Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea.
Head of Research Institute, DKMediinfo Nursing Information Research Institute, Changwon-si, Korea.
J Clin Nurs. 2023 Sep;32(17-18):6366-6373. doi: 10.1111/jocn.16621. Epub 2023 Jan 18.
Breast cancer is considered as a major health problem for women, and the prevalence is increasing over the world. Research to improve their quality of life is necessary.
This study was to examine the body image and self-esteem of breast cancer patients who underwent breast reconstruction in order to determine whether these affect their quality of life.
A cross-sectional descriptive design was employed. This study was conducted on 140 patients who underwent breast reconstruction following breast cancer surgery at S University Hospital in Gyeonggi-do, South Korea. Measures were the general characteristics list, body image scale, self-esteem scale, and the Korean version of the Functional Assessment of Cancer Therapy-Breast Cancer Version 4 for quality of life. Data were analysed using descriptive statistics, Pearson correlation coefficient, linear regression, and process macro bootstrapping for mediation effect. Data were collected from October 2020 to March 2021.
The path regression coefficient was 1.59 (p < .001), and the direct effect of body image on the quality of life was 1.34 (p < .001) considering the effect of self-esteem, which is a parameter. This confirmed that self-esteem mediates body image and quality of life. The explanatory power of self-esteem for quality of life was 54%.
This study suggests that body image and self-esteem are important factors in the quality of life of breast cancer patients who underwent breast reconstruction. Also, the self-esteem has a mediating effect in the relationship between body image and quality of life.
In clinical practice, nurses should focus on the body image and self-esteem of breast cancer patients who have undergone breast reconstruction in order to improve their quality of life.
This cross-sectional descriptive design study was conducted on patients who underwent breast reconstruction following breast cancer surgery at hospital in South Korea.
乳腺癌被认为是女性的主要健康问题，其患病率在全球范围内呈上升趋势。因此，有必要进行相关研究以提高患者的生活质量。
本研究旨在探讨接受乳房重建术的乳腺癌患者的体像和自尊状况，以确定其是否会影响患者的生活质量。
采用横断面描述性设计。本研究于 2020 年 10 月至 2021 年 3 月在韩国京畿道 S 大学医院，选取 140 例接受乳腺癌手术后乳房重建的患者为研究对象。采用一般特征清单、体像量表、自尊量表和韩国版癌症治疗功能评估-乳腺癌量表 4 版（FACT-B）评估生活质量。采用描述性统计、皮尔逊相关系数、线性回归和过程宏引导的中介效应分析对数据进行分析。
路径回归系数为 1.59（p<0.001），考虑自尊的参数作用后，体像对生活质量的直接影响为 1.34（p<0.001），表明自尊在体像和生活质量之间起中介作用。自尊对生活质量的解释能力为 54%。
本研究表明，体像和自尊是接受乳房重建术的乳腺癌患者生活质量的重要因素。此外，自尊在体像和生活质量之间具有中介作用。
在临床实践中，护士应关注接受乳房重建术的乳腺癌患者的体像和自尊，以提高患者的生活质量。
本横断面描述性设计研究在韩国一家医院进行，选取的对象为接受乳腺癌手术后乳房重建的患者。
