Graduate Program in Public Health, Health Sciences Center, Federal University of Espírito Santo (UFES), Vitoria 29075-910, ES, Brazil.
Prefeitura Municipal de Vitória, Vitoria 29050-945, ES, Brazil.
Curr Oncol. 2022 Nov 10;29(11):8556-8564. doi: 10.3390/curroncol29110674.
Exposure to situations of domestic violence during the treatment for breast cancer may compromise the treatment and quality of life of women patients, so it is essential that health professionals act in tracking this phenomenon in the approach to and care of women with breast cancer. The purpose of this study was to examine experiences of violence against women by their intimate partners after mastectomy. This is an exploratory descriptive study, with a qualitative approach, carried out in the Rehabilitation Program for Mastectomized Women in a Brazilian reference hospital for oncological treatment. Semi-structured interviews were conducted with 16 mastectomized women. For data analysis, a content analysis technique was performed. The women interviewed were predominantly brown, with a minimum age of 44 years and maximum of 72 years. They presented with low education, were married, and had a mean period of five years of breast cancer diagnosis. The participants reported that after mastectomy, they experienced episodes of violence at a time when they were extremely vulnerable due to the various cancer treatments. Three major thematic categories emerged from interview data across the data collection: (1) experiences of psychological violence, (2) experiences of physical violence, and (3) experiences of sexual violence. Psychological violence took the form of humiliation and contempt for their condition. Physical violence involved assault and sexual violence in the form of forced sex by coercion. Violence was a phenomenon present after mastectomy, practiced in the domestic environment by the intimate partner. We emphasize the importance of health professionals in screening for this issue by listening to and welcoming women, recording cases, exposing this situation, and contributing to prevention.
乳腺癌治疗期间暴露于家庭暴力环境中可能会影响女性患者的治疗和生活质量，因此，卫生专业人员在对乳腺癌女性患者进行诊治和护理时，必须关注这一现象。本研究旨在调查女性在接受乳房切除术治疗后遭受其伴侣暴力侵害的经历。这是一项探索性描述性研究，采用定性方法，在巴西一家肿瘤治疗参考医院的乳房切除术女性康复计划中进行。对 16 名乳房切除术女性进行了半结构化访谈。采用内容分析法对数据进行分析。接受访谈的女性主要是棕色人种，年龄最小 44 岁，最大 72 岁。她们受教育程度较低，已婚，乳腺癌诊断平均时间为 5 年。参与者报告说，在乳房切除术后，由于各种癌症治疗，她们处于极度脆弱的状态，因此经历了一些暴力事件。采访数据中出现了三个主要的主题类别：（1）心理暴力经历，（2）身体暴力经历，（3）性暴力经历。心理暴力表现为对她们状况的羞辱和轻蔑。身体暴力包括攻击，性暴力表现为通过胁迫强迫发生性行为。暴力是乳房切除术后在家中环境中由亲密伴侣实施的一种现象。我们强调卫生专业人员通过倾听和欢迎女性、记录案例、揭露这种情况以及为预防做出贡献来筛查这一问题的重要性。
