12 and 14 years of age, 65% (n=13) had regular menstruation cycles, and 70% (n=14) did not use contraceptive pills. In qualitative findings, themes of first reaction regarding diagnosis, deterioration of body image, deterioration of sexual life, fear, and ways to cope with illness were defined.
It was determined that breast cancer affects women substantially psychologically; and therefore, providing psychological support before and after surgeries is advised.
本研究旨在确定女性在乳腺癌手术后所经历的体验。
本研究采用现象学类型的定性研究方法进行规划。本研究的样本包括20名在2013年1月至2013年12月期间于某大学医院普通外科门诊接受乳房切除术的乳腺癌女性患者。在样本选择中，采用了目的抽样法。选取识字、能够交流、愿意参与研究且在六个月至五年前接受过乳房切除术且无精神疾病史的女性作为样本。采用面对面访谈技术收集研究数据。访谈数据由研究者解读，并使用N-Vivo7程序进行内容分析。
参与研究的女性平均年龄为41.1±7.3岁，90%（n=18）已婚，55%（n=11）为小学毕业，她们均育有子女，80%（n=16）在20至30岁之间生育第一胎，她们均对子女进行母乳喂养（n=20），90%（n=18）在12至14岁之间初潮，65%（n=13）月经周期规律，70%（n=14）未服用避孕药。在定性研究结果中，确定了关于诊断的第一反应、身体形象恶化、性生活恶化、恐惧以及应对疾病的方式等主题。
研究确定乳腺癌对女性心理有重大影响；因此，建议在手术前后提供心理支持。
