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大乳房问题和巨乳症手术是否会影响女性的身体形象、抑郁水平、性生活和生活质量?一项前瞻性研究。

Does large breast problem and macromastıa surgery affect a woman's body image, depressıon level, sexual lıfe, and qualıty of lıfe? A prospectıve study.

机构信息

Health Science University, Ministry of Health Kayseri City Hospital - Kayseri, Turkey.

Health Science University, Hamidiye Faculty of Nursing - Istanbul, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2021 Nov;67(11):1659-1664. doi: 10.1590/1806-9282.20210708.

DOI:10.1590/1806-9282.20210708
PMID:34909895
Abstract

OBJECTIVE

This study was designed to evaluate the change in the body perception, sexual life, quality of life, and depression levels in women undergoing a reduction mammaplasty due to breast hypertrophy problem.

METHODS

This descriptive and comparative study was carried out prospectively with 34 women who were diagnosed with breast hypertrophy in a public hospital in the province of Kayseri between 1 April and 31 December 2019 and agreed to participate in the study. The data were collected via the self-reporting method using the Introductory Information Form prepared in line with the literature, Preoperative Data Collection Form, Postoperative Data Collection Form, Female Sexual Function Index (FSFI), Quality of Life Questionnaire, Body Perception Scale (BPS), and Beck Depression Inventory (BDI).

RESULTS

In the preoperative period, 97.1% of the women with breast hypertrophy reported health complaints related to breast hypertrophy, 91.2% need to take a shower frequently, 85.3% social problems like shame and stigma, 85.3% exercise intolerance, and 79.4% sense of dislike. It was determined that general health complaints of these women decreased in the postoperative third month and they obtained significantly high scores from the FSFI, BDI, BPS, and all subscales of the SF-36 Quality of Life Questionnaire, except from the mental subscale (p<0.05).

CONCLUSIONS

It was observed that there were remarkable improvements in the mental, physical, social, and sexual areas of women with breast hypertrophy after the reduction mammaplasty.

摘要

目的

本研究旨在评估因乳房肥大问题接受乳房缩小术的女性在身体感知、性生活、生活质量和抑郁水平方面的变化。

方法

这是一项在开塞利省一家公立医院进行的前瞻性描述性和对照研究,研究对象为 2019 年 4 月 1 日至 12 月 31 日期间被诊断为乳房肥大并同意参与研究的 34 名女性。数据通过自我报告的方法收集,使用根据文献编制的简介信息表、术前数据收集表、术后数据收集表、女性性功能指数(FSFI)、生活质量问卷、身体感知量表(BPS)和贝克抑郁量表(BDI)。

结果

在术前,97.1%的乳房肥大女性报告了与乳房肥大相关的健康问题,91.2%需要经常洗澡,91.2%存在社会问题如羞耻和耻辱感,85.3%存在运动不耐受,79.4%存在不喜欢自己身体的感觉。研究发现,这些女性的一般健康问题在术后第三个月有所减轻,她们在 FSFI、BDI、BPS 和 SF-36 生活质量问卷的所有子量表中,除了精神子量表外,都获得了显著较高的分数(p<0.05)。

结论

乳房缩小术后,乳房肥大女性在心理、身体、社会和性生活方面都有显著改善。

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