Pehlivan Melike, Eyi Semra
Author Affiliations: Gediz Vocational School of Health Services, Department of Medical Services and Techniques, Kutahya Health Sciences University, Kutahya (Dr Pehlivan); and School of Nursing, Department of Surgical Diseases Nursing, Osmangazi University, Eskisehir (Dr Eyi), Turkey.
Cancer Nurs. 2025;48(3):190-199. doi: 10.1097/NCC.0000000000001427. Epub 2024 Nov 18.
Surgical interventions are commonly utilized in the treatment of breast cancer; however, they can elicit adverse effects on women's perceptions of femininity, leading to stress, negative body image, diminished self-esteem, and challenges in sexual adjustment.
This study investigates the efficacy of mindfulness-based meditation and yoga in alleviating stress, enhancing self-esteem, improving body image, and facilitating sexual adjustment among women undergoing modified radical mastectomy.
Using a prospective (pretest, posttest, and second-month follow-up), 2-arm (1:1), randomized controlled experimental design, the study involved 39 women (intervention group = 19, control group = 20) undergoing modified radical mastectomy. The intervention group participated in face-to-face mindfulness-based meditation and yoga sessions lasting approximately 90 minutes each over an 8-week period.
Following the intervention, significant reductions in perceived stress and the significance attributed to breasts in sexuality were observed ( P < .05), accompanied by increases in self-esteem and body perception ( P < .05). However, no significant differences were observed in sexual adjustment ( P > .05).
Mindfulness-based meditation and yoga interventions demonstrated efficacy in mitigating perceived stress, enhancing self-esteem, and improving body perception among women undergoing modified radical mastectomy. The findings advocate for the integration of mindfulness-based stress reduction programs, particularly during the preoperative phase, to support oncological patients, particularly those with breast cancer.
Psychosocial aspects such as body image, self-esteem, and sexual adjustment following radical mastectomy are frequently overlooked in clinical care. This research highlights the potential benefits of incorporating mindfulness-based yoga and meditation techniques into nursing interventions to alleviate stress and enhance body confidence among women undergoing mastectomy.
手术干预常用于乳腺癌治疗；然而，它们可能对女性的女性气质认知产生不利影响，导致压力、负面身体形象、自尊下降以及性适应方面的挑战。
本研究调查基于正念的冥想和瑜伽在减轻接受改良根治性乳房切除术的女性的压力、增强自尊、改善身体形象以及促进性适应方面的效果。
采用前瞻性（术前测试、术后测试和第二个月随访）、双臂（1:1）、随机对照实验设计，该研究纳入了39名接受改良根治性乳房切除术的女性（干预组 = 19名，对照组 = 20名）。干预组在8周内参加了为期约90分钟的面对面基于正念的冥想和瑜伽课程。
干预后，观察到感知压力和乳房在性方面的重要性显著降低（P < .05），同时自尊和身体认知有所提高（P < .05）。然而，在性适应方面未观察到显著差异（P > .05）。
基于正念的冥想和瑜伽干预在减轻接受改良根治性乳房切除术的女性的感知压力、增强自尊和改善身体认知方面显示出效果。研究结果提倡纳入基于正念的减压计划，特别是在术前阶段，以支持肿瘤患者，尤其是乳腺癌患者。
根治性乳房切除术后的身体形象、自尊和性适应等心理社会方面在临床护理中经常被忽视。本研究强调将基于正念的瑜伽和冥想技巧纳入护理干预以减轻压力并增强接受乳房切除术的女性的身体自信的潜在益处。
