乳房部分切除或全乳房切除术后女性的身体形象认知与生活质量调查：一项横断面研究
Examination of body image perception and quality of life of women with segmental or total mastectomy: a cross-sectional study.
作者信息
Sançar Behire, Akan Nazife, Süren Akpolat Nalan, İnanç Şirin
机构信息
Faculty of Health Sciences, Department of Nursing, Toros University, Mersin, Turkey.
Mersin City Hospital, Mersin, Turkey.
出版信息
BMC Womens Health. 2025 Jul 10;25(1):342. doi: 10.1186/s12905-025-03898-7.
BACKGROUND
Breast cancer is the most common type of cancer in women, and it has severe effects on quality and duration of life. The aim of this study was to examine the body image perception and quality of life of women who underwent segmental or total mastectomy.
METHODS
The study was conducted in a city hospital in southern Turkey and included 170 participants. Data were collected using a patient identification form, a breast cancer body image scale, and a breast cancer specific quality of life scale (versions C30 and BR23). SPSS v.25.0 was used in the analysis. The study adhered to the Strengthening Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
RESULTS
While there was a negative relationship between women’s general health (such as pain, nausea, vomiting, and fatigue) ( < 0.001, =-0.503) and social function (such as maintaining family life, engaging in social activities, and financial difficulties) ( < 0.001, =-0.487) and their body image perceptions, there was a positive relationship between increased body functions (such as walking, carrying, and bathing) and their body image perceptions. This study showed that mastectomy type was associated with body image perception ( < 0.001. η²=0.105) and general health ( < 0.001, η²=0.121). Both have a moderate effect size according to the eta squared coefficient.
CONCLUSION
In this study, women who had undergone total mastectomy had a more negative body image perception than those who had undergone segmental mastectomy. Women who underwent segmental mastectomy had better general health status and higher quality of life and functioning levels. Current data have indicates that body image perception has a direct relationship with general health and quality of life. The results of this study highlight the importance of developing personalised care plans and providing psychosocial support to women after mastectomy.
CLINICAL TRIAL NUMBER
Not applicable.
背景
乳腺癌是女性中最常见的癌症类型，对生活质量和寿命有严重影响。本研究的目的是检查接受部分或全乳切除术的女性的身体形象认知和生活质量。
方法
该研究在土耳其南部的一家城市医院进行，纳入了170名参与者。使用患者识别表、乳腺癌身体形象量表和乳腺癌特异性生活质量量表（C30和BR23版本）收集数据。分析使用SPSS v.25.0。该研究遵循了加强流行病学观察性研究报告（STROBE）指南。
结果
女性的总体健康状况（如疼痛、恶心、呕吐和疲劳）（<0.001，=-0.503）和社会功能（如维持家庭生活、参与社交活动和经济困难）（<0.001，=-0.487）与她们的身体形象认知之间存在负相关，而身体功能增强（如行走、搬运和洗澡）与她们的身体形象认知之间存在正相关。本研究表明，乳房切除术类型与身体形象认知（<0.001，η²=0.105）和总体健康状况（<0.001，η²=0.121）相关。根据eta平方系数，两者的效应量均为中等。
结论
在本研究中，接受全乳切除术的女性比接受部分乳房切除术的女性有更负面的身体形象认知。接受部分乳房切除术的女性总体健康状况更好，生活质量和功能水平更高。目前的数据表明，身体形象认知与总体健康状况和生活质量有直接关系。本研究结果强调了制定个性化护理计划以及为乳房切除术后的女性提供心理社会支持的重要性。
临床试验编号
不适用。
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